Nursing Scope of Practice & RPN Changes

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Questions and Answers

What is the primary purpose of the Controlled Acts Model within the context of nursing practice?

To outline the regulatory framework for nursing competencies.

To define the types of medications nurses can administer.

To establish training requirements for nurse education programs.

To specify the legislated acts that certain health professionals are authorized to perform. (correct)

Which statement accurately reflects the scope of practice changes proposed for Registered Practical Nurses (RPNs)?

RPNs are expected to gain additional competencies to expand their practice. (correct)

RPNs must adhere strictly to the original scope without variations.

RPNs will be restricted from performing any controlled acts.

RPNs will only work under the direct supervision of Registered Nurses (RNs).

What is a significant factor that influences a nurse's competency in practice?

The nurse's personal preferences regarding their work environment.

The amount of time spent in training.

The reputation of the educational institution attended.

The legislative framework surrounding nursing practice. (correct)

In the context of the nursing practice environment, which aspect is crucial for ensuring effective patient care?

Effective communication and collaboration among healthcare providers. Signup and view all the answers

Which of the following best describes a nurse's responsibility under the Nursing Act, 1991?

Nurses must practice within the limits of their education and training. Signup and view all the answers

What is essential for a nurse to determine before performing a specific activity?

If they possess the necessary authority and competence Signup and view all the answers

Under the proposed changes, which controlled act can Registered Practical Nurses (RPNs) independently initiate?

Irrigating and packing a wound below the dermis Signup and view all the answers

What must nurses evaluate regarding their practice environment?

Whether the setting has the resources to support safe client care Signup and view all the answers

What aspect of competence must a nurse ensure before performing an activity?

Possession of relevant knowledge, skill, and judgment Signup and view all the answers

Which of the following controlled acts is NOT permitted for RPNs under the proposed changes?

Administering anesthesia without supervision Signup and view all the answers

Which of the following best describes the concept of 'authority' for nurses?

Legislated scope of practice and controlled acts Signup and view all the answers

What impacts a nurse's accountability regarding their scope of practice?

Employer policies and individual competence Signup and view all the answers

What is one of the five categories included in the entry-level competencies for RPNs?

Collaborative Practice Signup and view all the answers

Which action is considered a controlled act that RPNs are allowed to perform independently under the new guidelines?

Debriding and packing a wound below the dermis Signup and view all the answers

Which statement accurately reflects the role of RPNs in professional practice?

RPNs are accountable for safe, competent, and ethical nursing practice. Signup and view all the answers

Ethical frameworks used by RPNs are meant for what purpose?

To help in making professional judgments and practice decisions. Signup and view all the answers

What is the primary focus of RPNs with regard to their professional development?

Personal and professional growth. Signup and view all the answers

Which of the following competencies is NOT included in the entry-level competencies for RPNs?

Combat Practice Signup and view all the answers

Which competency statement relates to the foundational practices of RPNs?

RPNs use knowledge and critical thinking to build evidence-informed practice. Signup and view all the answers

What do the entry-to-practice competencies guide in terms of RPNs?

Assessment of continuing competence for maintaining registration. Signup and view all the answers

How many entry-level competencies are outlined for RPNs according to the competency framework?

79 Signup and view all the answers

Study Notes

Scope of Practice

Nurses must consider authority, context, and competence before undertaking a specific activity.
Context refers to the environment and resources available to ensure safe client care.
Nurses must be aware of their legislated scope of practice, including controlled acts and authorizing mechanisms.
Nurses must demonstrate individual knowledge, skill, and judgment to perform an activity safely.

Changes for Registered Practical Nurses (RPNs)

RPNs can now independently initiate certain controlled acts without a physician's order, including:
- Irrigating, probing, debriding, and packing wounds below the dermis or mucous membrane.
- Venipuncture to establish peripheral intravenous access and maintain patency.
- Putting an instrument or finger beyond the labia majora to assess health management activities.
- Putting an instrument or finger beyond an artificial opening into the client's body for assessing or assisting with health management activities.

Entry to Practice Competencies (ETP)

ETP outlines the competencies required for RPNs to register with the College of Nurses of Ontario (CNO) and practice in Ontario.
79 competencies are organized across five categories:
- Professional Practice
- Legal Practice
- Ethical Practice
- Foundations of Practice
- Collaborative Practice
RPNs must demonstrate professional conduct through personal attitudes, beliefs, and actions.
RPNs are expected to use knowledge, critical thinking, critical inquiry, and research to build an evidence-informed practice.
RPNs use ethical frameworks such as the Code of Ethics and ethical standards when making professional judgments and practice decisions.

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Description

This quiz explores the essential elements of the nursing scope of practice, emphasizing the authority, context, and competence required for safe client care. Additionally, it highlights the recent changes allowing Registered Practical Nurses to initiate controlled acts independently. Test your knowledge on these critical nursing practices.