Scope of Practice Kayla Miguel-Anderson American Intercontinental University Abstract This paper is about being a receptionist and the wonders of other health care professional scope of practice. The general definition of scope of practice, and the more detailed scope of practice of a Registered Nurse (RN). The types of ways Registered nurses can deal with medical records and limitations. Scope of Practice Patients have certain rights concerning their personal and private information relevant to their medical care.
Some of these rights include maintaining privacy, having autonomy, be given information, and giving or withholding authorization of disclosures. So it is good as a receptionist to know boundaries and to know exactly who will be adding documentation to a patient’s medical records. Knowing the scope of practice of each health care professional that might be handling records will be very handy. The general meaning of scope of practice is defined as all the accepted services provided by a particular profession. It provides the parameters within which a profession provides services. Scope of Practice, 2004). The health professional that I might encounter in the emergency room mostly would be a nurse. There are many different types of nursing but to figure if a task or an activity is with your scope of practice it is best to use these three steps. The first step is “Defining the issue. ” Clarification of what the specific activity details are, and to get any additional information that is needed. Also you need to as professional see if you are able to handle the task, are the skills you have enough to perform.
Once the acceptance of the assignment is shown, from then on you are responsible for getting it done and to the best of your abilities. The next step is “Reviewing laws, rules, and standards. ” Just because there is common practice if a certain facility it does not entail that it is legal in terms of performance of activities or appropriate. There are many examples that fall into this. Such as in a doctors office where nurses of different levels perform small tasks that may not be done in other health care facilities because it is common practice in their office but not others.
It may not be in legal terms but they know the boundaries and do not risk fallacy of any sort. “Making the decision,” is the last step. While deciding to take on the task you have to also think about if you are going to accept consequences of your actions. Some people in life may say, “Don’t do the crime if you can’t pay the time,” in nursing you are not doing anything of criminal intent but if anything may happen you need to be ready to accept if anything is to go wrong.
This is common in any occupation and in life you have, so it is not anything that someone does not know. The health care professional I would have most time encountering with in the emergency room would be a registered nurse. (Confidentiality in Tuberculoses Control, 2010) A RN’s scope of practice includes the “direct and indirect patient care services that ensure the safety, comfort, personal hygiene, and protection of patient; and the performance of disease prevention.
Direct and indirect patient care services, including, but not limited to, the administration of medications and therapeutic agents, necessary to implement a treatment, disease prevention, or rehabilitation regiment ordered by and within the scope of licensure of a physician, dentist, podiatrist, and clinical psychologist. Also the performance of skin tests, immunization techniques, and the withdrawal of blood from veins and arteries. ” Registered nurses have an involvement in medical records in many ways.
They can perform and document a history and physical examination for use by and at the request of a physician. They can use portions of other medical records when recording history to supplement the information directly communicated to the nurse by the physician. They can review other medical records of the patient that are documented such as medical plans, progress notes, and lab reports. (The Registered Nurse’s Role In Completing A History and Physical Examination, 2006) Scope of practice is a very important factor in any job.
Knowing your own responsibilities and the boundaries of stepping into another professional’s job responsibilities is critical. Though my job as a receptionist doesn’t deal with medical records much, maybe one day I could get a job that does and I will have prior knowledge to help me. Reference SCOPE OF PRACTICE. (2004). In Encyclopedia of Health Care Management, Sage. Retrieved from http://www. credoreference. com/entry/sageeohcm/scope_of_practice The Registered Nurse’s Role In Completing A History and Physical Examination. North Carolina Board of Nursing.
January 30, 2006. Retrieved July 21, 2011 from http://www. ncbon. com/LegalScope/pracrn%20role%20history%20and%20physical%20exam. pdf Confidentiality in Tuberculosis Control. Tuberculosis (TB). Centers for Disease Control and Prevention. July 1, 2010. Retrieved July 21, 2011 from http://www. cdc. gov/tb/education/ssmodules/module7/ss7reading2. htm Explanation of RN Scope of Practice and Nurse Practitioner Practice. Board of Registered Nurses. State of California. December 1998. Retrieved July 21, 2011 from http://www. rn. ca. gov/pdfs/regulations/npr-b-19. pdf