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Things Medical Assistants Can Do!

 

 

Outlining Their Duties medical assistant

Every medical office should have an organized plan that outlines the duties of every staff member in the medical office, which should also address patient assessment and triage procedures, and emergency situations.

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"CAN I DO THAT?" CHECK LIST!

If you are unsure what medical assistants can do, then first go through this check list:

When in doubt, ask yourself...

Was the skill or task taught in your basic medical assisting program? OR

1 If it was not included in your basic medical assistant education, have you since completed a comprehensive training program, which included this particular skill or clinical experience? Or has your supervising physician/licensed healthcare practitioner in charge thoroughly trained you in a particular skill?

2 Has this task become so routine in the medical assistant literature and in the medical assistant practice (e.g. venipuncture, injections, ear lavage, wound debridement, screening patient test results) that it can be reasonably and prudently assumed to be within your scope?

3 Is the skill/task in your hiring agency policy and procedure manual?

4 Does carrying out the task fall within the "reasonable and prudent" standard for medical assisting?

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If you answered YES to all the above questions: the task is likely to be within your scope of practice. However, it is highly recommended to check with all available resources to verify this first. Do not guess! Get the facts.

If you answered NO to any of the questions above: then the task is very likely not within your scope of practice. Do not do it.



Delegation of Tasks

The rule of thumb is: medical assistants may only do tasks that a medical doctor, or other licensed healthcare practitioner, such as an RN, nurse practitioner, or PA has ordered and delegated to them.

Exceptions:
In Alaska: under Alaska Statutes and The Alaska Administrative Code properly trained and certified medical assistants can insert urinary catheters, and start IV tubing, and administer medications as ordered in that IV under the direction of a physician. However, these, or any other patient care tasks CANNOT be delegated by a RN nurse in that state.

As a matter of fact, medical assistants can't do anything supervised by a nurse in Alaska. A medical doctor MUST be present at all times.

Examples:
The latest issue and debates revolve around medical assistants starting and disconnecting IV lines or administering phototherapy in an UV booth to patients. Recently an unsuspecting medical assistant was reprimanded and suspended on the spot because of this confusion. You can read this medical assistant's story here.