put an instrument or a device, hand or finger
into the external ear canal, up to the eardrum,
beyond the point in the nasal passages where they normally narrow,
beyond the pharynx,
beyond the opening of the urethra,
beyond the labia majora,
beyond the anal verge, or
into an artificial opening into the body
The Regulation states that, with an order from a listed health professional, registered nurses may put items (such as fingers and instruments) into natural and artificial openings in the body.
Many of these nursing activities could be done within autonomous scope of practice to assess or treat a condition and would therefore not require a client-specific order from a listed health professional. In other circumstances, a client-specific order from a listed health professional is appropriate (e.g., passing a tube or instrument past a fresh surgical site). In these cases, employer policies may require registered nurses to receive a client-specific order from a listed health professional before carrying out the restricted activity.
Registered nurses may not carry out endotracheal intubation.
Endotracheal intubation is not currently considered to be within the scope of practice of registered nurses in B.C. Registrants who are interested in carrying out endotracheal intubation should contact BCCNM for direction.
Registered nurses who carry out pelvic exams or cervical cancer screening must possess the competencies established by the Provincial Health Services Authority (PHSA) and follow
decision support tools established by PHSA.