RNs who are CRNBC-certified in RN First Call use the DSTs listed below to diagnose and treat the following diseases and disorders:
RN First Call frequently (but not necessarily) occurs in small acute care hospitals, diagnostic and treatment centres and other settings where there is physician or nurse practitioner service available in the community.
Registered nurses who complete CRNBC certification in RN First Call:
RN First Call resources include:
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Cardinal Signs and Symptoms: Important signs or symptoms related to the specific system that a remote practice nurse needs to assess in order to complete the history and physical assessment. This focused assessment will ensure that the nurse identifies signs or symptoms that direct client care or indicate a need for consultation with or referral to another health care professional.
Consultation: To contact a health care professional and consult regarding a client’s condition. The consultation provides an opportunity for the nurse to discuss findings with the health care professional, and may result in orders for treatment, or a decision to transfer the client to another facility.
Referral: Through consultation, a client may be transferred to the care of another health care professional for further investigations and/or treatment.
Adult: For the purposes of the Remote Nursing DSTs, adult is considered 19 years of age and older.
Pediatric: For the purposes of the Remote Nursing DSTs, pediatric is considered below the age of 19. The pediatric DSTs specify the lower age limit whereby RN(C)s may independently diagnose and treat the relevant minor acute illness.
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Eye Assessment — pediatric