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Limits and conditions on activities that are not restricted

Part 3: Activities that are not restricted

BCCNM limits and conditions apply to the following activities that are not restricted:

  • Restraint and seclusion.
  • Pronouncement of death.
  • Financial incapability assessment – Part 2.1 of the Adult Guardianship Act.​

Rest​raint and Seclusion ​​

​BCCNM​ Limits and​ Conditions
When us​​ing restraint or seclu​siona interventions, RPNs must follow applicable legislationb specific to their practice setting.
​When using mechanical restraintc or seclusion interventions with clients certified under the Mental Health Act, RPNs must act with a client-specific orderd from a listed health professional, except in an emergency situation.
​​The use of restraint and seclusion is not a restricted activity and is within RPN scope of practice. RPNs may apply physicale and mechanical restraintc and seclusiona interventions.​​
​Seclusion is a physical intervention that involves containing a client in a room from which free exit is denied (Government of BC, Ministry of Health, 2012, Secure rooms and seclusion standards and guidelines: A literature and evidence review).
​ If restraint and seclusion is not done with legislative authority, the act may be an assault. Some examples of provincial and federal legislation which may be applicable to the use of restraint and seclusion are the Residential Care Regulation, Community Care and Assisted Living Act, Mental Health Act, Corrections Act, Criminal Code of Canada and Corrections and Conditional Release Act.
​Mechanical restraint involves the use of devices to partially or totally restrict the client's movements.
​See the scope of practice standard Acting with Client-specific Orders​.
​Physical restraint involves direct physical contact that partially or totally restricts the client's movements. 
​​Pronouncement of Death​​​​
BCCNM​ Limits and​ Conditions
RPNs must follow a decision support tool approved by their employer when pronouncing unexpected death. ​
RPNs must not pronounce death related to medical assistance in dying (MAiD).
​​​Pronouncement of death is not a restricted activity and BCCNM has no limits or conditions on the pronouncement of death when it is expected/anticipated except when death is related to medical assistance in dying. A pronouncement of death is the process of gathering information about a client’s health status, analyzing that data and making a clinical judgment that life has ceased by observing and noting the absence of cardiac and respiratory function. 

​Financial Incapability Assessment – Part 2.1 of the Adult Guardian Act​​​

BCCNM​ Limits and​ Conditions
RPNs must successfully complete the educational program titled “A Guide to the Certificate of Incapability Process under the Adult Guardianship Act,” provided by the Ministry of Health.
RPNs must follow the guidelines contained in the document “A Guide to the Certificate of Incapability Process under the Adult Guardianship Act,” prepared by the Ministry of Health and the Public Guardian and Trustee of British Columbia.
​Financial incapability assessment is not a restricted activity. RPNs can conduct the functional component of the assessment to determine incapability for managing financial affairs.​​​

​Incapability Assessment for Care Facility Admission – Part 3 of the Health Care (Consent) and Care Facility (Admission) Act​

BCCNM​ Limits and​ Conditions
​RPNs must successfully complete the the M​inistry of Health course, “Consent to Care Facility Admission in British Columbia: A Course for Managers and Assessors"; ​​
RPNs must follow the Ministry of Health guidelines, “Practice Guidelines for Seeking Consent to Care Facility Admission”.​
​​​​Incapability assessment for care facility admission is not a restricted activity, however it is limited by the Health Care Consent Regulation. RPNs are prescribed health care providers under the Health Care Consent Regulation to conduct an assessment to determine incapability for consenting to admission to a care facility.​​​​​

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Vancouver, BC  V6C 1S4

​Toll-free 1.866.880.7101 (within Canada only) ​

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.​