An individual nurses’ scope of practice can be influenced by education, experience, and population served.
It is important that nurses make decisions regarding their scope of practice, to which they are professionally and legally responsible. (AZBN, 2013). When determining whether a new procedure falls within the RN’s scope of practice, it is important to research their State Board of Nursing, the American Nurses Association, and other organizations. The Arizona State Board of Nursing has a decision making tool, which describes guidelines for decision making regarding scope of practice.
Process for Utilizing the Decision Making Tool:Determine if the activity is consistent with the Arizona Nurse Practice Act and/or Advisory Opinion. Is the skill for the RN/LPN within generally recognized scope and standards of practice? Is the activity something taught in your basic nursing education program? Can you document successful completion of the additional education Does your employer agency allow you to perform the activity? (Example: Are there written policies and procedures in place? ) Do you know how to perform the act? Are you currently competent? Is the nurse prepared to assume accountability for the action and for the outcomes of the care?After determining if the new procedure falls within the nurse’s scope of practice, it can be introduced to the physicians and fellow nurses (assuming that it was already approved). I believe the first step would be to research the procedure. Gather data to present to the team, and include evidence-based research.
Explain the benefits of the new procedure. A group of experienced trainers can train the team. Be sure that the team understands the procedure and that they can perform it correctly. Allow the team to provide feedback.
Perhaps there is a way to keep improving.
