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Administering substances

Section 7: Restricted activities that require an order

Nurses (Registered Psychiatric) Regulation, section 7(1)(b)​​:

A registrant in the course of practising psychiatric nursing may administer a substance

​​i.

by injection​

BCCNM limits and conditions​​​

​​1.

RPNs must not administer substances via intrathecal, epidural and perineural spaces​​.

Nurses (Registered Psychiatric) Regulation, section 7(1)(b)​​:

ii.

...by inhalation ​

BCCNM limits and conditions​​​

​​1.

RPNs must not induce general anesthesia or maintain general anesthetic agents​​.

​2.

​RPNs must not administer nitrous oxide​.​​

Nurses (Registered Psychiatric) Regulation, section 7(1)(b)​:​

iii.

...by mechanical ventilation​

BCCNM limits and conditions​​​

​​1.

RPNs must successfully complete additional education to care for clients on mechanical ventilation​​.

Nurses (Registered Psychiatric) Regulation, section 7(1)(b)​:​

iv.

...by irrigation

BCCNM limits and conditions​​​

​​1.

RPNs must successfully complete additional education to carry out peritoneal dialysis.

Nurses (Registered Psychiatric) Regulation, section 7(1)(b)​:​

v.

...by enteral instillation or parenteral instillation

BCCNM limits and conditions​​​

1.
​RPNs must successfully complete additional education to carry out hemodialysis​.
​2.
​​RPNs must successfully complete additional education to carry out venipuncture and to establish intravenous access.
​3.
RPNs must successfully complete additional education to administer a substance via central venous access devices.
​4.
RPNs are limited to administering blood and blood products to clients with stable and predictable physiological health.
​5.
RPNs must successfully complete additional education to administer blood or blood products.
​6.
RPNs must not administer radiopaque dyes via parenteral instillation​.

RPNs may administer substances by injection, inhalation, ventilation, irrigation and instillation. These substances include air and water.

Some of the nursing activities under this restricted activity could be done to assess or treat a condition within autonomous scope of practice and would, therefore, not require a client-specific order from a listed health professional (see Assessing Clients and Treating Conditions). ​

Stable and predictable physiological health means the degree to which a client's condition is likely to change.

Defi​​nitions from the Regulation

Substance inclu​​des air and water but excludes a drug specified in Schedule I, IA, II, or IV of the Drug Schedules Regulation.

Enteral instillation means instillation directly into the gastrointestinal tract.

Parenteral instillation means instillation directly into the blood stream.

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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.

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