BCCNM has the authority, under the
Health Professions Act, to establish, monitor and enforce standards, limits and conditions for RPN practice. Standards, limits and conditions increase the public's level of protection. These concepts are defined below:
A desired and achievable level of performance against which actual performance can be compared. It provides a benchmark below which performance is unacceptable.
The RPN scope of practice standard Autonomous Scope of Practice and Client-specific Orders outlines the requirements for RPNs when providing psychiatric nursing care. The RPN scope of practice standard Autonomous Scope of Practice and Client-specific Orders consists of three standards:
Acting within Autonomous Scope of Practice.
Acting with Client-specific Orders.
Giving Client-specific Orders.
The RPN scope of practice standards are discussed in
Specifies what RPNs are not permitted to do. For example, when acting within autonomous scope of practice, RPNs must not immunize children under the age of four.
The circumstances under which RPNs may carry out an activity. There are three types of conditions in this context: education, competencies and decision support tools.
When required, RPNs must follow established decision support tools (DSTs). Decision support tools are systems that provide evidence-based information to support clinical judgment. DSTs come in various forms and are created by organizations or specialists in a specific area of health care. They are not the same as practice standards provided by BCCNM.
BCCNM strongly recommends that registrants keep a permanent record of information showing that they have met any conditions associated with an activity, such as evidence of successful completion of education.
Registrants who are unsure whether an activity is considered within RPN scope of practice should contact BCCNM. RPNs are required to follow the RPN standards, limits and conditions set out by BCCNM.
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