Tim,
Are you saying that the Medical staff approves all Nursing P&P's in your
facility basically dictating how Nursing practices? What does your state
Board of Nursing have to say about this? Just very curious.
Betsy Harmon RN CRNI
Vascular Access Team
Critical Care Unit
Alaska Native Medical Center
Anchorage, Alaska
[EMAIL PROTECTED]
----- Original Message -----
From: "Tim Talbert" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>; "Elizabeth Harmon" <[EMAIL PROTECTED]>;
<[EMAIL PROTECTED]>
Sent: Thursday, April 27, 2006 10:54 AM
Subject: Re: Ultrasound "certification"?
The medical staff does approve P&Ps. If they oppose this they have a
lot of power to prevent it.
Tim
"Elizabeth Harmon" <[EMAIL PROTECTED]> 4/27/06 >>>
Nina,
I'll stop laughing in a million years.
Since when does the Chief of Radiology dictate the "Practice of
Nursing" for your state and facility? That's a new one on me.
All kidding aside.
I always thought it was the State Board of Nursing. Does your State
Board of Nursing have an appendix section stating something like
"advanced practices and procedures that can be documented and
competencies provided the RN may perform these procedures?" Our Alaska
State State Board of Nursing has a position statement that addresses
this:
Formal programs of study that are designed to extend and expand upon
basic registered nurse preparateion. Sugn courses of study extend and
expand the knowledge base of practice and provide for supervised
practice in applying new knowledge in new ways. New practice scopes are
defined by the program's educational objectives.
The parameters ofthe practice scopes are defined by basicational
preparation and advanced or specialty education. Within this scope of
practice, all nurses can remain current and increase their expertise and
skill in a variety of ways, e.g., practice experience, in-service
education, and continuing education. Practice responsibility,
acountability and relative levels of independence are also expanded in
this way.
We also have documented education and certifications of courses we took
to use ultrasound. Bard was the ones that set up our class. There are
multiple other courses out there. Nancy Moureau has a Ultrasound class
that I know of. We have had some of our PICC RN's attend this and get
the certificate and then presented this to our Nursing Administration
and State Board of Nursing and we are placing PICC's in our facility
with their blessing. We also have developed a yearly competency for
PICC placement that included the Ultrasound items. This also included
check-off's for all three Ultrasounds we have and how they differ and
their use.
Check your facilities Nursing guidelines, policies and procedures.
Also go to your Nursing administration with a Action Plan, educational
opportunites, implementation plan to train and document such training
for your nurses, along with yearly competency or whatever your facility
needs. Check out your state board of Nursing statutes and regulations
for a position statement on advanced procedures, and specialty
practices. These are prior to obtaining a NP or advanced practice
degree. This is simply expanding your practice and specialty.
Let me know if this helps.
Betsy Harmon RN CRNI
Vascular Access Team
Critical Care Unit
Alaska Native Medical Center
Anchorage, Alaska
[EMAIL PROTECTED]
----- Original Message -----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED] ; [EMAIL PROTECTED]
Sent: Thursday, April 27, 2006 7:48 AM
Subject: Ultrasound "certification"?
I have been told by the Chief of Radiology at the hospital where I
work that "RNs cannot us portable ultrasound unless they are certified
by the Board of Radiology to use the devices".
OK, stop laughing.
Yes, they don't want RNs placing PICCs here........can you tell?
Be that as it may, I need to find some way to prove to them that this
is not the case if RNs are using ultrasound to "assess vessel patency
and assist in guidance of the introducer needle".
Of course the Board of Radiology in Wyoming is limited to the Board
of Radiology Techs.
I'm trying to avoid an opinion statement by the Board of Registered
Nursing, so I'm asking if anyone has any ideas for me......
Thanks!
Nina E.
Notice from St.Joseph Health System:
Please note that the information contained in this message may be
privileged and confidential and protected from disclosure.
