1.
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Perform a procedure on tissue below the dermis or below the surface of a mucous membrane
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Peritoneal Dialysis
LPNs carry out peritoneal dialysis:
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For clients with stable or predictable states of health
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After successfully completing additional education
Phlebotomy
LPNs perform phlebotomy:
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To collect blood samples from clients 14 years of age and older
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After successfully completing additional education
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By following decision support tools
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By using a peripheral evacuated system
Wound Care
LPNs apply compression therapy,
provide negative pressure wound therapy (vacuum assisted closure (VAC), or carry out maggot debridement therapy:
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If a wound care treatment plan is in place
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After successfully completing additional education
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By following decision support tools
LPNs do not carry out any form of sharps debridement including conservative sharps wound debridement (CSWD).
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2. |
Cast a fracture of a bone
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LPNs apply casts for a fracture of a bone:
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With a client-specific order from a medical practitioner or nurse practitioner registered in BC*
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After successfully completing additional education
**Licensed practical nurses may only act on a client-specific order to cast a fracture of a bone given by a medical practitioner or nurse practitioner who is registered in British Columbia as per the Nurses (Licensed Practical) Regulation section 7(3).
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3.
| Administer a substance by injection
| See limits and conditions for Medical Aesthetics.
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4.
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Administer a substance by inhalation
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LPNs do not:
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Administer nitrous oxide
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Monitor clients taking nitrous oxide
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Administer inhaled substances for purposes of anaesthesia or procedural (conscious) sedation
LPNs work in a team nursing approach to provide care and monitor clients under:
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General anesthesia
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Procedural sedation
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5.
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Administer a substance by mechanical ventilation
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LPNs care for clients requiring mechanical ventilation:
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With stable or predictable states of health
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After successfully completing additional education
LPNs provide care to clients who use continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BPAP) after successfully completing additional education.
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6.
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Administer a substance by irrigation
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LPNs do not irrigate ostomies.
LPNs irrigate only those percutaneous tubes they are permitted to irrigate at entry-level.
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7.
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Administer a substance by enteral or parenteral instillation
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LPNs:
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Change IV bags infusing via peripheral access (not central venous access)
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Monitor clients receiving blood or blood products in a team nursing approach
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Provide care to clients receiving parenteral nutrition in a team nursing approach
LPNs do not:
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Start transfusions of blood or blood products
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Start or monitor parenteral nutrition
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Administer radiopaque dyes via parenteral instillation
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Access central venous access devices or central venous lines
Also see hemodialysis for exceptions
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8.
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For the purpose of establishing intravenous access, maintaining patency or managing hypovolemia
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perform venipuncture, or
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administer a solution by parenteral instillation
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LPNs start IVs:
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After successfully completing additional education
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Using a short peripheral device
LPNs:
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Administer parenteral solutions to clients with stable or predictable states of health
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Change IV bags infusing via peripheral access (not central venous access)
Also see hemodialysis for exceptions
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9.
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Put an instrument or a device, hand or finger into the external ear canal, up to the eardrum
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LPNs do not insert a curette or other instrument into the external ear canal to remove:
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Foreign objects
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Earwax
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10.
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Put an instrument or a device, hand or finger beyond the point in the nasal passages where they normally narrow
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LPNs suction the nasal passages beyond the point where they normally narrow after successfully completing additional education.
LPNs do not:
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Insert nasogastric (NG) tubes
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Insert orogastric (OG) tubes
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Carry out nasopharyngeal washes
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11.
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Put an instrument or a device, hand or finger beyond the pharynx
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LPNs do not insert laryngeal mask airways (LMAs).
Also see Restricted Activities with Orders #15
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12.
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Put an instrument or a device, hand or finger beyond the opening of the urethra
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LPNs insert coude tip catheters after successfully completing additional education.
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13. |
Put an instrument or a device, hand or finger beyond the labia majora
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LPNs remove vaginal packing after successfully completing additional education.
LPNs insert or remove pessaries after successfully completing additional education.
LPNs do not:
- Insert vaginal packing
- Carry out pelvic or vaginal examinations
- Perform cervical cancer screening
- Insert an instrument, substance or medication into or beyond the cervix.
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14.
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Put an instrument or a device, hand or finger beyond the anal verge
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LPNs insert tubes into the rectum:
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After successfully completing additional education
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By following decision support tools
LPNs do not insert or advance scopes for rectal/bowel examinations.
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15.
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Put an instrument or a device, hand or finger into an artificial opening into the body
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LPNs provide tracheostomy care to clients:
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With well-established tracheostomies
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After successfully completing additional education
LPNs carry out digital examination of colostomies for clients:
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With well-established stomas
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After successfully completing additional education
LPNs insert suprapubic catheters and gastrostomy tubes for clients:
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With well-established stomas
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After successfully completing additional education
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16.
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Put into the ear canal, up to the eardrum, a substance that is under pressure
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None.
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17.
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Apply ultrasound for diagnostic or imaging purposes, except that ultrasound may be applied to a fetus only for the purpose of fetal heart monitoring
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LPNs do not carry out:
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Fetal heart monitoring using an intermittent Doppler, or any related activities including palpation and auscultation of the fetal heart
Also see antenatal care
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18.
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In respect of a drug specified in Schedule I, IA or II of the Drug Schedules Regulation, compound, dispense or administer the drug
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The LPN Regulation (Section 7) permits LPNs to compound, dispense, and administer medications listed in Schedule I, IA or II of the provincial drug schedules with a client-specific order from an authorized (listed) health professional.
LPNs change IV bags containing potassium chloride (KCL) infusing via peripheral access (not central venous access), when the IV bag has been compounded commercially or by a pharmacy.
LPNs administer IV medications after successfully completing additional education.
LPNs do not administer:
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IV push medications
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IV medications through a central venous access device
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Intrathecal medications
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Intra-osseous medications
- Medications into epidural spaces
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Medications into perineural spaces
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Inhaled substances or medications for purposes of anaesthesia or procedural sedation
LPNs work in a team nursing approach to provide care and monitor clients under:
- General anesthesia
- Intrathecal anesthesia
- Epidural anesthesia
- Procedural sedation
Also see:
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19.
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If nutrition is administered by enteral instillation, compound or dispense a therapeutic diet
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None
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