As an RPN in British Columbia I am working as a Home Care Nurse and Part time community Health Nurse for a First Nations Band. I have taken several certified courses that provide me with skill required for both jobs. I can now immunize persons who are 5 years old and up. I can also do wound management and am a Diabetic Educator, I also have my Tobacco Reduction Counsellor Training and several other certifications. At this time I am unable to immunize infants because I don't have any Certified training in Pediatrics or Obstetrics, but am looking for the Maternal Child Course that will assist me in acquiring those competencies. I am in contact with CRPNBC whenever I have questions regarding my scope of practice. On another note, I have also had difficulties in my work as the field of nursing has been dominated by RN's. I have no problem with RN's, but have run into a few who portray as lower than them. I know that I have a limited scope in some areas of practice, but as other nurses do (RN's), in order for us to best meet the needs of the clients/patients we must continuously seek out education to maintain the skills required for our postions. As long as our competencies are met and the required skills are developed, I think we can work in areas that RN's work, except pediatrics and obstetrics. Fullhouse091