BCCNP has made a minor edit to both the RN and RPN scopes of practice to clarify nurses' role in making a
provisional diagnosis (RN) or
diagnostic impression (RPN) in order to initiate nursing care.
The change was made because the previous wording could have been misinterpreted to mean that RNs and RPNs are permitted to diagnose a disease or disorder. RNs and RPNs are permitted to make a nursing diagnosis of a condition, but diagnosing diseases and disorders is out of scope.
The edit clarifies that RNs and RPNs may make a provisional diagnosis (RNs) or diagnostic impression (RPN)
to initiate nursing care, but this is
not a formal diagnosis of a disease or disorder. A formal diagnosis can only be provided by an authorized health professional after they have personally assessed the client.