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Applying the standards for giving client-specific orders

Part 2: Scope of practice standards

Applying the standards for giving client-specific orders

  • When you are giving a client-specific order, you may incorporate information from other health professionals as part of your assessment. For example, if another health care professional provides information about the client’s vital signs, you may use that information to inform your assessment.
  • When you give a client-specific order, you are not accountable or responsible for ensuring that the health professional(s) carrying out the client-specific order are:
    • working within their scope of practice
    • competent to perform the activity
  • Before giving a client-specific  order consider the elements that would make the order specific, clear and complete such as:
    •  the duration if there are time limits to the ordered activity (e.g. for 7 days)
    • the frequency of care – how often the care needs to take place
    •  the conditions (e.g. client condition, lab result) that need to exist to carry out the client-specific order
  • When you are giving a client-specific order improve client safety by following your organization’s policy on the use of abbreviations.
  • Before giving a client-specific order, ensure that policies, procedures and communication methods are in place to maintain continuity of care, answer questions about the client-specific orders when you are not available and evaluate the client’s response to the care. For example, this may include communicating to a colleague at shift change about any revisions to client-specific orders and communicating to other health professionals who can respond to questions about the client-specific order in your absence.
  • Except in an emergency, such as a cardiac arrest, avoid verbal client-specific orders when you are working in the same location of care as the health professional receiving the client-specific order.
  • In some cases the best option for the client is for a client-specific order to be given virtually. Following organizational policies, processes, restrictions, and other relevant BCCNM Standards of Practice increases client safety​.

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We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

We also acknowledge the unique and distinct rights, including rights to health and wellness, of First Nations, Métis, and Inuit peoples from elsewhere in Canada who now live in British Columbia. As leaders in the settler health system, we acknowledge our responsibilities to these rights under international, national, and provincial law.​