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We're working with more than 40,000 nurses and nurse practitioners to protect the public through regulation. Learn more
  • We are the College of Registered Nurses of B.C.

    CRNBC's legal oblig​ation is to protect the public through the regulation of registered nurses, setting standards of practice, assessing nursing education progr​​ams in B.C., and addressing complaints about CRNBC registrants.​

    Find out more about usRead our regulatory philosophy
  • Quality Assurance reflects a nurse's professional growth and l​e​arning

    By participating in CRNBC's Quality Assurance Program throughout the year, nurses demonstrate their commitment to maintaining their competence to practise.​​​​​

    Learn more about Quality Assurance 
  • Her sister needs nursing care. Should she provide it?

    Case study: Ling's sister is being discharged from hospital and will need nursing care at home. Ling, an RN, knows her family will want her to be involved in her care. But would it be the best approach for everyone involved?

    See what Ling decides to doTake a look at our other case studies
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  • Reporting suspected impaired practice or narcotic diversion in the workplace

    Justin has worked with Kelsey for the first time in a few months, and he’s worried about the changes he sees in his colleague. Her behaviour makes him concerned for patient safety.

    Read the case studyLearn more about your reporting responsibilities
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Duty to Provide Care 

Volunteering as a nurse: what's your accountability?

 

The opportunity to spend a week outdoors sounds exciting to Thom. It also sounds a little daunting. He’s been asked to volunteer as the nurse at a program for at-risk youth.​

Thom's helped out at the youth center before, but being the only nurse at the outdoor program is different; he’s never done anything like this, and wonders if he’s ready.

What does Thom need to consider before accepting the job?

Read more​​​​​​​​
Frequently Asked Question

Scope standards

Question

What is the difference between a client-specific order and a Registered Nurse Initiated Activity (RNIA)?

Answer

An order is an instruction or authorization given by a regulated health professional to provide care for a specific client. Registered nurses require orders to carry out activities within Section 7 of the RN Regulation. When nurses carry out activities by acting with orders, they meet the Standards for Acting with Client-specific Orders.

In contrast, an RNIA is a type of decision support tool (DST), supporting nurse-initiated activities. DSTs are evidence-based documents that support nurses to provide standardized, consistent and safe patient care when acting within their autonomous scope of practice.

These tools guide nurses in assessing, diagnosing and treating and/or preventing specific client conditions, illnesses or injuries, within their autonomous scope and individual competence. Other terms for DSTs include:

  • clinical practice standards and procedures
  • clinical decision support tools (CDSTs)
  • algorithms
  • protocols

These tools set the organizational policy and procedure for performing activities, congruent with the standards, limits and conditions established by the CRNBC. When nurses carry out activities following RNIAs, they meet Standards for Acting with Autonomous Scope of Practice, including assuming sole accountability and responsibility for their decisions and actions.

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