Relevant

Saskatchewan Registered Nurses' Association

 

Scope of Practice

The RN(NP)-Neonatal is a licensed registered nurse who has met the qualifications for licensure in the Registered Nurse (Nurse Practitioner) RN(NP) category in the province of Saskatchewan, as defined by The Registered Nurses Act, 1988.  The RN(NP)-Neonatal manages the care of sick newborns and their families, within the primary health care team and applies a primary health care framework.  The RN(NP)-Neonatal will manage all aspects of infant care from the point of delivery through to discharge from the neonatal intensive care unit (NICU), and may include aspects of prenatal education/consultation and post-NICU discharge follow-up care/ management.

Common Medical Disorders

In accordance with Bylaw VI, Section 3(2)(a), and the current Registered Nurse (Nurse Practitioner) RN(NP) Standards and Core Competencies, common medical disorders shall be interpreted to mean health problems, conditions, diseases or disorders that the RN(NP) sees with regularity within the context of their practice.  Further, educational curriculum from an approved and/or accredited program shall be used as a guide for the determination of appropriate problems, conditions, diseases or disorders diagnosed and/or treated by the RN(NP).  The RN(NP) shall maintain current competence within their chosen area of practice and may only independently diagnose or treat common medical disorders for which they are currently competent.  When the client’s condition requires the care beyond the RN(NP)’s scope of practice and/or competence, the appropriate consultation will be initiated.

Accordingly, the RN(NP) will not consider the following as being within their independent scope of practice as a RN(NP):

     1.     Independently manage atypical or complex health problems (eg. Discontinuation of resuscitation situations). 

     2.     Any health problem requiring diagnostic contrast medium radiography.

     3.     Any health problem that requires imminent surgical intervention.

     4.     Any health problem that becomes unstable requiring further consultation.

     5.     Perform an internal biopsy.

 

It is NOT considered independent practice when a RN(NP) is practicing in accordance with agreed upon, evidence based nurse-physician client care protocols.