232 Special In-Brief Session: The Right Skill Set for the Right Task: Maximizing the Role of the RN, LVN, and Unlicensed Assistive Personnel (UAP) - Lovelady KELSEY-SEYBOLD CLINIC HOUSTON, TEXAS } Understand the role of each discipline } Define the right discipline for the right task } Identify tasks/procedures to be assigned } Utilize the map to maximize the role of the: RN, LVN/LPN and UAP } Medical Practice Act ◦ Physician Rules & Regulations of Delegation Delegation may be made with regard to patient safety & sound medical practice Delegation may include TB Testing, medication administration with a direct order, administration of immunizations & issuance of OTC medications American Academy of Ambulatory Care Nursing (AAACN) 39thAnnual Conference (2014) These materials were specially prepared for instrucBonal use by AAACN and remain the property of AAACN and/or individual presenters. No porBon of these materials, in whole or part, may be used in any fashion, or reproduced by any means, without the wriGen permission of AAACN and/or individual presenters. 1 232 Special In-Brief Session: The Right Skill Set for the Right Task: Maximizing the Role of the RN, LVN, and Unlicensed Assistive Personnel (UAP) - Lovelady } State Board of Nursing – Nurse Practice Act ◦ Rules & Regulations RN Delegation Supervising UAP Tasks Prohibited from Delegation } ◦ Position Statements Physician Standing Orders Delegated Medical Acts Differentiating the Roles of the RN & LVN “ But in both [hospitals and private houses], let whoever is in charge keep this simple question in her head, (not, how can I always do this right thing myself, but) how can I provide for this right thing to be always done? ” } } -Florence Nightingale } RN ◦ Practice Parameters: Predictable & Unpredictable, Critical Thinking, Comprehensive Assessment & Creation of Care Plans ◦ Delegate Nursing Tasks ◦ Supervise RN, LVN/LPN, UAP ◦ Assign RN, LVN/LVN, UAP } AAMA – American Association of Medical Assistants ◦ Identify States with Scope of Practice Laws ◦ Common duties medical assistants perform ◦ Difference between medical assistants and other allied health professionals CMA OA ◦ Certification/ Registration RN & LVN/LPN ◦ State Board of Nursing examination & renewal requirements UAP ◦ Certification/Registration exams & renewal requirements CAAHEP: Commission on Accreditation of Allied Health Education Programs ABHES: Accrediting Bureau of Health Education Schools RN ◦ Clinical Coordinator, Support Nurse ◦ Administrative Manager, Supervisor, Case Manager, Clinical Education, Quality Improvement, EHS American Academy of Ambulatory Care Nursing (AAACN) 39thAnnual Conference (2014) These materials were specially prepared for instrucBonal use by AAACN and remain the property of AAACN and/or individual presenters. No porBon of these materials, in whole or part, may be used in any fashion, or reproduced by any means, without the wriGen permission of AAACN and/or individual presenters. 2 232 Special In-Brief Session: The Right Skill Set for the Right Task: Maximizing the Role of the RN, LVN, and Unlicensed Assistive Personnel (UAP) - Lovelady } } } } LVN/LPN ◦ Practice Parameters: Structured, Predictable, Problem Solving Approach, Focused Assessment & Modification of Care Plans ◦ No Delegation Authority ◦ Supervise UAP ◦ Assign LVN/LPN & UAP UAP ◦ Practice Parameters: Structured, Predictable, Systematic Problem Solving Approach, Collection of Data, Follow Care Plans ◦ No Delegation Authority ◦ No Supervision ◦ No Assigning Volume Frequency – CPT Codes Appropriate procedures for delegation Risk Patient Safety Scope of Practice Education Maintain Competency } LVN/LPN ◦ Clinical Coordinator, Support Nurse, Ambulatory Nurse ◦ Administrative Utilization Management } UAP ◦ Clinical Ambulatory Personnel, Phone Support, Ophthalmology/Optometry Assistant ◦ Administrative Supervisor, Coordinator, Referral support, Clerical } Effectiveness } Work Flow Administrative/Clinical Tasks Barriers Maximizing Resource Containment Bang for the Buck Employee Retention Provider/Employee Satisfaction Maximizing Resource American Academy of Ambulatory Care Nursing (AAACN) 39thAnnual Conference (2014) These materials were specially prepared for instrucBonal use by AAACN and remain the property of AAACN and/or individual presenters. No porBon of these materials, in whole or part, may be used in any fashion, or reproduced by any means, without the wriGen permission of AAACN and/or individual presenters. 3 232 Special In-Brief Session: The Right Skill Set for the Right Task: Maximizing the Role of the RN, LVN, and Unlicensed Assistive Personnel (UAP) - Lovelady MGMA } 27% 44% January 2009 18% } 27% 33% RN LVN UAP 49% ◦ Industry Average Turnover Rates in 2011 was 13% March 2014 29% According to US Human Capital Effectiveness Report 39% According to Society for Human Resource Management ◦ Regional Turnover Rate is currently 17% 34% Provider RN PATIENT SAFETY SUPERVISE/COORD TRIAGE COMPETENCIES EDUCATION ACLS/PALS/CPR Provider Delegation of Medical Acts LVN sks Ta ing urs n N ig ss of on and A gaB e Dele pervis Su RN UAP Sup erv ise an ROOMING PATIENTS ASSISTING PHYSICIAN PATIENT CALLS/MESSAGING IMMUNIZATION NURSE CPR/INSTRUCTOR/PRECEPT d A ssig n CMA ROOMING PATIENTS CPR RN DELEGATED NURSING TASKS MD DELEGATED PROCEDURES CLERICAL DUTIES Supervise and Assign LVN } ?????? } Texas Medical Board ◦ http://www.statutes.legis.state.tx.us/Docs/OC/ htm/OC.157.htm Chapter 157.001 Texas Board of Nursing ◦ http://www.bon.state.tx.us/practice/delegation resources.html Rule 224.10 Rule 225 Rule 225.13 ◦ American Academy of Ambulatory Care Nursing (AAACN) 39thAnnual Conference (2014) These materials were specially prepared for instrucBonal use by AAACN and remain the property of AAACN and/or individual presenters. No porBon of these materials, in whole or part, may be used in any fashion, or reproduced by any means, without the wriGen permission of AAACN and/or individual presenters. 4 232 Special In-Brief Session: The Right Skill Set for the Right Task: Maximizing the Role of the RN, LVN, and Unlicensed Assistive Personnel (UAP) - Lovelady } } Texas Board of Nursing ◦ http://www.bon.state.tx.us/practice/pdfs/ Delegation-fiverights.pdf ◦ http://www.bon.state.tx.us/practice/ position.html#15.5 American Association of Medical Assistants ◦ http://www.aama-ntl.org/ ◦ http://www.caahep.org/Content.aspx?ID=43 } } Candance Michelle Lovelady, MBA, BSN, RN ◦ candance.lovelady @kelsey-seybold.com Carrie L. Blair, BSN, RN ◦ [email protected] American Academy of Ambulatory Care Nursing (AAACN) 39thAnnual Conference (2014) These materials were specially prepared for instrucBonal use by AAACN and remain the property of AAACN and/or individual presenters. No porBon of these materials, in whole or part, may be used in any fashion, or reproduced by any means, without the wriGen permission of AAACN and/or individual presenters. 5
© Copyright 2024 ExpyDoc
