Registered Nurses (RNs) and Registered Psychiatric Nurses (RPNs) who are certified by the British Columbia College of Nurses and Midwives (BCCNM) are allowed to perform certain restricted activities within their autonomous scope of practice. Certified Practice Decision Support Tools (DSTs) set out the activities that are included in the certified practice guidelines provided by BCCNM.
 

There are five Certified Practice areas including RN First Call, Remote Nursing, Reproductive Health (Contraceptive Management), Reproductive Health (Sexually Transmitted Infections), and Opioid-Use Disorder.
 

NNPBC is responsible for maintaining the DSTs for three Certified Practice areas: RN First Call, Remote Nursing and Reproductive Health (Contraceptive Management). The Association also maintains the competencies for all certified practice areas. Certified Practice DSTs are regularly reviewed and monitored based on best practices. The information provided is considered current. Certified Practice nurses are responsible for following the most current DSTs.
 

Certified Practice DSTs are not intended to replace the professional responsibility to exercise independent clinical judgment and use evidence to support competent, ethical care. Certified Practice nurses must consult with or refer to a physician or nurse practitioner as appropriate, or whenever a course of action deviates from a DST.