Function Within Scope of Practice

Guidelines:

• State specific
  • Osha
  • ANA
  • AORN
• EBP
• Facility
  • Certifications (equipment)
  • Service specific
• Provider credentials
  • Competent(not drunk)
  • On file
  • Visiting surgeons beware
  • Supervising staff
    • Proximity policy

Considerations:

• Credentials poorly specific
  • fellow? New procedure?
• “Hip to hip” is not the same
• Up to date
  • EBP
• CEU’s
  • Recognize limits

Nurse’s role:

• Advocate for patient
• Echo facility policy
  • Anes/surgeon compliance
    • 2 patients is not“available” staff
• Documentation of personnel and procedures performed
• Verification credentials
  • Should be available from within the room
  • Know how to contact specialties for consult

Pitfalls:

• Visiting surgeons
• Poor communication
• “busy”/emergent
• Anesthesia splitting up
• “Hip to hip”
• Company reps
  • No touch!

Examples:

• Anes resident completing case in OR while supervising staff completes C-section on L&D (is staff“available”? facility/state policy, was second case emergent, etc)

Linchpins (Key Points):

• Easily mixed up when all in scrubs and masks