Assessing clients and treating conditions
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6
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(1)
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(f)
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for the purposes of assessment or ameliorating or resolving a condition identified through the making of a nursing diagnosis, administer a solution
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(i)
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by irrigation, or
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(ii)
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by enteral instillation;
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6
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(1)
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(g)
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for the purposes of assessment or ameliorating or resolving a condition identified through the making of a nursing diagnosis, put an instrument or a device, hand or finger
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(i)
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into the external ear canal, up to the eardrum,
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(ii)
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beyond the point in the nasal passages where they normally narrow,
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(iii)
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beyond the pharynx,
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(iv)
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beyond the opening of the urethra,
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(v)
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beyond the labia majora,
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(vi)
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beyond the anal verge, or
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(vii)
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into an artificial opening into the body;
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(g.1)
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put a wearable hearing instrument, or a part of or accessory for it, into the external ear canal, up to the eardrum;
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6
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(1)
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(h)
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for the purposes of assessment or ameliorating or resolving a condition identified through the making of a nursing diagnosis, put into the external ear canal, up to the eardrum,
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(i)
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air that is under pressure no greater than the pressure created by the use of an otoscope, or
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(ii)
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water that is under pressure no greater than the pressure created by the use of an ear bulb syringe
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The Regulation sets out a number of activities that registered nurses may do autonomously if those activities are to:
- Assess a client
- Improve or resolve a condition based on a nursing diagnosis
The Regulation does not refer to registered nurses preventing conditions, nor does it exclude registered nurses from carrying out activities to prevent conditions. Preventing conditions is a routine part of practice for registered nurses.
Examples of nursing activities involving the restricted activities listed above include:
- Taking a rectal temperature (assessing)
- Performing digital rectal exams or stimulation, or giving an enema (assessing, treating a condition)
- Catheterizing a client with urinary retention caused by medication (treating a condition)
- Changing an established suprapubic catheter (preventing or treating a condition)
- Showing a stable client how to irrigate his or her own colostomy (preventing or treating a condition)
- Performing a vaginal exam (assessing)
- Suctioning a client with an established tracheostomy (treating a condition)
- Checking patency of the ear drum using an otoscope (assessing)
- Removing wax from the external ear canal using water and a bulb syringe (treating a condition)
- Flushing a naso-gastric tube or enteral tube following a feed (preventing a condition)
BCCNM Limits and Conditions
Registered nurses who carry out
pelvic exams or
cervical cancer screening must possess the
competencies established by the Provincial Health Services Authority (PHSA) and follow
decision support tools established by PHSA.
Registered nurses require a client-specific order from a listed health professional to apply fetal scalp electrodes.
Registered nurses require a client-specific order from a listed health professional to fit a pessary.
Registered nurses may not carry out endotracheal intubation.
Endotracheal intubation is not currently considered to be within the scope of practice of registered nurses in B.C. Registrants who are interested in carrying out endotracheal intubation should contact BCCNM for direction.