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Ask Practice

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 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 practicesupport@cnomail.org.

Accountability 

Care Transitions: Transfer of Accountability 
Client-centred care 
Code Silver 
Communicating test results  
Continuing Competence  
Communicating a diagnosis 
Initiating a packing dressing
Nurses use of Cannabis 
Performing frequent client assessments 
Refusing assignments or discontinuing nursing services 
Sleeping during shift breaks 
Risking fatigue by working long hours 
Understanding your scope of practice  
What information is required on name tags?  
Witnessing abuse
Accountability to report
Accountabilities during a strike

Authorizing Mechanisms

Authority to initiate intravenous lines  
Difference between a directive and prescribing 
Communicating directives 
Do directives expire? 
Signing for narcotic wastage 
Signing prescriptions with “as per…”

Confidentiality and Privacy

Accessing client’s health records 
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 

Consent

Obtaining informed consent 

Controlled Acts

Performing laser therapy 
Delegation 
Applying ultrasound in nursing assessments

Decisions About Procedures

Authority to use automated external defibrillators (AEDs) 
Practice settings where health services are routinely performed

Declaration of Practice

Am I practising nursing in my new role? 
Caring for a family member 
Medical leave
PSW work as evidence of nursing practice 

Documentation

Co-signing a documentation entry 
Documenting Assessments 
Documenting for unregulated care providers 
Electronic Documentation 
Title use when working in different roles 
Use of Educational Credentials 

End-of-Life Care

Can an RN or RPN pronounce death when death has occurred? 
DNR orders  
NP Students and MAID Assessments 
Who can certify death 

Ethical Issues

Accepting gifts from clients 
Caring for a friend 
Communicating with clients online 
Disagreeing with the Care Plan 
Providing care to a sexual partner 
Professional versus social relationships 
When employer policies conflict 
When patients attempt sexual touching 

Independent Practice

Administering Botox
Record keeping - documentation  
Record keeping - retention 
Fees 
Products and Medication

Medication

Administering Botox 
Administering methadone 
Administering, distributing and teaching the use of Naloxone 
Considerations when administering cosmetic injections 
Evidence-informed sources 
Medical Cannabis 
Medication samples 
Narcotic storage and disposal 
No directives for controlled substances 
Recommending over-the-counter medications 
What patients should consider before getting Botox by a nurse  

Nursing Roles

Assigning, Supervising or Teaching an Activity 
Can I register as a psychiatric nurse in Ontario? 
Complementary Therapies 
Leadership in nursing practice 
Nurses working in different roles 
Psychotherapy and the controlled act component of psychotherapy 
Supporting Learners 

Unregulated Care Providers

Working with UCPs  
Working with physician assistants 
Teaching an unregulated care provider  
Sliding scale insulin
Can a UCP or PSW call themselves a nurse?

 

Telepractice/virtual care 

Providing virtual care
Nursing accountabilities when working with robotics 

 

 

 

 

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Page last reviewed December 12, 2023