I don't think the OP was aiming towards all the critical thinking, education, etc that many of the responses have been, instead more of a head-scratching at the whims of BONs (at least that's how I took it).
I have no problem following "the rules", I'd just like it if they made some kind of sense. Then again, I'm one of those people who drove my parents nuts from an early age asking "why?" and not having "because I said so" be a good enough answer.
Why is it that I am allowed (and at my job, expected) to be able to care for a complex patient on multiple drips but am not "educated" enough (per the BON) to push something as innocous as Protonix? I'm allowed (and again, expected) to care for patients with acute PE and/or DVT, including managing and titrating their heparin or argatroban drips, but can't do the IVP boluses required. I regularly administer blood to active bleeds, but can't spike the bag...seems like if my education was so lacking that I'm incapable of the physical act of piercing a piece of plastic with a sharper piece of plastic, I certainly shouldn't be monitoring for and dealing with transfusion reactions...or giving blood that's considered incompatible b/c the patient has so many antibodies (thank God that's only happened twice, I was like a cat in a room full of rocking chairs the whole time...because I know how horribly it can turn out).
Sorry so long, I just feel that those who have never been in our position have never had to really consider the incongruitues of "the rules"...hoping this might help others understand where the "huh" factor comes from.