Registered nurses 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. Decision support tools (DSTs) set out the activities that are included in the certified practice guidelines provided by BCCNM. Certified Practice areas include RN First Call, Remote Nursing and Reproductive Health.
 

DSTs are regularly reviewed and monitored based on best practices. The information provided is considered current. All certified nurses, RN(C)s, are responsible for following the most current DSTs.
 

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