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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.

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We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

We also acknowledge the unique and distinct rights, including rights to health and wellness, of First Nations, Métis, and Inuit peoples from elsewhere in Canada who now live in British Columbia. As leaders in the settler health system, we acknowledge our responsibilities to these rights under international, national, and provincial law.​