Ask Practice features questions and answers about a variety of practice-related issues that nurses may face over the course of their careers.
The questions come from actual nurses and the answers are written by the College’s Practice Support Team. Ask Practice is updated on a regular basis, so come back often to see what new questions have been added to the list. Do you have a practice-related question that isn’t addressed here? Contact the Practice Support Team at firstname.lastname@example.org.
Accountabilities during a strike
Advocating for your client
Asked to cover extra shift
Authority to use automated external defibrillators (AEDs)
Communicating a diagnosis
Initiating a packing dressing
Sleeping during shift breaks
Risking fatigue by working long hours
Administering influenza vaccine through a directive
Authority to initiate intravenous lines
Delegation or directive?
Do directives expire?
Orders via video conference call
Signing for narcotic wastage
Signing prescriptions with “as per…”–
Confidentiality and Privacy
Police access to health information
Mandatory reporting of gunshot wounds
Occupational Health Nurses (OHNs) and confidentiality
Discussing clients with colleagues online
Withholding information/Lockbox provision
Obtaining informed consent
Performing laser therapy
Portable bladder ultrasound scanning
Co-signing a documentation entry
Accepting gifts from clients
Objecting to care on moral grounds
Caring for a friend
Communicating with clients online
Accepting a friend request on Facebook
Who can certify death
Consent for DNR order
Can an RN or RPN pronounce death when death has occurred?
Record keeping - documentation
Record keeping - retention
Products and Medication
Administering naloxone in emergencies
Can I distribute naloxone?
Dealing with drug shortage issues
RPNs administering sedation
No directives for controlled substances
Narcotic storage and disposal
Recommending OTC medications
Sliding scale insulin
Psychotherapy and the controlled act component of psychotherapy
RPNs in triage
RPNs as circulating nurses
RPNs and initiation
What is considered “nursing practice”?
Working in different areas
Unregulated Care Providers
Can a UCP or PSW call themselves a nurse?
Delegating to a Personal Support Worker
Documenting for Personal Support Workers
Working with physician assistants
Teaching a personal support worker to administer injections
Teaching UCP to administer Naloxone
Teaching UCP to give oral medication
Page last reviewed August 11, 2017