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Instillation and injection









nutrition by enteral instillation,





purified protein derivative by injection, for the purpose of tuberculosis screening

The Regulation permits registered nurses to administer enteral feeds without an order.

BCCNM Limits and Conditions

Within autonomous scope of practice, registered nurses can administer enteral feeds only to stable clients with an established diet. Registered nurses must follow a client-specific order from an appropriate health professional for all other clients.

Registered nurses require a client-specific order from a listed health professional for any client whose condition is unstable or whose diet is not well established. In addition, registered nurses are encouraged to collaborate with a dietitian or pharmacist about providing nutritional care to clients.

The Regulation authorizes registered nurses to administer purified protein derivative in doing a tuberculin skin test (commonly known as a Mantoux test) to screen for tuberculosis.

BCCNM Limits and Conditions

Registered nurses administering purified protein derivative must possess the competencies established by the B.C. Centre for Disease Control (BCCDC) and follow decision support tools established by BCCDC.

900 – 200 Granville St
Vancouver, BC  V6C 1S4

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With great respect, we acknowledge that BCCNM’s office is located on the unceded territories of the hən̓q̓əmin̓əm̓ speaking peoples – xʷməθkʷəy̓əm (Musqueam), and sel̓íl̓witulh (Tsleil-Waututh) Nations, and the Sḵwx̱wú7mesh-ulh Sníchim speaking peoples - Sḵwx̱wú7mesh Úxwumixw (Squamish Nation) whose historical relationships with the land continue to this day.​