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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
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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).
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What is the second controlled act?
Administering a substance by injection or inhalation
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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.
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What procedures are not allowed by a UCP?
Performing procedure below the dermis or mucous membrane
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What is assigning?
Allocating responsibility for providing care
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Assigning includes:
Procedures that may or may not be a controlled act.
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What is supervising?
Supervising involves the monitoring and directing of specific activities of UCPs
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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.
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What is teaching?
Deciding to teach, providing instruction and determining competence to perform a procedure
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what does teaching apply to?
any procedure
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who can teach
A nurse who meets the six requirements
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What is delegating?
Transferring the authority to perform a controlled act procedure to a person not authorized to perform that act
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What does delegating apply to?
- Controlled act procedures only.
- remember there are THREE of them
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Who may delegate?
A nurse who meets the requirements in Authorizing Mechanisms
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What does Assigning apply to?
any procedure
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Who may do assigning?
A nurse with the necessary knowledge and judgment
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Who are Unregulated Care providers?
UCPs are not regulated
- No standard for training across
- institutions
- A paid UCP (PSW, health care aid, client care assistant, attendants, home support
- workers)
A family member or member of the household
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Outcomes are ?
PREDICTABLE
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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.
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a ROUTINE ACTIVITY of living when the need for, the response to and the outcomes of the procedure have been established over time.
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The procedures are well established as a ________ ?
ROUTINE.
Ie. Suctioning, bladder cauterization, medication by injection
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What are the Five Rights with working with
UCPs?
Right
T
P
C
D
S
1.Right Task
2.Right Person
3.Right Circumstances
4.Right Direction
5.Right Supervision
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