The BCCNP board on Sep. 26, 2019, approved new limits and conditions to RN scope of practice relating to casting a fracture.
In 2011, the board of the College of Registered Nurses of BC (CRNBC) approved the activity of casting "a non-acute fracture of an extremity" by RNs following a formal delegation agreement between CRNBC and the College of Physicians and Surgeons of British Columbia (CPSBC). This limit and condition is included in
Scope of Practice for Registered Nurses – Standards Limits Conditions:
Registered nurses may only cast a simple fracture of an extremity through delegation from a physician after the physician assesses the client, sets the fracture and provides a client-specific order for the cast application.
The formal delegation agreement between CRNBC and CPSBC was intended as a transition step until casting a fracture was included in the RN Regulation. Amendments to the
Nurses (Registered) and Nurse Practitioner Regulation in December 2015 gave registered nurses the authority to "cast a fracture of a bone" with an order from a physician or nurse practitioner registered in British Columbia.
A variety of stakeholders were consulted on the proposed limits and conditions including those from:
BCCNP recommended that the existing limit and condition for delegation be rescinded and replaced with the following new limits and conditions:
Registered nurses who cast a fracture of a bone:
*Registered nurses may only act on a client-specific order to cast a fracture of a bone given by a medical practitioner or nurse practitioner who is registered in British Columbia as per the
Nurses (Registered) and Nurse Practitioners Regulation Section 7 (3).
These revised limits and conditions come into effect
Nov. 4, 2019.