Scope of Practice Update Log

February 2018 Update

The CLPNBC Scope of Practice Standards, Limits and Conditions document was updated on February 9, 2018.

The following changes take effect February 9, 2018.

 Revised limits and conditions

  • LPNs compound or administer immunoprophylactic agents for the purpose of preventing disease: 

a) After successfully completing BC Centre for Disease Control's (BCCDC’s) Online Immunization Competency Course and

b) By following BCCDC decision support tools

This means that any LPN who administers immunoprophylactic agents for the purpose of preventing disease must adhere to the requirements set out in CLPNBC’s limits and conditions. Please see the CLPNBC Scope of Practice Standards, Limits and Conditions (page 14) for details. 

A small revision was made to the scope definition of “team approach”: When the care needs of a client include activities that are outside LPN scope of practice or the individual competencies of the LPN, the LPN seeks out other members of the health care team to jointly review the client’s care needs and determine how the care needs will be met between them. Where relevant, the registered nurse or registered psychiatric nurse may be the most appropriate team member for the LPN to seek consultation and collaboration with regarding client care needs. Please see the CLPNBC Scope of Practice Standards, Limits and Conditions (page 37) for details.

If you have any questions about these changes, contact a CLPNBC Nursing Practice Advisor at practice@clpnbc.org.

December 2017 Update

The CLPNBC Scope of Practice Standards, Limits and Conditions was updated on December 21, 2017.

The following changes take effect December 21, 2017.

 Revised limits and conditions

  • LPNs may compound and administer a meningococcal vaccine under the order of the Medical Health Officer without the following limits and conditions

a) After successfully completing BC Centre for Disease Control's (BCCDC’s) Online Immunization Competency Course and

b) By following BCCDC decision support tools, for the duration of the meningococcal outbreak or until February 9, 2018 (whichever comes first).

This means:

LPNs who have not completed the BC Centre for Disease Control's (BCCDC’s) Online Immunization Competency Course may compound and administer the meningococcal vaccine under the following circumstances:

LPNs

1) receive education specific to meningococcal immunization,

2) work in mass immunizations clinics as part of a team nursing approach with a minimum of one Public Health Nurse present in the clinic 

AND

3) administer under the direction of a population-based order from the Medical Health Officer.

Please see the CLPNBC Scope of Practice Standards, Limits and Conditions (page 14) for details. 

If you have any questions about these changes, contact a CLPNBC Nursing Practice Advisor at practice@clpnbc.org.

June 2017 Update

The CLPNBC Scope of Practice Standards, Limits and Conditions document was updated on June 16, 2017.

The following changes take effect June 16, 2017.

Revised limits and conditions

  • LPNs compound, dispense and administer naloxone without an order when used to treat an opioid overdose emergency. (see page 26)

If you have any questions about these changes, contact a CLPNBC Nursing Practice Advisor at practice@clpnbc.org.

April 2017 Update

The CLPNBC Scope of Practice Standards, Limits and Conditions document was updated on April 7, 2017.

The following changes take effect April 7, 2017.

Revised limits and conditions

  • LPNs working in non-hospital settings compound, dispense and administer naloxone without an order to treat suspected opioid overdose. (see page 26)

If you have any questions about these changes, contact a CLPNBC Nursing Practice Advisor at practice@clpnbc.org.

February 2017 Update

The CLPNBC Scope of Practice Standards, Limits and Conditions document was updated and registrants were notified in the March 2017 edition of LPN Connect.

The following changes take effect February 10, 2017. 

Relocated limits and conditions

  • Preparing and giving naloxone without an order in non-hospital settings is now a non-restricted activity (see page 26)

Glossary

  • Revised definition of “dispense” (see page 36)

If you have any questions about these changes, contact a CLPNBC Nursing Practice Advisor at practice@clpnbc.org.

October 2016 Update

The CLPNBC Scope of Practice Standards, Limits and Conditions document was updated on October 3, 2016. Registrants were notified in the October 2016 edition of LPN Connect.

The following changes take effect November 5, 2016.

New limits and conditions

  • Administering naloxone without an order in non-hospital settings (see page 15)
  • Working in hemodialysis settings (see page 28)

Revised limits and conditions

  • Dispensing medications with an order (see page 23)
  • Working in antenatal clinics (see page 28)
  • Applying casts with an order (see page 18)
  • Administering routine scheduled immunizations (see page 14)

Small editorial changes were approved and made where required. If you have any questions about these changes, contact a CLPNBC Nursing Practice Advisor at practice@clpnbc.org.