Activities: Refers to restricted activities or any other activity that is related to the care of clients that requires the professional knowledge, skills, ability and judgment of a nurse.
Additional education: Additional education is structured education (e.g., workshop, course, program of study) designed for the nurse to attain the competencies required to carry out a specific activity. Additional education:
Advanced activities: Activities that are within a nurse's scope of practice but require additional education, training, and/or clinical experience that build on the foundational knowledge, skills, ability, and judgement attained during entry-level nursing education.
Client: Person receiving health services.
Client's representative: A person with legal authority to give, refuse or withdraw consent to health care on a client's behalf, including, as appropriate
- a “committee of the patient" under the
Patients Property Act,
- the parent or guardian of a client under 19 years of age with parental responsibility to give, refuse or withdraw consent to health care for the child under section 41(f) of the
Family Law
Act,
- a representative authorized by a representation agreement under the
Representation
Agreement Act to make or help in making decisions on behalf of a client,
- a temporary substitute decision maker chosen under section 16 of the
Health Care
(Consent) and Care Facility (Admission) Act, or
- a substitute decision maker chosen under section 22 of the
Health Care (Consent) and Care
Facility (Admission) Act.
Client-specific order: An instruction or authorization given by a regulated health professional to provide care for a specific client, whether or not the care or service includes a restricted activity or a non-restricted activity.
Competence: The integration and application of current knowledge, skills, ability, and judgment required to perform ethically, safely and in accordance with all applicable ethics standards and practice standards.
Competencies: The knowledge, skills, ability, and judgment required to provide safe, competent, and ethical care within an individual's practice or in a designated role or setting.
Decision support tools (DSTs): Evidence-based documents used by nurses to support clinical judgment and decision-making by guiding the assessment, diagnosis, and treatment of client-specific clinical problems.
Formal post-basic education: Structured education that builds on the entry-level LPN competencies. Formal post-basic education is delivered:
- By an educational institution that teaches a BCCNM-recognized practical nursing education program or equivalent, or
- Through a collaborative arrangement between an employer that employs LPNs in post-basic areas and a school that teaches a BCCNM-recognized practical nursing education program or equivalent.
Nursing diagnosis: A clinical judgment made by a nurse of a client's mental or physical condition to determine whether the condition can be prevented, improved, ameliorated or resolved by the performance of activities or provision of other care or services that is within the nurse's scope of practice to provide without an assessment or diagnosis of the patient by another regulated health professional.
Restricted activity: An activity that is performed in the course of providing a health service and is prescribed by the regulations under the Health Professions and Occupations Act as a restricted activity.
Team approach: When the care needs of a client include activities that are outside LPN scope of practice or the individual competencies of the LPN, the LPN seeks out other members of the health care team to jointly review the client's care needs and determine how the care needs will be met between them. Where relevant, the registered nurse or registered psychiatric nurse may be the most appropriate team member for the LPN to seek consultation and collaboration with regarding client care needs.
Team nursing approach: When the nursing care needs of a client include activities that are outside LPN scope of practice or the individual competencies of the LPN, the LPN seeks out the registered nurse or registered psychiatric nurse on the health care team to jointly review the client's care needs and determine how the care needs will be met between them.