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We're working with more than 40,000 nurses and nurse practitioners to protect the public through regulation. Learn more
  • We are the College of Registered Nurses of B.C.

    CRNBC's legal oblig​ation is to protect the public through the regulation of registered nurses, setting standards of practice, assessing nursing education progr​​ams in B.C., and addressing complaints about CRNBC registrants.​

    Find out more about usRead our regulatory philosophy
  • Quality Assurance reflects a nurse's professional growth and l​e​arning

    By participating in CRNBC's Quality Assurance Program throughout the year, nurses demonstrate their commitment to maintaining their competence to practise.​​​​​

    Learn more about Quality Assurance 
  • Her sister needs nursing care. Should she provide it?

    Case study: Ling's sister is being discharged from hospital and will need nursing care at home. Ling, an RN, knows her family will want her to be involved in her care. But would it be the best approach for everyone involved?

    See what Ling decides to doTake a look at our other case studies
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  • Reporting suspected impaired practice or narcotic diversion in the workplace

    Justin has worked with Kelsey for the first time in a few months, and he’s worried about the changes he sees in his colleague. Her behaviour makes him concerned for patient safety.

    Read the case studyLearn more about your reporting responsibilities
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Scope of Practice 

Giving, changing or cancelling orders: what's your accountability?

 

When Jess looks at the wound on Mr. Berge’s left leg, he is certain he does not have the competence to diagnose and treat it appropriately. He enters his assessment into the EMR and sends an electronic request for a wound care consult.

Sara, the wound care clinician, assesses Mr. Berge and his wound, makes a diagnosis and determines the wound care that would be most appropriate at this time. She enters a client-specific order in the EMR, for  the wound to be dressed with a specific product once/day.

What is Sara accountable for when giving a client-specific order?

Read more​​​​​​​​
Frequently Asked Question

Documentation

Question

How much charting am I required to do?

Answer

Your documentation should provide a clear picture of your client's status, your actions and client's outcomes, for example:

  • your assessment of the client's health status, nursing diagnoses and plan of care
  • interventions carried out, client's response and any changes to the plan of care
  • information and concerns reported to another health care provider and the provider's response
  • any advocacy carried out on behalf of your client

Your client’s condition and care needs are factors in determining how much and what documentation is required. Acutely ill or high risk clients or those with complex health problems will require more comprehensive, in-depth and frequent documentation.

The requirements for documentation come from legislation, case law, Standards of Practice and agency policies. Documenting is a way to show you have applied nursing knowledge, skills and judgement and met the legal standard of care. Document according to agency policy — these policies should reflect legislative and other requirements.

The Documentation practice standard provides information and direction for your documentation. The Canadian Nurses Protective Society  also has helpful resources.

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