Bri sh Columbia Ins tute of Technology (Bcit)/ BSNC
1020 MIDTERM/ Douglas College/ BSNC 1020 MIDTERM
New edi on
What is a "client-specific" order?
· Instruc on or authoriza on given by regulated health professional for a nurse to provide
care for a specific client even if the scope is restricted for an RN
what is not a client specific order?
· Not an order is a consulta on, referral or professional recommenda on
What is autonomous scope of prac ce for RN's?
· Assuming accountability and responsibility for making decisions about client care
· Performing ac vi es they are educated, competent and allowed to perform without a client
specific order
what is not autonomous prac ce
· Not autonomous prac ce is any BCCNM standard, limit, or condi on, or and
organiza onal/employer policies, processes, or restric ons.
How do nurses apply the standards for ac ng within autonomous scope of prac ce?
· Performing restricted ac vi es that are not listed in sec on 6 of nurses and NP unless they
are prohibited by BCCNM
what is a listed health professional
o Physicians
o NP
o Cer fied RN
o Den sts
o Midwives
o Naturopaths
o Podiatrists
o Pharmacists
what is a non listed health professional
,o Wound clinicians
o RNs who aren't cer fied
o Registered psychiatric nurses
o Die ans
How do nurses apply the standards for ac ng with client-specific orders?
o be documented in the client's permanent record by the regulated health professional giving
the client-specific order,
o include all the informa on needed for the ordered ac vity to be carried out safely (e.g.,
me, frequency, dosage), and
o include a wri8en/electronic signature.
o Must also consider the four controls on prac ce
sec on 7 restricted ac vi es that require an order
o Procedures below the body surface
o Administering substances
o Pu:ng items into body openings
o Pu:ng substances into ears
o Hazardous forms of energy
o Medica ons
o Allergy tes ng and treatment
restricted ac vi es that do not require an order
· Diagnosis
· Wound care
· Intravenous
· Inhala on
· Ins lla on and injec on
· Assessing clients and trea ng condi ons
· Managing labour
· Hazardous forms of energy
· Ordering the applica on of energy
· Medica ons
· prescribing
· Therapeu c diets
What is a nursing diagnosis?
· Iden fying a condi on as the cause of signs or symptoms
, what is a condi on
· A condi on is different from a disease or disorder. A condi on can be improved or resolved
by a registered nurse's interven ons and achieves outcomes for which the registered nurse is
accountable
Why are Sec on 6 ac vi es considered "restricted"?
· restricted ac vi es that are part of general registered nurse prac ce. These ac vi es are
highlighted below. Registered nurses are required to follow the Ac ng within Autonomous
Scope of Prac ce and Giving Client-specific Orders standards and adhere to other standards,
limits and condi ons set by BCCNM.
nursing diagnosis is
· clinical judgment about the cause of a client's mental or physical condi on. It is made to
determine whether the condi on can be improved or resolved by the registered nurse
intervening appropriately to achieve a result for which the registered nurse is accountable.
medial diagnosis is
specific to disease or illness pathology
sec on 6 is
restricted ac vi es that do not require an order
sec on 7 is
restricted ac vi es that do require an order
2 excep ons RN can func on outside of their scope
risk of death that's urgent and formal delega on
• What did the Victorian Order of Nurses (VON) do?
- Approved in 1898 -> signified a professional standard of educa on for Canadian nurses that
recognized nursing knowledge, altruism and compassion
- In-home nursing oEen in outpost and remote regions
• What were some of Florence Nigh ngale's biggest contribu ons to nursing?
- Nursing as a highly-regarded profession
- Took a team of nurses to the Crimean war
- Reduced the soldier mortality rate
- Nigh ngale model; a administra ve model; hospital-based model overseen by trained
1020 MIDTERM/ Douglas College/ BSNC 1020 MIDTERM
New edi on
What is a "client-specific" order?
· Instruc on or authoriza on given by regulated health professional for a nurse to provide
care for a specific client even if the scope is restricted for an RN
what is not a client specific order?
· Not an order is a consulta on, referral or professional recommenda on
What is autonomous scope of prac ce for RN's?
· Assuming accountability and responsibility for making decisions about client care
· Performing ac vi es they are educated, competent and allowed to perform without a client
specific order
what is not autonomous prac ce
· Not autonomous prac ce is any BCCNM standard, limit, or condi on, or and
organiza onal/employer policies, processes, or restric ons.
How do nurses apply the standards for ac ng within autonomous scope of prac ce?
· Performing restricted ac vi es that are not listed in sec on 6 of nurses and NP unless they
are prohibited by BCCNM
what is a listed health professional
o Physicians
o NP
o Cer fied RN
o Den sts
o Midwives
o Naturopaths
o Podiatrists
o Pharmacists
what is a non listed health professional
,o Wound clinicians
o RNs who aren't cer fied
o Registered psychiatric nurses
o Die ans
How do nurses apply the standards for ac ng with client-specific orders?
o be documented in the client's permanent record by the regulated health professional giving
the client-specific order,
o include all the informa on needed for the ordered ac vity to be carried out safely (e.g.,
me, frequency, dosage), and
o include a wri8en/electronic signature.
o Must also consider the four controls on prac ce
sec on 7 restricted ac vi es that require an order
o Procedures below the body surface
o Administering substances
o Pu:ng items into body openings
o Pu:ng substances into ears
o Hazardous forms of energy
o Medica ons
o Allergy tes ng and treatment
restricted ac vi es that do not require an order
· Diagnosis
· Wound care
· Intravenous
· Inhala on
· Ins lla on and injec on
· Assessing clients and trea ng condi ons
· Managing labour
· Hazardous forms of energy
· Ordering the applica on of energy
· Medica ons
· prescribing
· Therapeu c diets
What is a nursing diagnosis?
· Iden fying a condi on as the cause of signs or symptoms
, what is a condi on
· A condi on is different from a disease or disorder. A condi on can be improved or resolved
by a registered nurse's interven ons and achieves outcomes for which the registered nurse is
accountable
Why are Sec on 6 ac vi es considered "restricted"?
· restricted ac vi es that are part of general registered nurse prac ce. These ac vi es are
highlighted below. Registered nurses are required to follow the Ac ng within Autonomous
Scope of Prac ce and Giving Client-specific Orders standards and adhere to other standards,
limits and condi ons set by BCCNM.
nursing diagnosis is
· clinical judgment about the cause of a client's mental or physical condi on. It is made to
determine whether the condi on can be improved or resolved by the registered nurse
intervening appropriately to achieve a result for which the registered nurse is accountable.
medial diagnosis is
specific to disease or illness pathology
sec on 6 is
restricted ac vi es that do not require an order
sec on 7 is
restricted ac vi es that do require an order
2 excep ons RN can func on outside of their scope
risk of death that's urgent and formal delega on
• What did the Victorian Order of Nurses (VON) do?
- Approved in 1898 -> signified a professional standard of educa on for Canadian nurses that
recognized nursing knowledge, altruism and compassion
- In-home nursing oEen in outpost and remote regions
• What were some of Florence Nigh ngale's biggest contribu ons to nursing?
- Nursing as a highly-regarded profession
- Took a team of nurses to the Crimean war
- Reduced the soldier mortality rate
- Nigh ngale model; a administra ve model; hospital-based model overseen by trained
