From your Activity #6 – Think about where you have in the past or currently work in consultation with another category of nurse when caring for patients. Activity #6 – RPN/RN Consultation – complete the table and provide an example for each situation.
In my current practice setting unit nurses (RPNs and RNS) are working in collaboration with nurses with specialized training/skills- Wounds, Responsive behaviors, IPAC, EOL, skills/treatments not often seen in LTC (VAC dressing, PICCS, etc)
If I were to try to simply articulate the roles of the RPN and RN, I would explain that both the RN and RPN are nurses who act as a member of a patient’s healthcare team and they support their patients through regular nursing assessments, treatments, and interventions to provide and promote the best nursing care to their patients. Both RNs and RPNs advocate for their patients to receive the best care through communication and collaboration with the patient’s interprofessional health care team. Where their roles differ include the individual scopes of practice of RPNs vs RNs (CNO, Nursing Act, 1991, and Regulated Health Professions Act, 1991) and how this can effect patient assignments or settings the RPN or RN work in for example, where RPNs are generally assigned patients that are stable and have predictable health outcomes, where as RNs can care for patients of a status assessed as unstable/unpredictable outcomes. This can be nuanced as well however, because patient assignment between an RPN and RN is not just dependent on client factors, but also the individual nurses’ base of knowledge/experience, environment, context, and competence.
When I was working on a complex care unit, the RN and RPN worked collaboratively as they always relied on each other to ensure the patients were taken care of. The RN would have the “medically heavy and complex” patients, where the RPN would have the more predictable patients, but the care would be given in a collaborative mannor.