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BCCNP temporarily modifies standards, limits, and conditions for medical assistance in dying (MAiD)


Mar 27, 2020

​Effective immediately and for the duration of the COVID-19 public health emergency in British Columbia, the BCCNP Board has made the following modifications to the standards, limits and conditions for practice respecting medical assistance in dying (MAiD) for nurse practitioners:

  1. The standard allowing only one assessor to conduct a telemedicine assessment for a client requesting MAiD is temporarily rescinded. Both assessors may conduct the assessment by telemedicine. Telemedicine assessments must meet the requirements set out in federal legislation as well as the standards and expectations that apply to in-person assessments.
  2. The requirement for a regulated health professional to be in physical attendance with the client to act as a witness to a telemedicine assessment is temporarily subject to the following exception: No witness is required for a telemedicine assessment if a regulated health professional is not reasonably available for that purpose.
  3. The requirement that nurse practitioners must not delegate or assign the return of MAiD substances to any other person is temporarily subject to the following exception: A nurse practitioner may ask another physician, nurse practitioner, licensed practical nurse, registered nurse, registered psychiatric nurse or pharmacist to return the substances to the pharmacy. The nurse practitioner must document the name of the person assigned to return the substances in the client record.

The Scope of Practice for Nurse Practitioners: Standards, Limits and Conditions has been updated to reflect this change (pp. 27-29).

For LPNs, RNs and RPNs

To support changes listed above, BCCNP has also made the following modification to the standards, limits, and conditions for licensed practical nurses, registered nurses, and registered psychiatric nurses, effective immediately and for the duration of the COVID-19 public health emergency in British Columbia:

  1. The limits preventing licensed practical nurses, registered nurses and registered psychiatric nurses from returning MAiD substances to the pharmacy are temporarily rescinded to the extent necessary to allow them to do so when requested by the assessor-prescriber. When carrying out such a request, licensed practical nurses, registered nurses and registered psychiatric nurses ensure the drugs are stored securely until transported and are returned to the pharmacy within 72 hours of the MAiD procedure, and they sign any forms normally signed by the assessor-prescriber to note the return of the substances.

The Scope of Practice for Licensed Practical Nurses: Standards, Limits and Conditions has been updated to reflect this change (p. 36).

The Scope of Practice for Registered Nurses: Standards, Limits and Conditions has been updated to reflect this change (p. 52).

The Scope of Practice for Registered Psychiatric Nurses: Standards, Limits and Conditions has been updated to reflect this change (p. 68).

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