Getting quite frustrated with the vast difference in scope of practice from one institution to another. And even more bizarre, from one program to another within the SAME institution.I work in a large tertiary care hospital which employs thousands of nurses (not sure of the percentage of RNs vs RPNs) with my home unit being Orthopedic Surgery. Within any of the surgical units, RPNs work to full scope including starting IVs, taking blood for culture and hanging IV meds but if I were to float to any of the medical units, I would not be allowed to do any of this. Same CEO, same administration, same everything. Do RNs have this problem? Of course not. I find it degrading and insulting and when I float to a medical unit, I have to remind myself where I am, and if I inadvertently "forgot" where I was and god forbid started an IV, would my administration support me? Of course not. This is unsafe and unfair practice, and these inconsistencies all across the province are getting old. Do LPNs in the other provinces have this problem?And one rural hospital I work at, RPNs give meds on med/surg but not on CCC where they are nothing more than glorified PSWs. And they wonder why they can't recruit new grads. However a compelling argument from some of the old school CCC nurses is "why would I want to take on more responsibility if they're going to pay me the same wage?" Kinda hard to argue with that.The CNO does NOT define skill sets for nurses but rather if they have the knowledge, skills and judgment to perform the task safely and ethically. It is the hospitals that are setting us back. The RN scope of practice is not unfairly restricted by such nonsense, why so are the RPNs??