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CRPNBC Education Day 2013 Scope of Practice Update

CRPNBC Education Day 2013 Scope of Practice Update. Fiona Ramsay, MSc, BSN, RPN. Agenda. Update on Scope of Practice and proposed Nurses (Registered Psychiatric) Regulation Update on CRPNBC Standards. RPN Controls on Practice. Health Professions Act. Previously one Act per profession

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CRPNBC Education Day 2013 Scope of Practice Update

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  1. CRPNBC Education Day 2013Scope of Practice Update Fiona Ramsay, MSc, BSN, RPN

  2. Agenda • Update on Scope of Practice and proposed Nurses (Registered Psychiatric) Regulation • Update on CRPNBC Standards

  3. RPN Controls on Practice

  4. Health Professions Act • Previously one Act per profession • Now scope of practice of regulated professions may overlap, or be shared, with other regulated professions • Supports enhanced interprofessionalpractice, increased consumer choice, and maintains patient safety and public protection

  5. Health Professions Act (Umbrella)

  6. Regulation Each health profession has a Regulation that provides information specific to that health profession - Nurses (Registered Psychiatric) Regulation. • Reserved Titles • Scope of Practice Statement • Restricted Activities that can be carried out by that health profession

  7. Reserved Titles Current: • Registered Psychiatric Nurse (RPN) • Nurse Proposed: • Registered Psychiatric Nurse (RPN) • Psychiatric Nurse • Nurse

  8. Current Scope of Practice Statement • Practice as a registrant of the college

  9. Proposed Scope of Practice Statement • Health care for the promotion, maintenance and restoration of health, being primarily psychosocial, mental or emotional health • Prevention, treatment and palliation of illness and injury, being primarily psychosocial, mental or emotional disorders or conditions and associated physiological conditions, by assessing health status, planning and implementing interventions, and coordinating health services

  10. Restricted Activities List of invasive, higher risk activities that must not be performed by any person in the course of providing health services, except members of a regulated profession that has been granted specific authority to do so in their regulations, based on their education and competence.

  11. RPN Scope of Practice

  12. Professional Self-Regulation • Each health profession has a self-regulating college - “duty to serve and protect the public” • HPA authorizes CRPNBC to “establish, monitor and enforce standards of practice to enhance the quality of practice and reduce incompetent, impaired or unethical practice amongst registrants”

  13. RPN Controls on Practice

  14. Standards, Limits and Conditions Standard: A desired and achievable level of performance against which actual performance can be compared. It provides a benchmark below which performance is unacceptable. Limit:specifies what an RPN is not permitted to do.

  15. Standards, Limits and Conditions Condition:the circumstances under which RPNs may carry out an activity. There are three types of conditions; education, competencies, and decision support tools. Limits and conditions focus on areas that are beyond entry level competencies and therefore increase protection for the public

  16. CRPNBC Standards • Code of Ethics • CRPNBC Professional Standards • CRPNBC Practice Standards • CRPNBC Guidelines - Position Statements

  17. CRPNBC Code of Ethics • Safe, competent, and ethical practice to ensure the protection of the public • Respect for the inherent worth, right of choice, and dignity of persons • Health, mental health, and well-being • Quality Practice

  18. CRPNBC Professional Standards • Therapeutic interpersonal relationships • Application and integration of theory-based knowledge • Professional responsibility • Professional ethics

  19. CRPNBC Practice Standards • Appropriate Use of Title • Boundaries in Nurse-Client Relationships • Consent • Documentation • Medication Administration

  20. Coming soon… • Acting with an Order • Acting without an Order • Privacy and Confidentiality • Dispensing Medication • Social Media

  21. Creation of Practice Standards • Collaborative process • Review of current evidence • Consultation – SME, RPNs, stakeholders • Impact assessment – employers, post-secondary institutions • Approval by CRPNBC committee and Board of Directors

  22. RPN Controls on Practice

  23. Employer Policies Employers develops policies to guide their workforce. This may include: • If and in what setting a service is provided • Who carries out a service and how Employer policies may place further restrictions on a health professionals practice. Employer policies can never increase the scope of practice of a health professional.

  24. RPN Controls on Practice

  25. What is Individual Competence? The integration and application of • Knowledge • Skills • Attitudes • Judgment That are required to perform nursing activities • Safely • Ethically • Appropriately

  26. Putting it All Together Just Because You Can… Doesn’t Mean You Should!

  27. We’re here to help… • Gail Ancill, Practice Consultant • Fiona Ramsay, Credentials Manager • Elizabeth Regan, Regulatory Services Counsel 1.800.565.2505 crpnbc@crpnbc.ca www.crpnbc.ca

  28. Questions

  29. References Province of British Columbia, Ministry of Health, Professional Regulation. 2013. http://www.health.gov.bc.ca/professional-regulation/index.html Health Professions Act [RSBC 1996] Chapter 183. http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01

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