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What TWO ways does a UCP have the authority to perform a controlled act?
1. A UCP only has the authority to perform a controlled act through an exception.
2. A UCP only has the authority to perform a controlled act when an individual who has the authority to perform the act delegates this authority to the UCP
The Regulated Health Professions Act, 1991identifies a number of exceptions that allow individuals who are not members of a regulated health profession to perform some controlled act procedures.
1. treating a member of her/his household, and the procedure falls within the second or third controlled acts authorized to nursing, and
2.assisting a person with routine activities of living, and the procedure falls within the second or third controlled acts authorized to nursing (see the table below).
What is the second controlled act?
Administering a substance by injection or inhalation
What is the THIRD controlled act?
- Putting an instrument, hand or finger:
- i.beyond the external ear canal
- ii.beyond the point in the nasal passages where they normally narrow
- iii. beyond the larynx
- iv. beyond the opening of the urethra
- v. beyond the labia majora
- vi. beyond the anal verge, or
- vii. into an artificial opening in the body.
What procedures are not allowed by a UCP?
Performing procedure below the dermis or mucous membrane
What is assigning?
Allocating responsibility for providing care
Procedures that may or may not be a controlled act.
What is supervising?
Supervising involves the monitoring and directing of specific activities of UCPs
Indirect supervision is?
When the supervisor is not physically present but monitors activities by having the UCP report regularly to the supervisor, or by periodically observing the UCP’s activities.
What is teaching?
Deciding to teach, providing instruction and determining competence to perform a procedure
what does teaching apply to?
who can teach
A nurse who meets the six requirements
What is delegating?
Transferring the authority to perform a controlled act procedure to a person not authorized to perform that act
What does delegating apply to?
- Controlled act procedures only.
- remember there are THREE of them
Who may delegate?
A nurse who meets the requirements in Authorizing Mechanisms
What does Assigning apply to?
Who may do assigning?
A nurse with the necessary knowledge and judgment
Who are Unregulated Care providers?
UCPs are not regulated
- No standard for training across
- A paid UCP (PSW, health care aid, client care assistant, attendants, home support
A family member or member of the household
Outcomes are ?
An activity is considered to be a ______ _____ of living when the need for, the
response to and the outcomes of the procedure have been established over time.
a ROUTINE ACTIVITY of living when the need for, the response to and the outcomes of the procedure have been established over time.
The procedures are well established as a ________ ?
Ie. Suctioning, bladder cauterization, medication by injection
What are the Five Rights with working with