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CRNBC Standards of Practice (Professional Standards (2. Knowledge-based…
CRNBC Standards of Practice
Professional Standards
2. Knowledge-based Practice
To consistently apply knowledge, skills & judgement in nursing practice
3. Client-focused Provision of Service
To provide nursing services & work w/ others to provide healthcare services in the best interest of clients
1. Professional Accountability & Responsibility
To maintain standards of nursing practice & professional conduct determined by CRNBC
4. Ethical Practice
To understand, uphold & promote the ethical standards of the nursing profession
Scope of Practice Standards
-Explains Regulation & Health Professionals Act (HPA)
-Sets out CRNBC standards, limits & conditions
-Explains restricted activities for RNs
CRNBC Standards, Limits & Conditions
Section 7
=Restricted Activities that Require an Order from a listed healthcare professional (Part of general nursing practice). Examples:
-Procedures below body surfaces
-Administering substances
-Putting items into body openings
-Putting substances into ears
Section 8
=Restricted Activities for CRNBC Certified Practice
-Outlines restricted activities that are subject to additional regulatory provisions
Categories of Certified Practice
2. RN First Call
-Diagnose/treat minor acute illnesses, including administering, compounding or dispensing Schedule I medications within autonomous scope of practice as set out in DSTs.
3. Reproductive Health
-Diagnose/treat sexually transmitted diseases, provide birth control.
-STI (sexually transmitted infections) only
(Diagnose/treat sexually transmitted diseases)
-CM (contraceptive management) only
(Provide birth control)
1. Remote Practice
-Diagnose/treat minor acute illnesses as set out in decision support tools (DSTs), including administering, compounding or dispensing Schedule I medications within autonomous scope of practice.
-Carry out all activities included in reproductive health certification.
Components of Certified Practice Programs
Competencies
Decision Support Tools
Courses
Section 6
=Restricted Activities w/o an Order (Part of general nursing practice). Examples:
-Diagnosis
-Wound care
-Intravenous
-Inhalation
-Instillation and injection
-Assessing clients and treating conditions
Delegation
=Restricted Activities Outside RN Scope of Practice
-Requires an agreement between both regulatory Colleges prior to proceeding with the delegation.
-Sharing authority with other health care providers to provide a particular aspect of care
Practice Standards
Principles
-Privacy & Confidentiality
-Boundaries in the Nurse-Client Relationship
-Duty to Provide Care
-Consent
-Documentation
Purpose
-Set out requirements related to specific aspects of nurses' practice
-Link w/ other CRNBC standards, policies & bylaws & relevant legislation
Levels of Controls on Registered Nurses' Practice
2. CRNBC Standards
Complement and further define and limit the scope of practice set out in the Regulation
3. Employer Policies
May restrict registered nurses' practice in a particular agency or unit
1. Regulation/Legislation
The Nurses & Nurse Practitioners Regulation, which sets out the scope of practice in fairly broad strokes
4. Individual Nurse Competence
An individual nurse's competence to carry out a particular activity