Practice Standards
What documentation style is not correct?
SOAP
ADPIE
SBAR
DAR
ADPIE
What does BCCNM stand for
British Columbia College of Nurses and Midwives
What controls our practice?
Square
Pyramid
Infinite 8
Some weird shape
Pyramid
What are the 5 categories for organizing the entry level competencies?
Professional Practice
Legal Practice
Ethical Practice
The Foundation of Practice
Collaborative Practice
Which one can an LPN give?
IV drop bag
What are the three types of conflict of interest?
Actual
Perceived
Potential
How many medication rights and how many checks for medication administration
Ten rights and three checks
What is the LPN role in medication administrating according to BCCNM?
Responsible for the safe administration of medication, including calculating dosages, verifying prescription and monitoring for side effects
What is the meaning of near misses?
A clients safety incident that did not reach the client and therefore resulted in no harm
The nurse walks into the patients room to give them their medications. What should the nurse ask the patient before giving the meds?
Patient identifiers and allergies
What are 5 rights of delegating/assigning a task?
Right Circumstance
Right Task
Right Supervision
Right Communication
Right Person
True or False. Healthcare promotes a one size fits all approach to client services
False. All clients are different with different needs
Which are the following is a restricted activity with an order?
Placing a cast on a fracture bone
Administering oxygen
Using a Bladder Ultrasound
Administering a medication that treats anaphylaxis
Placing a cast on a fracture bone
Competententry level LPNs are responsible and accountable for their own decision and actions which falls under which competency?
Professional Practice
A client has an order to receive IV potassium. The nurse mixes the potassium with 0.9% sodium chloride to dilute it. Can the nurse go ahead and give the medication?
No. LPNs can only give potassium if it has been pre mixed from the pharmacy
What should the LPN know before administering any medication?
Therapeutics use, expected effect, dosage, precautions, contraindications, forms, routes, interactions, side effects, adverse effects
According to the BCCNM, how should LPNs approach culturally diverse clients?
LPNs should provide culturally sensitive care by respecting cultural beliefs, customs and practices of clients and involving interpreters when necessary
Licensed Practical Nurse can | can not prescribe, compound, prepare, dispense or administer any substance intended for the purpose of medical assistance in dying?
Can not
Describe the knowledge, attitudes/ values and skills nurses have after graduation as per the BC Health Professional Act
Entry Level Competencies
An LPN is preparing to administer a COVID vaccine to a 4 year old. Is the nurse allowed to give this vaccine?
Yes. LPNs can give the COVID vaccine to ages 4 years and older
Would you proceed with this client medication order?
No
What does not belong?
Responsibility and Accountability
Competency Based Practice
Client Focused Provision of Service
Ethical Dilemma
Ethical Dilemma
What is the 2 exceptions when LPN can provide care outside of their scope?
Life threatening emergencies
A formal delegation process is in place
What things are the LPN using while dealing with the client?
Critical thinking, reflection, and evidence integration to assess clients, plan care, implement interventions, and evaluate outcomes and processes.
The client hasn’t voided for 12 hours, the bladder seems to be distended by the LPN palpating area. The LPN is preparing the catheterization after discussing with the situation with the RN. Can the LPN go ahead of the procedure?
No