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Widening the Scope of Practice

Widening the Scope of Practice

Dr. Pelzman discusses the challenge of involving nurses and other healthcare professionals into the current scope of practice so they can do more of what they love. Changing the scope of practice. Suddenly we are faced with the concept of trying to figure out how to get somebody to be able to do a job that their job description doesn’t say they can do. Sounds terrifying, yes? As we have been rebuilding our interdisciplinary teams, we have discovered that bringing a lot of people together to focus on the needs of our patients leaves us with a long to-do list of jobs that need doing. Once we have an interdisciplinary team that meets with the attending, the resident, nurses, care coordinators, social workers, registrars, medical technicians, all getting together to talk about our sickest and most complex patients, we come out of there with a list of new action items. This patient needs transportation arranged. This one needs home services re-instituted, and longer hours with a home health aide, and some durable medical equipment. This one needs to be brought in for nursing education, to go over some nutrition information, to learn how to do fingerstick monitoring of their blood glucose levels. This one needs an appointment here within the week, and that one needs an ENT appointment in the next 48 hours.   Many Jobs to be Done Now, it’s not like the people who we are giving these jobs to didn’t have plenty to do already. As we build this out, and we get more and more to do, we need to make sure we give everybody...
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