Yes. Practising NP registration allows an NP to also practise as an RN. When working as RNs, NPs work within the RN role and scope of practice. They
use the title RN, not NP, when working in the RN role.
Things to consider
There may be legal implications for an NP working as an RN. Contact
CNPS to understand the legal implications for your situation.
Keep in mind that if you are working in an RN role, you are still an NP registrant under BCCNM bylaws. This means you have a
duty to provide care in some emergency situations (e.g.,
situations involving imminent risk of death or serious harm that arise unexpectedly and require urgent action) within your competence and to the standard of an NP.
If I'm a new NP, how will I ensure I have a good transition to the NP role and
consolidate my NP practice?
You come on your first shift and see that one of your PCN clients is about to be discharged from the unit and you want to review their records. What do you do?
Act proactively to avoid role conflict. Advise the manager of the potential conflict and ask not to be assigned to your PCN client.
If you are not assigned/providing care to the client, you are not authorized to access their medical records. Doing so would breach the Privacy and Confidentiality standard and, likely, the hospital policy.
If you are assigned and/or your PCN client attempts to engage with you as an NP, clearly communicate that your role on the unit is as an RN, not as their primary care NP.
The client approaches and asks you to renew a duplicate prescription for the medication that you prescribed in your NP role. What do you do?
Nurses only carry out medication-related activities for clients under their care. As the person is not your client when you are working your shift as an RN, you cannot write a prescription. Also, in the RN role, RNs are not authorized to write prescriptions for Schedule IA medications. Clearly explain to the client your role and why you cannot write the prescription.
The RN scope of practice does not authorized RNs to write prescriptions for Schedule I medications (note that certified practice nurses are authorized to prescribe a limited number of Schedule I medications). Because you are working in the RN role, you are not authorized to write this prescription. In situations like this, you would need to refer the client to someone who is authorized to prescribe.
The manager asks you to cover the unit’s NP role for the rest of your shift. What do you do?
In situations like this, you need to determine with the manager which role you will be working in. If you are taking over the NP’s role, then arrangements will need to be made to cover your RN assignment. The change in your role should be clearly communicated to all staff on shift. Make sure that when you sign into a client’s medical record, your unique identifier reflects the role/title you are working in.
Use of Title practice standard
Privacy and Confidentiality practice standard
Duty to Provide Care practice standard