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Ordering the application of energy

Section 6: Restricted activities that do not require an order

Ordering the application of energy

6

(1)

(j.1)

in the course of assessment, issue an instruction or authorization for another person to apply, to a named individual,

 

 

 

(i)

ultrasound for diagnostic or imaging purposes, including any application of ultrasound to a fetus, or

 

 

 

(ii)

X-rays for diagnostic or imaging purposes, except X-rays for the purpose of computerized axial tomography

The Regulation states that, during the assessment process, registered nurses may order ultrasound or X-ray with the exception of CAT scans.

BCCNM Limits and Conditions

Registered nurses give a client-specific order for X-ray or ultrasound only under the following circumstances:

  • Registered nurses who give a client-specific order for X-ray or ultrasound must follow established decision support tools.
  • Registered nurses who give a client-specific order for X-ray or ultrasound for the purpose of screening or triage or treating a condition must successfully complete additional education.
  • Registered nurses give a client-specific order for X-ray or ultrasound for the purpose of routine management only when organizational processes are in place to direct test results to the appropriate health professional for follow-up.
  • Registered nurses who give a client-specific order for chest X-ray for the purpose of tuberculosis screening must possess the competencies established by the B.C. Centre for Disease Control (BCCDC) and follow decision support tools established by BCCDC