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Consider the reasons why
you feel unable to accept
responsibility and
accountability and discuss
with senior nurse or
midwife manager/other
HCP/NMBI.
Consider what
measures you need
to take to develop
and maintain your
competence.
Proceed
Carry out the role or activity and
document the details.
Ensure patient needs are
met. This may be through
collaboration or referral to
other HCP.
Discuss with senior nurse or
midwife manager/other
HCP/NMBI
If PPPGs are not available
consider what needs to
happen to put the necessary
PPPGs/supports in place.
Ensure patient needs are met. This may
be through collaboration or referral to
other HCP.*
You are outside your
scope of practice.
Discuss with senior nurse or
midwife manager/other
HCP/NMBI and consider
what measures you need to
take to develop and maintain
your competence.
You are outside your
scope of practice.
You are outside your
scope of practice.
UNSURE/NO
Ensure patient needs
are met. This may be
through collaboration
or referral to other
HCP.
Are you willing to accept
responsibility and accountability for
your role or activity?
Have you the necessary competence
to carry out the role/activity?
Does the role/activity fit in with
definitions and values that underpin
nursing and midwifery as outlined in
the Code of Professional Conduct
and Ethics and Scope of Practice?
*HCP – Healthcare Professional PPPGs – Policies, Procedures, Protocols and Guidelines
Is the role/activity supported in your
practice setting?
For example through relevant
legislation, national or local PPPGs*
or evidence based resources.
Is the role/activity you plan to undertake respectful of the patients' rights and will they derive an overall benefit from your actions?
Scope of Practice Decision-Making Flowchart
Think about Your Nursing or Midwifery Role or Activity
PATIENT SAFETY FIRST