1.
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Licensed practical nurses are accountable and responsible when they make a decision that the client's condition[2] would benefit from an activity and act within autonomous scope of practice to perform the activity.
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2.
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Licensed practical nurses acting within autonomous scope of practice ensure that the activity they will perform is:
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a. |
Within the scope of practice for licensed practical nurses acting without a client-specific order as set out in the Nurses (Licensed Practical) Regulation, |
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b.
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Consistent with BCCNM's standards of practice including standards, limits, and conditions, |
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c.
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Consistent with organizational/employer policies, processes, restrictions, and |
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d.
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Within the nurse's individual competence.
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3.
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Licensed practical nurses acting within autonomous scope of practice ensure they have the competence to: |
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a.
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Make decisions about whether the client would benefit from the activity, having considered:
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i.
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Potential risks to the clients and how to minimize those risks,
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ii.
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The benefits to the client,
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iii.
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The predictability of outcomes of performing the activity, and
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iv.
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Other relevant factors specific to the client or situation,
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b.
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Carry out the activity safely and ethically, and |
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c.
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Safely manage the intended and unintended outcomes of performing the activity.
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4.
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Before performing an activity within autonomous scope of practice, licensed practical nurses consider applicable employer/organizational policies, processes, and resources, and other relevant human and system factors that may impact their ability to:
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a.
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Perform the activity competently and safely within their practice setting, and
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b.
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Manage intended and unintended outcomes of the activity.
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5.
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Licensed practical nurses perform advanced activities within their autonomous scope of practice only when they have obtained the additional education, training and/or clinical experience needed to gain and maintain the competence to perform the activity safely.
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6.
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Licensed practical nurses acting within autonomous scope of practice identify the effect of their own values, beliefs, and experiences in decision-making, recognize potential conflicts, and take action for the needs of the client to be met.
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7.
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Licensed practical nurses acting within autonomous scope of practice use current evidence to support their decision-making and the activity to be performed.
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8.
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Licensed practical nurses acting within autonomous scope of practice follow a clinical decision-making process when they:
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a.
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Assess the client’s health status,
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b. |
Make a nursing diagnosis[3] of a client condition that can be prevented, improved, ameliorated, or resolved through nursing activities, |
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c. |
Determine a plan of care,
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d. |
Determine an activity to be performed,
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e. |
Implement an activity to prevent, treat, or palliate an illness or injury and/or improve, ameliorate, or resolve a condition,
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f. |
Change or cancel a client-specific order for activities within the nurse’s autonomous scope of practice,
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g. |
Manage the intended and unintended consequences of carrying out the activity,
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h.
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Manage and evaluate the outcomes of the activity.
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9.
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Licensed practical nurses acting within autonomous scope of practice communicate and collaborate with the client (or their substitute decision-maker) about nursing diagnoses, decisions, actions, and outcomes to support the client to be an active participant in making informed decisions about the care to meet the client’s needs.
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10.
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Licensed practical nurses acting within autonomous scope of practice communicate and collaborate with the health-care team about nursing diagnoses, decisions, actions, and outcomes.
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11.
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Licensed practical nurses acting within autonomous scope of practice communicate and collaborate with the health-care professional who gave the order (or their delegate), the client, and other members of the health care team when changing or cancelling a client-specific order for activities that are within the nurse’s autonomous scope of practice and individual competence.
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12.
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Licensed practical nurses acting within autonomous scope of practice consult with, or refer clients to, other health-care professionals when:
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a.
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The needs of the client exceed their scope of practice or individual competence,
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b.
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Required by organizational/employer policies or processes, or
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c.
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Client care would benefit from the expertise of other health care professionals.
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