and provider Educates or counsels Ambulatory setting only: Provides patient & Provides patient & Basic knowledge of May provide protocol- Education and individuals or groups on Comprehensive family education under family education under resources available for specific education. Community Outreach appropriate nutritional assessment of patient & the direction and orders the direction and orders patient & family Unlicensed personnel intake and expenditure. family readiness to learn, of MD/RN/PA/NP and of MD/RN/PA/NP and education. Notifies may not provide needs, and barriers. using established using established licensed staff if patient medical advice. CDE: educates patients Formulates patient & protocols. protocols. needs additional and families about family education plan and education. diabetes management, delegates implementation including insulin pump of plan as appropriate. therapy. Advice based on independent scope of RN and/or standard procedures. Evaluation Monitors patient’s Responsible for Contributes to the Observes, collects Observes, collects basic If RA is a LIP or RN response to nutrition and evaluation of overall evaluation of the measurements, and measurements and then may assess patient. progress in meeting patient condition & patient’s response to reports data reports data to Otherwise, collects and Collaborates with other response to treatment. nursing intervention by MD/RN/PA/NP for MD/RN/PA/NP for reports data. members of the team Achieved by RN direct documenting and evaluation. evaluation. when other aspects of observation and communicating with the treatment plan such as, assessment. MD/RN/PA/NP. medication, are not Communicates data for effective. the purpose of modifying the plan of care. May evaluate patient’s demonstration of self-care and report to MD/RN/PA/NP. Procedures CDE: may blood Sterile and non-sterile Performs/assists with May perform approved May perform OHSU May perform glucose sensor after nursing procedures general and specialized procedures based on approved nursing procedures demonstration of requiring advanced procedures and competency and under assistant procedures within their scope of competency. scientific knowledge. treatments according to direction of MD/RN/ based on competency practice. Invasive medical surgical approved standardized PA/NP. and under direction of CDE: may place procedures as approved procedures. May assist MD/RN/ PA/NP. Non-licensed personnel subcutaneous needle sets by standardized MD/RN/PA/NP in more may perform authorized for insulin pump after procedures and upon advanced procedures. procedures under demonstration of documentation of training supervision of PI after competency. and demonstrated demonstrating competency. competency.
and provider Education and Community Outreach Educates or counsels individuals or groups on appropriate nutritional intake and expenditure. CDE: educates patients and families about diabetes management, including insulin pump therapy. Ambulatory setting only: Comprehensive assessment of patient & family readiness to learn, needs, and barriers. Formulates patient & family education plan and delegates implementation of plan as appropriate. Advice based on independent scope of RN and/or standard procedures. Provides patient & family education under the direction and orders of MD/RN/PA/NP and using established protocols. Provides patient & family education under the direction and orders of MD/RN/PA/NP and using established protocols. Basic knowledge of resources available for patient & family education. Notifies licensed staff if patient needs additional education. May provide protocol- specific education. Unlicensed personnel may not provide medical advice. Evaluation Monitors patient’s response to nutrition and progress in meeting Collaborates with other members of the team when other aspects of treatment plan such as, medication, are not effective. Responsible for evaluation of overall patient condition & response to treatment. Achieved by RN direct observation and assessment. Contributes to the evaluation of the patient’s response to nursing intervention by documenting and communicating with the MD/RN/PA/NP. Communicates data for the purpose of modifying the plan of care. May evaluate patient’s demonstration of self-care and report to MD/RN/PA/NP. Observes, collects measurements, and reports data MD/RN/PA/NP for evaluation. Observes, collects basic measurements and reports data to MD/RN/PA/NP for evaluation. If RA is a LIP or RN then may assess patient. Otherwise, collects and reports data. Procedures CDE: may blood glucose sensor after demonstration of competency. CDE: may place subcutaneous needle sets for insulin pump after demonstration of competency. Sterile and non-sterile nursing procedures requiring advanced scientific knowledge. Invasive medical surgical procedures as approved by standardized procedures and upon documentation of training and demonstrated competency. Performs/assists with general and specialized procedures and treatments according to approved standardized procedures. May assist MD/RN/PA/NP in more advanced procedures. May perform approved procedures based on competency and under direction of MD/RN/ PA/NP. May perform OHSU approved nursing assistant procedures based on competency and under direction of MD/RN/ PA/NP. May perform procedures within their scope of practice. Non-licensed personnel may perform authorized procedures under supervision of PI after demonstrating competency.
Scope-Of-Practice-with-Research-Assistants-Aestheticians-and-Dieticians0508.docx