Solutions
10 requirements for delegating Correct Answers 1.Authority
2.Knowledge, Skill & Judgement
3.Relationship
4.Is Delegation Appropriate
5.Are Safeguards in Place
6.Subject to Conditions
7.Know delegate has a relationship with pt
8.Delegate has Knowledge, Skill & Judgement
9.If not Cease Delegation*
10.Documentation
5 of the 14 controlled acts are Correct Answers 1. Performing a
procedure on tissue below the dermis, below the surface of a
mucous membrane, in or below the surface of the cornea, or in
or below the surface of the teeth, including the scaling of teeth
2. Administering a substance by injection or inhalation
,3. Putting an instrument, hand or finger beyond the external ear
canal, beyond the point in the nasal passages. beyond the larynx,
beyond the opening of the urethra, beyond the labia majora,
beyond the anal verge or, into an artificial opening into the body
4. Prescribing, dispensing, selling or compounding a drug as
defined in the drug and pharmacies regulation act or supervising
the part of a pharmacy where such drugs are kept
5. Treating, by means of psychotherapy technique, delivered
through a therapeutic relationship, an individual's serious
disorder of thought, cognition, mood, emotional regulation,
perception or memory that may seriously impair the individual's
judgement, insight, behaviour, communication or social
functioning
7 requirements for accepting delegation Correct Answers
1.Knowledge, Skill & Judgement
2.Relationship
3.Appropriate
4.Safeguards and Resources are in Place
5.Confident the Delegator can Delegate
6.Conditions have been met
7.Documentation
,A RN/RPN is authorized to perform controlled acts under the
following conditions Correct Answers 1. If ordered by a
physician, dentist, chiropodist, midwife, or NP
(Order or Directive)
2. If initiated in accordance with the conditions identified in the
regulation
(Initiation, Delegation)
Addressing complaints Correct Answers Incapacity:
A facility operator must provide a written report to CNO when
there are concerns about a nurse's ability to practice safely as a
result of a possible physical or mental condition or disorder.
- Assessment of the level of risk to the public
- ICRC conducts an inquiry
- Independent health assessment (if appropriate)
- If concerns exist, nurses is referred to the Fitness to Practice
Committee
- If risk of harm to the public, restrictions or suspension to
practice may be warranted
Alternative dispute resolution:
, - Voluntary process - nurse's and client's playing a bigger role in
how complaints are addressed
- Purpose to protect the public; not to lay blame or determine
what happened - allows nurse and College to work together to
develop resolution
- Standards of Practice are used as a basis for resolution
- Full & final resolution is obtained - expected that the nurse acts
in good faith
- Confidential between all parties- Not public
Investigation:
An investigator will be appointed if:
- Concern is not appropriate for ADR
- The nurse and the college cannot reach a resolution agreement
- Other circumstances which dictate (previous complaints)
Advance directive Correct Answers - A document by which a
person makes provision for health care decisions in the event
that, in the future, he/she becomes unable to make those
decisions.
- describe what you want for your medical care, finances and
estate