Things
Medical Assistants Can
Do!
Outlining Their
Duties

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—
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?
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?
Is the skill/task in
your hiring agency policy and
procedure manual?
Does carrying out the
task fall within the "reasonable and
prudent" standard for medical
assisting?
-----------------------------------------
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.
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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.
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