The BCCNM board on Nov. 24, 2022, approved amendments to the LPN and RPN scope of practice standards relating to allergy testing, ankle-brachial index testing, and ear irrigation. These revisions take effect Jan. 5, 2023.
Changes to LPN scope:
- Removed the LPN scope of practice limit on participating in allergy challenge testing or desensitization treatments. Practical nursing programs now include the assessment and management of anaphylaxis as entry-level competencies for practical nurses. Removing this limit allows LPNs to participate in allergy challenge testing or desensitization treatments such as monitoring the client immediately following the testing or treatment. The limit on administering this testing or treatment remains in line with current nursing regulations.
- Rescinded the LPN scope of practice limits and conditions on performing ankle-brachial index testing and ear irrigation for cerumen removal (syringing of ears). LPNs still require a client-specific order prior to ear irrigation (syringing of ears) to remove earwax as per the LPN nursing regulations.
Changes to RPN scope:
- Rescinded the RPN scope of practice limits and conditions on performing ankle-brachial index testing and ear irrigation for cerumen removal (syringing of ears).
BCCNM made these amendments in response to changes to nursing entry-level education or the safeguards of new technology. These changes are aimed at enhancing access and timeliness to care.
While BCCNM no longer places a limit or condition on these activities, nurses are still required to ensure their individual competence before performing these activities.
Questions?
Email practice@bccnm.ca