PROFESSIONAL PRACTICE – PNS 101
PROFESSIONAL PORTFOLIO – PROFESSIONAL STANDARDS OF PRACTICE
Standard 1: Responsibility + Accountability
The licensed practical nurse maintains standards of nursing practice + professional conduct established by BCCNP.
Indicator
1. Maintains current registration
2. Maintains own competence to
practice
3. Maintains own physical,
psychological + emotional
fitness to practice
4. Practices within own level of
competence, employer
policies, the LPN scope of
practice + all relevant
legislation
5. Is accountable + responsible
for own nursing decisions,
actions + professional conduct
6. Seeks guidance + direction as
required
Self EV Comments/Supporting Evidence
rating
1 Currently enrolled in Access to Practical Nursing program at North Island College.
Plans on receiving registration upon completion of the program. Currently holds an
“Active” status as a Registered Care Aid and is currently practicing at a long-term care
facility.
1 Prioritizes patient’s safety. Follows the 10 rights of medication administration and
makes sure to do the 3 checks before drug administration. Practices and understands
nursing skills in lab.
2 Make sure to be physically, mentally and emotionally prepared coming to class.
Maintains a healthy lifestyle by getting 8 hours of sleep each night, drinking 8-10
glasses of water daily, and doing any physical activity 4-5 times weekly. Avoid
procrastinating to lessen stress from school by starting assignments earlier and writing
notes related to the topic we are learning in class. Finds way to clear mind before
coming to school, to make sure that my brain is ready for learning.
2 Practices under Licensed Practical Nurse scope of practice. Understands that different
facilities may have different policies regarding nursing interventions. Knows how to
navigate the BCCNM website to find documents regarding scope of practice.
2 When practicing head to toe assessment, I only document my own findings and what
the “patient” states. Also, for drug administration, I practice the 7 rights and 3 checks
as well as, I only give medication I dispensed and poured. We’ve also had case
scenarios where we had to decide whether to give the medication or not and why.
2 When I come across a problem in lab or in class, I seek help from my fellow classmates
or my teacher to avoid getting the wrong information that could affect my learning in a
negative way.
7. Takes action to promote safe,
competent + ethical care for
clients
8. Advocates for +/or helps to
develop policies + procedures
consistent with BCCNP
Standards of Practice
9. Understands the role of
BCCNM + its relationship to
one’s own practice
Standard 2: Competency-Based Practice
The licensed practical nurse applies appropriate knowledge, skills, judgment + attitudes consistently in nursing practice.
Indicator
1. Bases nursing practice on
current evidence from nursing
science, other sciences + the
humanities
2. Knows how + where to access
information to support +
provide safe, competent +
ethical nursing practice + care
for clients
3. Uses critical thinking when
collecting + interpreting data,
planning, implementing +
evaluating nursing care
4. Collects information on client
status + care needs from a
1 Patient’s safety should always be one of the top priorities when providing care. When
practicing in lab I always make sure that the client is safe before I leave the room, and
when writing a care plan, I always involve safety precautions.
5 N/A
1 Familiar how to access BCCNM and knows how navigate through the website. The
BCCNM’s role is to protect the public.
Self EV Comments/Supporting Evidence
rating
1 All nursing practice should be current evidenced base, in lab we have practiced
doing assessments specific to the client’s condition and/or medications they are on.
For example, if a client if diagnosed with COPD, I would do a respiratory
assessment to listen to their lungs, C.W.M.S for possible edema to extremities
especially to their lower.
1 For our courses, I access the student guide and the reading guide for support, then
for nursing practice such as scope of practice I would access BCCNM for support.
3 Throughout the program we have practice creating care plans in almost all our
courses, critical thinking helps us create a better and well-structured care plan that
will benefit the client. For example, if a client’s diagnosis is unstable angina, us
nurses will not plan to treat the pain, but think about the client safety and possible
education that could be taught to the client, so that they know how they could
manage it if ever there is no help around.
2 I’ve done assessments on client based on the scenario given and would record my
findings and chart them. I would then write a care plan based on my findings and
 variety of sources using
assessment skills + a review of
pertinent clinical data
5. Identifies, analyzes + uses
relevant decision support tools
+ data when making decisions
about client status + care
requirements
6. Documents client assessments,
care needs, planned
interventions + outcomes in a
timely manner
7. Communicates client status to
other members of the health
care team as appropriate
8. Evaluates client responses to
care + revises the plan of care
as necessary
9. Responds + adapts to changes
in the practice environment
10. Shares nursing knowledge with
clients, colleagues, students +
others
11. Communicates professionally
in interactions with clients,
colleagues, students + others
Standard 3: Client-Focused Provision of Service
The licensed practical nurse provides nursing services + works with others in the best interest of clients.
Indicator
discuss this with my classmates to see if they might’ve done something different and
why they did that way.
2 In one of the scenarios, where the client had difficulty swallowing or had a choking
episode. I decided to refer them to a dietician for re-assessment of food texture and
fluid consistency, teach them “chin-tuck”, the client may also need assistance with
feeding and this needs to be communicated with the other health care staff as well as
if there were any dietary changes.
2 The end goal for patient care plan should always be positive patient outcome. Care
plans are specific to the patient needs, proper documentation will lead to continuity
of care which will benefit the patient’s quality of life. This is also a great way to
advocate for a change the patient may need. With the right documentation, the
communication regarding the patient’s needs with the health care team will be more
efficient and everybody will be on the same page.
2 Communication is the key to continuity of care. In lab, we have practice charting,
which included what care was done, any assessments that was done on the client,
any concern, and any abnormal findings.
2 After doing my QPA and client states that he/she is in pain, I would do a pain
assessment then provide something that could relieve the pain. When the pain has
relieved, I would then continue with their care.
2 Since we have started the program there have been changes to schedule, class hours,
classroom location. With all the changes that has happened I have been adaptable
and worked with the changes.
3 I have done most of the skills we are doing in lab at my previous school, which I’ve
gotten comfortable doing already. Sometimes I just have a hard time-sharing ideas
and thoughts to other people.
2 I communicate with the client, my classmates, and my teacher respectfully.
Eval Comments/Supporting Evidence
1. Makes the client the primary focus
when providing nursing care
2. Involves clients in identifying +
prioritizing their own health goals
+ learning needs
3. Supports clients to learn about the
health care system + accessing
appropriate health care services
4. Understands + communicates the
contribution of nursing to the
health of clients
5. Communicates, collaborates +
consults with clients + other
members of the health care team
about client care
6. Coordinates + facilitates
continuity of care services for the
client
7. Supervises, leads + assigns
appropriately to other members of
the health care team
8. Supports + guides other members
of the health care team to meet
client care needs
1 When providing care to the client it only makes sense to make them the primary
focus. I will ask the client if they have any preferences, how they use to do it when
they were able to do it by themselves, any routine, and it is very important to
always involve the client with their care.
2 Clients should always be involved with their care. To make a goal successful, the
client should understand the reasoning and possible outcomes for the health goals
set for them. This could also be a teaching opportunity for nurses, to help their
clients understand the situation, and what they can do to achieve the goal. In lab,
when we are given scenarios, it involves client teaching, I would list or discuss
with my partner different teaching I would do and why.
2 When writing a care plan, there were times where I put that the client would be
referred to OT/PT, dietician, and social worker. This shows them the health
services they can access, then I would give them the reasoning behind it. For
example, refer to OT/PT for bar rails in bathroom for safety purposes, and to avoid
much worse situation.
2 It is important for us nurses to know the resources our clients can access and the
benefits and support they can get from those sources. For example, the dietician
could help them with a nutritional plan so that they are getting the right amount of
nutrition in their body.
2 In lab, I would communicate with the client about the care I’m about to perform. If
anything seems concerning, I will ask the client about it or discuss it with my
classmates. I will also ask the client if they have any preferences with their care, or
if they have any concerns.
2 Writing an organized and well-informed documentation or charting will provide
continuity of care for the client. For example, if there were any changes in care like
the client is now on a repositioning schedule q2h, to continue this and to prevent
worsening of pressure sores, health care staffs should be informed.
3 In class, we have worked in groups where we would gather information and share
to the class. Sometimes we would assign people to record and someone to share
with the class.
2 In lab, when we are brainstorming to write a client’s care plan, I would give
suggestion to improve or meet client care needs such as, if they are a fall risk at a
long-term care and mobile, they should have a commode by their bedside to avoid

9. Participates in + advocates for
changes that improve client care +
nursing practice
10. Recognizes + reports the
incompetent or impaired practice
or unethical conduct of another
health professional to the
appropriate person or body
Standard 4: Ethical Practice
The licensed practical nurse understands, upholds + promotes the ethical standards of the nursing profession.
Indicator Eval
1. Demonstrates honesty + integrity
at all times
2. Represents self clearly +
accurately with respect to name,
title + role
3. Respects + protects client worth,
dignity, uniqueness + diversity
4. Protects client information +
maintains privacy +
confidentiality
5. Recognizes, respects + promotes
the client’s right to be informed
+ make informed choices
walking long distance. Having a night light and a bed alarm during the night if
they get up frequently.
2 When we are writing a care plan, and for example the client has pressure sores
developing. I would then put them on a repositioning schedule like turn q2h or
q4h, as well as putting barrier cream on pressure points, frequent brief change if
they are heavy soaker, and push fluid to maintain hydration.
5 I have not seen impaired practice within the class.
Comments/Supporting Evidence
1 I am accountable for my actions, and I am not afraid to admit if I make a mistake. I
treat everybody with respect.
2 Upon entering the client’s room, I would say, “Good morning Mr. Potter, I’m
Ciena and I will be your nurse today. I came in to check on you and do your vitals
as well as an assessment”. This way the client knows my name, title, role, and
what I’m going to do.
1 Demonstrates this by providing a non-judgmental environment when providing
care, asks the client if the care I’m about to proceed with is okay with them, asks
the client’s comfortability level with care, and tells the client what I’m about to do
for example, performing a head-to-toe assessment, before touching the client ask
permission as some clients are uncomfortable when we get into their personal
space.
1 When writing care plans and charting I use the client’s initial instead of their full
name to protect client’s information. This is a good practice before going to
practicum where we’ll be dealing with real clients.
2 When changes are made to the client’s care, it is very important to get them
involved and informed with these changes as they may disagree with some of it.
We also must respect the client decision. We should discuss the changes to the

6. Begins, maintains + ends nurse-
client relationships in a way that
puts the client’s needs first
7. Identifies the effect of own
values, beliefs, + experiences
when providing nursing care
8. Identifies ethical issues,
recognizes potential conflicts;
takes action to prevent or resolve
them by communicating with the
health care team + consulting
with the appropriate people; +
evaluates effectiveness of actions
9. Makes decisions about the
allocation of resources under
one’s control based on the needs
of the client
10. Recognizes + respects the
contribution of others on the
health care team
11. Treats colleagues, students +
other health care workers in a
respectful manner
client and provide them with education why these changes are put in place, if they
disagree, ask them why. It is the client’s health and if we must make changes they
should know as it is their health.
1 By having a professional boundary between the client and I, it will be easy to put
their needs first. Listening to them and building a bond where the client could trust
you and be honest.
2 Having a different culture where I was used to seeing elderly people being looked
after by their families and now working at a facility where I look after other
people’s parents and/or grandparents was very shocking for me. When I care for
other people, I always have in my mind that the care I will give them will be the
care I want my grandparents to receive. Sometimes this affects my job emotionally
and mentally because I get attached to them.
5 N/A. I have not encountered ethical issues in the program.
5 N/A.
3 There have been times where my classmates had a different thought about a
scenario we were dealing with, health care is a team effort and works best when
everyone works together. Sometimes I’m afraid to speak up when I have a
different opinion than them.
1 Everyone should be treated with respect. I strongly believe in the saying “treat
others the way you want to be treated”.