Scope of Practice

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Scope of PracticeElaine HarrisClinical Placement CoordinatorOur Lady’s Children’s Hospital,Crumlin,Dublin 12Definition of Scope of PracticeThe range of roles,…
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Scope of PracticeElaine HarrisClinical Placement CoordinatorOur Lady’s Children’s Hospital,Crumlin,Dublin 12Definition of Scope of Practice
  • The range of roles, functions responsibilities and activities, which a registered nurse is educated, competent, and has authority to perform
  • (An Bord Altranais, 2000)Competence
  • ‘Competence is the ability of the registered nurse to practice safely and effectively within his/her scope of practice’
  • (ABA, 2000)Competence
  • Not static
  • Developmental
  • Specific skill may be learned, but knowledge may change over time
  • Acknowledge any limitation of competence
  • Determining Competence
  • The assessment of one’s own competence includes:
  • The recognition of one’s own abilities
  • Practicing within the limits of one’s own abilities and qualifications but not beyond the scope of practice
  • In accordance with legislation and The Code of Professional Conduct
  • Accountability
  • Being answerable for the decisions made in the course of one’s own professional practice
  • Applies to both actions and omissions
  • Responsibility
  • ‘A charge for which one is answerable’ (Batey and Lewis, 1982)
  • 5 rights of delegation
  • Right task
  • Right circumstance
  • Right person
  • Right directions or instructions
  • Right supervision
  • (Davidson and Scott, 1999)Emergency Situations
  • ‘Nothing can be construed as preventing a nurse from taking appropriate action in the case of an emergency’
  • (ABA, 2000)
  • Best interest of the patient must be served by appropriate nursing intervention in emergency situations
  • Nurse Scope of Practice Decision – Making Framework
  • This framework supports and guides nurses
  • Scenario 1
  • A Seconded Student is working on an infant ward and is asked by a mother to bath her infant on her 1st day
  • She has bathed adults while on General Placement and is nervous about bathing an infant
  • She is not sure of she is competent or not
  • What should she do?
  • Scenario 2
  • A 4 Year Seconded Student working in a surgical paediatric unit is asked by the CNM if she would collect a patient from theatre.
  • She has done this while on General Placements.
  • What should she do?
  • Related Search
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