What should an RPN colleague do if instructed to perform a procedure by another RPN?

In the context of nursing practice, it is vital to recognize the boundaries of one’s scope of practice, especially when it comes to performing medical procedures. A Registered Practical Nurse (RPN) has specific competencies and responsibilities defined by the College of Nurses of Ontario (CNO). If a procedure is being delegated to an RPN by another RPN, it is essential for the receiving RPN to assess their own knowledge and skills in relation to the procedure being requested.

Declining to accept the order is the appropriate action because it underscores the accountability and professional responsibility that RPNs have toward patient care. If an RPN is unsure about their ability to perform a specific procedure safely and competently, they must prioritize patient safety by not proceeding without adequate guidance and assurance. Moreover, RPNs must operate within their scope of practice and ensure that the delegation of tasks is from an appropriate authority—typically a physician or an RN—and that they have the necessary training and competence to perform the procedure.

Additionally, it is crucial for RPNs to have clarity about delegation policies and to understand that they should not blindly accept instructions from one another, especially when there might be risks involved. Taking this responsible approach not only protects the RPN but also safeguards patient welfare