A. If you have flu-like symptoms such as fever, chills and achiness, stay home. It may be difficult for you to work effectively and you may be contagious. Although it’s difficult knowing your absence might impact your colleagues’ work, you have a duty to protect your clients from the risk of infection. Staying home when ill is one way to do this. Washing your hands frequently and keeping your immunizations up to date are other ways to prevent infection and provide safe care to your clients.The Communicable Diseases: Preventing Nurse-to-Client Transmission Practice Standard provides more information about your responsibilities to provide safe care to clients.
A. Yes, you need an order. Although many sclerosing agents are Schedule II medications, you would administer these agents to treat a disorder, such as varicose veins, only after a physician has assessed the client, diagnosed the disorder and ordered the sclerotherapy.
RNs can administer Schedule II medications without an order to treat a condition they’ve diagnosed, but we’re not aware of any conditions that RNs could treat autonomously by administering a sclerosing agent.
See the Scope of Practice for Registered Nurses for more information and guidance.
Health Professions Act, Section 32.3, if a nurse (or any regulated health professional) is admitted for psychiatric care or treatment, or for treatment for addiction to alcohol or drugs, they must be reported right away to the college.
It is not the responsibility of the nurse caring for the client to make the report. It is the responsibility of the medical practitioner (or chief administrative officer, or someone working in that role) to report in writing to BCCNP.
A. Pronouncement of death is the opinion or determination that, based on a physical assessment, life has ceased. Although there are presently no laws in B.C. governing who can pronounce death, your employer may have policies and procedures related to this.
Certification of death refers to the completion of the death certificate identifying the cause of death. Currently, only physicians, nurse practitioners and coroners can complete and sign death certificates. Registered nurses cannot.
You can find more information on completing death certificates in the BC Government’s Handbook for Physicians, Nurse Practitioners and Coroners.
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