Does Sarah have the authority to initiate wound dressing for her diabetic client?

The correct answer indicates that Sarah, as a nurse practicing in the community, has the authority to initiate wound care for her diabetic client. This reflects the understanding that registered practical nurses (RPNs) have a defined scope of practice that allows them to perform certain procedures and interventions, including basic wound care, especially in community settings.

In many instances, RPNs can assess a client's needs and determine appropriate interventions based on their training and the level of support available in their practice setting. This ability to initiate care independently, particularly when it pertains to recognized standards of practice and competencies, aligns with the regulatory framework established by the College of Nurses of Ontario.

When considering the context that RPNs, while having a specific scope of practice, can provide wound care, it reinforces the importance of understanding the distinction between the roles of RNs and RPNs. While RNs may have greater authority and autonomy in more complex clinical situations, RPNs are also trained to manage routine care tasks, including wound dressing, particularly in scenarios where they assess the situation and feel confident in their skills.

Thus, Sarah’s situation reflects competent nursing practice relevant to her scope, which allows her to effectively manage her client's wound care in the community setting without the necessity of a