You Have Been Asked to Investigate a New Procedure That Physicians Would Like Nurses to Adopt in the Hospital. Discuss the Process You Would Apply to Determine Whether the Procedure Falls Within the Rn Scope of Practice
The nurses should take a systematic approach when it comes to investigating a new procedure. Before you decide to implement a procedure you must ask yourself “is this task or procedure in my scope of practice”? Nurses are responsible and accountable for the quality nursing care. If a procedure has fallen beyond the nurse’s scope of practice, we would meet the MD and find out the reason why they would want nurses to implement the procedure. I would look into my board of nursing practice act and the policy and procedure of my facility.
There is a 6 step decision- making model for determining the nursing scope of practice in the Texas Board of Nursing. “This decision-making flowchart was developed by the Texas Board of Nursing staff to assist nurses in making good professional judgments about nursing tasks or procedures”,(Texas Nursing Practice Act). I think this is a perfect model to use when investigating a procedure or a task. If you find “YES” to the answers for all 6 questions, you can continue the task or procedure but; any of those answers are “NO” you have to stop and go through the chain of command to make a good decision.
“Change is inherent in nursing practice. However the nurse must take lead in the development of any new roles or procedures” (Trim, 2009). So, I would take leadership to bring this issue in front of the risk management and higher authorities. I will make sure all the nurses get enough education and arrange practice sections and competency skill check-off before they implement.
Six-Step Decision-Making Model for Determining Nursing Scope of Practice, Retrieved on 26, Oct. 2013 from http://www.bon.texas.gov/practice/pdfs/dectree.pdf
Trim,S. (2009). Shaping Future Nursing Practice. Kai Tiaki Nursin...