Certified practice registered nurses do not require a client-specific order from a listed health professional for a restricted activity listed in section 8 of the RN Regulation that is within the autonomous scope of the nurse’s certified practice designation and the nurse’s individual competence.
A registrant in the course of practising nursing may do any of the following:
perform an activity described in section 7 (1)(a) or (b) to (h);
in respect of a drug specified in Schedule I of the Drug Schedules Regulation,
prescribe the drug,
compound the drug,
dispense the drug, or
administer the drug by any method;
Certified practice RNs are allowed within their autonomous scope of practice to diagnose a disease, disorder, or condition and treat by prescribing, dispensing, administering, or ordering Schedule I medications.
These limits and conditions apply to certified practice registered nurses who are authorized to perform certain restricted activities within their autonomous scope of practice in one or more of the following certified practice areas:
Diagnose and treat only those diseases, disorders, or conditions or provide contraceptive management as outlined in the competencies of the BCCNM recognized education program for their certified practice designation and as set out in
Follow the decision support tools managed by the
Nurses and Nurse Practitioners Association of British Columbia (NNPBC) for their certified practice designation, and only diagnose and treat diseases, disorders, or conditions, including the administration, dispensing, or prescribing of medications, as outlined in the decision support tools for their certified practice designation.
Ensure they are competent before performing a new activity added to their certified practice designation and as identified within their certified practice decision support tools such as diagnosing or treating a new disease, disorder, condition, or providing a new treatment.
Diagnose and treat diseases, disorders, or conditions or provide contraceptive management as outlined for their certified practice designation, including prescribing, dispensing, administering, or ordering medications, and ordering diagnostic tests only when policies, processes an/or resources are in place for:
Ensuring continuity of care for the client, including appropriate follow-up of diagnostic testing results, questions about the prescription, and the monitoring and management of client outcomes related to their treatment plan.
Consulting with other health professionals (e.g., nurse practitioners, medical practitioners, pharmacists, primary care providers) about the treatment plan or as needed to meet the client's needs.
Have a BCCNM-assigned prescriber number.
Prescribe only when they are recognized by their
organization/employer3 as a prescriber.
Successfully complete certified practice education approved by BCCNM that includes competencies that align with BCCNM prescribing standards, limits, and conditions.
Reproductive Health: Contraceptive Management
Reproductive Health: Sexually Transmitted Infections
Reproductive Health –
Sexually Transmitted Infections
May diagnose and treat the following diseases and disorders:
Treatment of sexually transmitted infections contacts
May diagnose and treat the following diseases, disorders, and conditions for pediatric and adult clients unless indicated as adult only:
May diagnose and treat the following diseases and disorders and conditions for pediatric and adult clients unless indicated as adult only: