Karteikarten
Wk 2 - Scope of Practice
Karten in diesem Stapel (21)
- 1Profession DefinedA profession is a disciplined group of individuals who adhere to ethical standards and who hold themselves accountable
They are accepted by the public as possessing special knowledge and skills in a widely recognized body of learning
Knowledge is gained from research, education and training at a high level, and are prepared to apply this knowledge and
exercise these skills in the interest of others. - 2ProfessionalismNurses are accountable for their own actions
The Regulated Health Professions Act (RHPA) along with the CNO are accountable to the public; therefore all information is legally exposed to the public. - 3Nursing Act Contains a scope of practice statement that describes in a general way what the profession does and the methods that
it uses
Contains provisions and regulations specific to the nursing
profession:
Defines the classes of nurse registration
Determines entry-to-practice and title protection regulations
Regulates “initiating controlled acts”
Defines Professional Misconduct - 4Scope of Practice Statement“The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative
and rehabilitative means in order to attain or maintain optimal function.” - 5CNO Regulates nursing to protect the public interest (CNO online registration – website available to the public)
Sets requirements for enter to the profession
Establishes and enforces standards of nursing practice
Assures the quality of practice of the profession and the continuing competence of nurses
Ensures individual members are responsible for following the standards of practice, remaining current and maintaining competency - 6Regulated Health Professions Act Administer quality assurance programs that members are required to participate in order to maintain their competence
Provide a complaint and investigation process for people who feel that the standards have not been met - 7Quality Assurance for CNO The Quality Assurance (QA) Program is based on the principle that lifelong learning is essential to continuing competence.
The program measures a member’s knowledge and application of the College’s practice standards and guidelines.
All nurses in the General, Transitional and Extended Classes must participate in the QA Program.
The QA Program includes three components: SelfAssessment; Practice Assessment; and Peer Assessment. - 8Quality Assurance RHPA All members will be required to participate in a “Member Self-Assessment”
A three-step process that involves
Creating a learning plan relevant to the member’s practice (It will be based on two practice standards that the College announces each year.)
Seeking peer input into the plan (recommend next steps for improving practice as necessary)
Documenting the plan
Important to keep a professional portfolio - 9Professional Misconduct1. Disobey a standard of practice of the profession or failing to meet the standard of practice of the profession (break the rules)
2. Directing a member, student or other health care team member to perform nursing functions for which she/he is not adequately trained or competent to perform
3. Failing to inform the member’s employer of her/his inability to
accept specific responsibility in areas in which specific training is required or for which the member is not competent to function without supervision - 10Controlled Acts The RHPA established 13 controlled acts
Controlled acts are considered potentially harmful if performed by unqualified persons
The Nursing Act authorizes nurses to perform 4 of the controlled acts - 114 Controlled Acts Authorized to Nursing1. Performing a prescribed procedure below the dermis or a mucous membrane
2. Administering a substance by injection or inhalation
3. Putting an instrument, hand or finger
- beyond the external ear canal
- beyond the point in the nasal passages
where they normally narrow
- beyond the larynx
- beyond the opening of the urethra
- beyond the labia majora
- beyond the anal verge
- into an artificial opening into the body
4. Dispensing a drug - 12Controlled ActsAn RN or RPN is authorized to perform a procedure within the controlled act authorized to nursing:
If initiated in accordance with conditions identified in the regulation
If the procedure is ordered by a physician, dentist, chiropodist or NP
Nurse should always refer to the 3 Factor
Framework for guidance! - 13Exceptions for the Need for Authorization by RHPA1. When providing first aid or temporary assistance in an emergency
2. When, under the supervision or direction of a member of the profession, a student is learning to become a member of that profession and the performance of the procedure is
within the scope of the professional’s practice
3. When treating a member of a person’s household and the procedure is within the second, third or fourth controlled act authorized to nursing
4. When assisting a person with his/her routine activities of living and the procedure is within the second, third or
fourth controlled act authorized to nursing
5. When treating a person by prayer or spiritual means in accordance with the religion of the person giving the treatment
6. Others:
- ear-piercing or body piercing for the purpose of accommodating a
piece of jewellery
- electrolysis and tattooing
- male circumcision as part of a religious tradition or ceremony
- taking a blood sample by a person employed by a laboratory
licensed under the Laboratory and Specimen Collection
Centre Licensing Act - 14The Three Factor FrameworkMaking effective decisions about which nursing category (RN or RPN) to match with client needs involves considering three factor framework – all of equal
importance:
Client | Nurse | Environment - 15The ClientComplexity:
client’s condition or care requirements.
factors influencing a client’s current health status
Predictability:
the extent to which a client’s outcomes and future care requirements can be predicted
Risk of negative outcomes:
client will experience a negative outcome as a result of the client’s health condition or as a response to treatment….can this be predicted - 16The Nurse The nurse’s ability to provide safe and ethical care to a given client includes:
leadership
decision-making
critical-thinking skills
Other factors include the application of knowledge, knowing when and how to apply knowledge, and having the
resources available to consult as needed - 17The EnvironmentEnvironment factors include:
practice supports
consultation resources
stability/ predictability of the environment - 18Classes of CertificatesGeneral Class
Received by most RNs and RPNs upon initial registration with
the College
Temporary Class
For recent graduates or applicants from outside the province
who meet all entry requirements except for having passed the registration exam. For pending registrations. Some restrictions and conditions apply to those in the Temporary Class
Special Assignment Class
For experienced nurses who come to Ontario for a limited period on exchange or for a special assignment. This class can
also be used for nurses who come from outside Ontario to assist during large-scale emergencies
Extended Class
RNs in this class are Nurse Practitioners (NPs) and have met
additional competency requirements beyond those required in the General Class. There are four specialty certificates in the Extended Class: NP-Primary Health Care, NP-Adult, NPPaediatrics and NP-Anaesthesia
Retired Class
This class is available to current and previous members of the College who are age 65 or older and have retired from active nursing - 19Entry to PracticeRegulations under the Nursing Act establish the seven requirements that must be met for registration as an RN or RPN in the General Class:
1. Completion of an approved nursing or practical nursing program
2. Evidence of recent safe nursing practice
3. Passing the national registration examination
4. Evidence of fluency in written and spoken English or French
5. Registration or eligibility for registration in the jurisdiction where
nurses completed their nursing program
6. Proof of Canadian citizenship, landed immigrant status, or authorization under the Immigration and Refugee Protection Act (Canada) to engage in nursing practice
7. Good character and suitability to practice - 20Title Protection Act Many titles used by nurses are protected under the Nursing Act.
In Ontario, only members of the College can use the titles of nurse, Registered Nurse, Registered Practical Nurse, or any
variation, abbreviation or equivalent in another language.
Only nurses in the Extended Class can use the title of Nurse Practitioner.
Individuals who refer to themselves as nurses or attempt to obtain employment as nurses in Ontario without being registered with the College are illegal practitioners and can be prosecuted
under the Nursing Act and RHPA. - 21Questions to ask for self reflection Do I have the authority within legislation?
Is the care required within my scope of practice?
Are there related organizational policies, procedures or protocols?
Are the necessary environmental supports available?
Do I have the knowledge, skill and judgment necessary to perform the task?
Do I have the knowledge, skill and judgment necessary to delegate the task?
Can I manage the outcomes?
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- PNR400 Karteikarten am Wk 2 - Scope of Practice , erstellt von Chris Ramgulam am 15/05/2019.
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- Chris Ramgulam
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