A RN/RPN is authorized to perform a controlled act under which conditions?

• A. If ordered by a physician, dentist, chiropodist, midwife, or NP
• B. If initiated in accordance with the conditions identified in the regulation
• C. If both A and B
• D. Only if a written directive is in place

Answer: (C)

A RN/RPN is allowed to perform a controlled act when there is a clear authorization path set by regulation. There are two valid routes: the act can be performed if there is an explicit order from a professional who has authority to authorize it (such as a physician, dentist, chiropodist, midwife, or nurse practitioner), or the act can be initiated by the nurse in accordance with the conditions identified in the regulation. These two pathways exist to ensure patient safety while allowing appropriate professional autonomy within defined rules. The option recognizing both pathways is the best answer because it reflects that either an order or initiation under regulatory conditions can authorize a controlled act (not requiring a written directive in every case). The idea that a written directive is the only way to authorize is too narrow, so that choice isn’t correct.