· Assuming accountability and responsibility for making decisions about client care
· Performing activities they are educated, competent and allowed to perform without a client specific
order
what is not autonomous practice
· Not autonomous practice is any BCCNM standard, limit, or condition, or and organizational/employer
policies, processes, or restrictions.
How do nurses apply the standards for acting within autonomous scope of practice?
· Performing restricted activities that are not listed in section 6 of nurses and NP unless they are
prohibited by BCCNM
what is a listed health professional
o Physicians
o NP
o Certified RN
o Dentists
o Midwives
o Naturopaths
o Podiatrists
o Pharmacists
what is a non listed health professional
o Wound clinicians
o RNs who aren't certified
o Registered psychiatric nurses
o Dietitians
How do nurses apply the standards for acting with client-specific orders?
o be documented in the client's permanent record by the regulated health professional giving the client-
specific order,
o include all the information needed for the ordered activity to be carried out safely (e.g., time,
frequency, dosage), and
o include a written/electronic signature.
o Must also consider the four controls on practice
section 7 restricted activities that require an order
,o Procedures below the body surface
o Administering substances
o Putting items into body openings
o Putting substances into ears
o Hazardous forms of energy
o Medications
o Allergy testing and treatment
restricted activities that do not require an order
· Diagnosis
· Wound care
· Intravenous
· Inhalation
· Instillation and injection
· Assessing clients and treating conditions
· Managing labour
· Hazardous forms of energy
· Ordering the application of energy
· Medications
· prescribing
· Therapeutic diets
what is a condition
· A condition is different from a disease or disorder. A condition can be improved or resolved by a
registered nurse's interventions and achieves outcomes for which the registered nurse is accountable
section 6 is
restricted activities that do not require an order
section 7 is
restricted activities that do require an order
2 exceptions RN can function outside of their scope
risk of death that's urgent and formal delegation
• What did the Victorian Order of Nurses (VON) do?
- Approved in 1898 -> signified a professional standard of education for Canadian nurses that recognized
nursing knowledge, altruism and compassion
- In-home nursing often in outpost and remote regions
• What were some of Florence Nightingale's biggest contributions to nursing?
- Nursing as a highly-regarded profession
- Took a team of nurses to the Crimean war
- Reduced the soldier mortality rate
, - Nightingale model; a administrative model; hospital-based model overseen by trained staff/instructors;
nursing students provided the bulk of care
- Published a book focused on health>illness care; need for good environment (clean air and water)
- Advocate for the health of people, healthcare reform and educational preparation for nursing
• What is the principle of altruism?
selflessness
What is BCCNM?
regulatory college
How many health professions are there in BC?
26
Where does BCCNM get its authority?
health professions act
would governs the health professions act
provincial government
Who decides if a health profession will be regulated?
provincial government
What is the name of the Act that provides BCCNM its authority?
The Health Professions Act
What two documents govern nursing practice in BC?
health professions act and code of ethics for registered nurses
what are the five reserved titles under bccnm
RN
LPN
NP
MIDWIFE
RPN
RN and NP regulation outlines the following
restricted activities, titles and scope of practice
who is in charge of the regulation of nurses in bc
registered nurses and nurse practitioners regulation bc
BCCNP sets the following on nursing scope of practice
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