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Remote Nursing


Remote Nursing Practice includes Sexually Transmitted Infections and Contraceptive Management. RNs who are BCCNP-certified in remote nursing practice use the DSTs listed below to diagnose and treat the following diseases and disorders:

  • Eye: conjunctivitis, corneal abrasion
  • Ear-Nose-Throat: acute otitis media, ceruminosis, dental abscess, pharyngitis
  • Genitourinary: lower urinary tract infection
  • Respiratory: acute bronchitis
  • Skin: bites, cellulitis, impetigo, localized abscess and furuncle
  • Pain Management: use of nitrous oxide/oxygen to manage pain

 Introduction to Remote Nursing Certified Practice

About Remote Nursing

Overview

Definitions

Overview

Remote Nursing Certified Practice frequently (but not necessarily) occurs in communities where there is no resident physician or nurse practitioner, but where physicians or nurse practitioners visit the community periodically and are available to provide consultation to the registered nurse.

RNs certified in Remote Nursing must also be certified in Sexually Transmitted Infections and Contraceptive Management.

RNs with Remote Nursing Certified Practice designation:

  • diagnose and treat minor acute illness (including administering and/or dispensing Schedule I medications without an order) as set out in BCCNP approved DSTs, and
  • carry out all activities included in reproductive health certification.

Remote Nursing Certified Practice resources include:

  • Competencies for Remote Nursing Certified Practice
  • Adult and Pediatric DSTs
  • The resources included as part of Sexually Transmitted Infections and Contraceptive Management

Definitions

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.

  • Non-urgent referral requires an appointment to be made with the relevant health professional.
  • Urgent referral requires immediate transfer of the client to the relevant health facility.

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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 Competencies

 Decision Support Tools (DSTs)

Access the DSTs

E​​ye​​

Eye assessment— adult  Conjuntivitis— adult
Corneal Abrasion (minor)— adult

Eye Assessment— pediatric

Conjunctivitis — pediatric
Corneal Abrasion (minor) — pediatric​

​​​Ear–nose–throa​​t

Ear, nose and throat assess​ment— adult    Acute Otitis Media— adult
Ceruminosis (impacted cerumen) — adult
Dental Absess— adult
Pharyngitis — adult
Ear, nose and throat assessment— pediatric  Acute Otitis Media— pediatric
Pharyngitis— pediatric

​​Genitourinary​​​​​

Gastrointestinal-genitourinary assessment — adult Lower Urinary Tract Infection(UTI) — adult
Gastrointestinal-genitourinary assessmentpediatric Lower Urinary Tract Infection(UTI) — pediatric

Res​​​​​piratory

Cardio-respiratory assessment— adult Acute Bronchitis— adult
Cardio-respiratory assessment— pediatric 

S​​​k​​in

Integumentary assessment — adult    Bites— adult
Cellulitis— adult
Impetigo— adult
Localized Abscess and Furuncle— adult
Integumentary assessment— pediatric   Bites— pediatric
Cellulitis— pediatric
Impetigo— pediatric

​​Pain ​​​management

  Use of Nitrous Oxide/Oxygen in Pain Management— adult​
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