Medical Professional Publications

Scope of Practice in Office Settings

(From the February 2013 Issue of MedStat)

In today’s increasingly complex health care delivery system, scope of practice issues and questions are not limited to health care delivered in a hospital or an ambulatory care-based setting. Physicians, including pediatricians, have office-based practices that are impacted by scope of practice. In fact, The Doctors Company, the largest medical malpractice insurer in the United States, cites scope of practice as one of the top ten risk management issues for office-based practices. Depending upon the size of the practice, private practice staff can include Advanced Practice Nurses (APNs), Physician Assistants (PAs), Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Medical Assistants (MAs), X-ray Technicians, State-Tested Nursing Assistants (STNAs), office managers, receptionists and medical records staff. A practice could potentially include such allied health professionals as dental hygienists, athletic trainers and dieticians. Please see the Risk Management insert in the February packet to learn more about avoiding scope of practice issues in your office. For more information, contact Carol.McGlone@NationwideChildrens.org from legal services.

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