Registed Nurses' Association of Ontario

Publications & Resources

Glossary

Clinical Nurse Specialist1

A registered nurse who contributes to the health of Canadians within a primary healthcare framework. A clinical nurse specialist has in-depth knowledge and skills, advanced judgment and clinical experience in a nursing specialty. The CNS integrates five sub-roles as a clinician, educator, consultant, leader and researcher. The CNS provides solutions for complex healthcare issues at all levels with patients, families, other disciplines, administrators and policy makers (CNA, 2009).

Delegation of Controlled Acts2

The authorization from a regulated health professional that is authorized to perform a controlled act under their specific Health Profession Act to another regulated or non-regulated professional.

Liability3

In the most general sense, the state of being legally obligated and responsible for one’s acts. In the past, liability has been a concern for physicians in cases of joint care with NPs. Similar to physician liability coverage, the Canadian Nurse Protective Society (CNSP) provides professional liability coverage to nurses and NPs in

Directives4

An order is a prescription for a procedure, treatment, drug or intervention. It can apply to an individual client by means of a direct order or to more than one individual by means of a directive... A directive may be implemented for a number of clients when specific conditions are met and when specific circumstances exist. A directive is always written.

Model of Care5

A multifaceted concept, which broadly defines the way health services are organized and delivered. It can therefore be applied to health services delivered in a unit, organization or geographic region for a specific patient population.

Nurse Practitioner6

Provides direct care focusing on health promotion and the treatment and management of health outcomes. They are registered nurses with additional educational preparation and experience who possess and demonstrate the competencies to autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform specific procedures within their legislated scope of practice. Canadian Nursing Association. (2006). Practice framework for nurse practitioners in Canada. Author:
Ottawa.

Scope of Practice7

The scope of practice model is set out in the Regulated Health Professions Act, 1991 (RHPA) and consists of two elements: a scope of practice statement and a series of authorized or controlled acts. Each regulated health profession has a scope of practice statement that describes in a general way what the profession does and the methods that it uses. The scope of practice statement is not protected in the sense that it does not prevent others from performing the same activities. Rather, it acknowledges the overlapping scope of practice of the health professions.

Nursing’s Scope of Practice Statement: The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function. (Nursing Act, 1991)

Transfer

In practice, “transfer” is understood to be the discharge of a patient from one health service and admitting to another, however it can also mean “transferring patients between hospital units. For example, transfer from a medical floor to a palliative care unit.”8 The Public
Hospitals Act, 1990, does not specifically reference “transfer”. NPAO does not recommend the addition of a new section regarding “transfer” in the Public Hospitals Act.9

Authorizing Mechanism

An authorizing mechanism - an order, initiation, directive or delegation - is a means specified in legislation, or described in a practice standard or guideline, through which nurses obtain the authority to perform a procedure or make the decision to perform a procedure.
10

Endnotes

1 Definition retrieved from Cancer Care Ontario. (2011). APN Toolkit. Retrieved January 12, 2012 at https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=76094

2 Definition retrieved from Cancer Care Ontario. (2011). APN Toolkit. Retrieved January 12, 2012 at https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=76094

3 Definition retrieved from Cancer Care Ontario. (2011). APN Toolkit. Retrieved January 12, 2012 at https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=76094

4Definition retrieved from College of Nurses of Ontario. (2011). Directives Practice Guideline. Retrieved August 22, 2012 at http://www.cno.org/Global/docs/prac/41019_MedicalDirectives.pdf

5 Definition retrieved from Cancer Care Ontario. (2011). APN Toolkit. Retrieved January 12, 2012 at https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=76094

6 Definition retrieved from Cancer Care Ontario. (2011). APN Toolkit. Retrieved January 12, 2012 at https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=76094

7 Definition retrieved from College of Nurses of Ontario. (2011). Legislation and Regulation RHPA: Scope of Practice, Controlled Acts Model, Reference Document. Retrieved August 22, 2012 at http://www.cno.org/Global/docs/policy/41052_RHPAscope.pdf

8 Health Force Ontario. (2010). Consultation on Hospital Inpatient Admit/Discharge by Nurse Practitioners. Retrieved January 12, 2012 http://www.health.gov.on.ca/en/news/bulletin/2010/np_input.pdf.

9 Nurse Practitioner Association of Ontario (2010). Consultation on Hospital / Admit / Discharge / Transfer by Nurse Practitioners. Retrieved January 12, 2012 at
http://npao.org/wp-content/uploads/2011/07/Focused-Consultation-Doc-v4-Dec-15-2010.pdf

10 College of Nurses of Ontario (2011). Authorizing Mechanisms Practice Guideline. Retrieved August 22, 2012 at
http://www.cno.org/Global/docs/prac/41075_AuthorizingMech.pdf

feedback