Role Clarity was a focal point for discussion by the St. Joseph's Health Centre (SJHC) OR Practice Council. The question: "Is the role of circulating within the scope of practice for the Registered Practical Nurse (RPN)?" was tabled. Practice Council respectfully and systematically problem solved this question, considering factors as outlined in the Decision Guide for determining the Appropriate Category of Care Provider, issued by the College of Nurses of Ontario in March 1997. The question was analysed and all involved parties reached consensus. A decision followed demonstrating that the role of the circulating nurse exceeds the scope of practice for the RPN. The RPN cannot fulfil the role in its entirety. This decision resulted in a change of practice at SJHC.