Scribd
Upload
49 views12 pages

Scope of Practice: Elaine Harris Clinical Placement Coordinator Our Lady's Children's Hospital, Crumlin, Dublin 12

The document discusses scope of practice for registered nurses. It defines scope of practice as the roles, functions, responsibilities, and activities a nurse is educated and competent to perform. Competence refers to the ability to practice safely and effectively within one's scope. Competence is developmental and nurses must acknowledge any limitations. Nurses are accountable for their decisions and have a responsibility to practice within their abilities. The document provides guidance on determining competence, delegation, emergency situations, and a decision-making framework for nurses regarding scope of practice. It also provides two scenarios for discussion.

Uploaded by

Dharm Veer Rathore
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
49 views12 pages

Scope of Practice: Elaine Harris Clinical Placement Coordinator Our Lady's Children's Hospital, Crumlin, Dublin 12

The document discusses scope of practice for registered nurses. It defines scope of practice as the roles, functions, responsibilities, and activities a nurse is educated and competent to perform. Competence refers to the ability to practice safely and effectively within one's scope. Competence is developmental and nurses must acknowledge any limitations. Nurses are accountable for their decisions and have a responsibility to practice within their abilities. The document provides guidance on determining competence, delegation, emergency situations, and a decision-making framework for nurses regarding scope of practice. It also provides two scenarios for discussion.

Uploaded by

Dharm Veer Rathore
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

Scope of Practice

Elaine Harris
Clinical Placement Coordinator
Our Lady’s Children’s Hospital,
Crumlin,
Dublin 12
Definition 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?

You might also like