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Standards for acting within autonomous scope of practice

Part 2: Scope of practice standards

Standards for Acting within Autonomous Scope of Practice

1.

Nurses assume sole accountability and responsibility when they act within autonomous scope of practice.

2.

Nurses acting within autonomous scope of practice follow a clinical decision-making process when they:

  • assess the client’s status
  • make a nursing diagnosis1 of a client condition that can be improved or resolved through nursing activities
  • determine an activity to be carried out
  • carry out an activity to treat, prevent or palliate an injury or illness and/or improve or resolve a condition
  • change or cancel a client-specific order for activities within autonomous scope of practice
  • give a client-specific order,
  • manage the intended and unintended consequences of carrying out the activity
  • manage and evaluate the outcomes of the activity

3.

Nurses clarify their role and responsibilities within their organization for acting within autonomous scope of practice.

4.

Nurses collaborate and communicate with the client and the health team members about the nursing diagnosis, decisions and actions.

5.

Nurses communicate and collaborate with the health professional who gave the order (or their delegate), the client and other members of the health care team when changing or cancelling a client-specific order for activities that are within  autonomous scope of practice and the nurse’s individual competence.

6.

When acting within autonomous scope of practice, nurses only perform those activities for which they have the individual competence to:

  • determine whether the client would benefit from the activity
  • carry out the activity safely and ethically
  • manage the intended and unintended outcomes of the activity

7.

Nurses interpret and use current evidence from credible sources when carrying out activities within autonomous scope of practice.

8.

Nurses follow legal and ethical obligations regarding client consent.

Applying the standards for acting within autonomous scope of practice >>

Footnotes

1 Certified practice registered nurses may also make a diagnosis of a disease, disorder or condition that is within the autonomous scope of the nurse's certified practice designation and the nurse's individual competence
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