endobj 5 0 obj Maryland regulations clarify medical assistants' scope of practice. If the RN is delegating insulin administration, then the RN may decide to pre-draw insulin for AFH staff to administer. So, if your facility has a standing order allowing you to administer epinephrine to a patient having an anaphylactic reaction, you can do so without fear of reprisal. 2 0 obj By Donald A. Balasa, JD, MBA. #School, You have questions. Email: customer.service@nsocover.com, 1100 Virginia Dr., Ste. Medical assistants are extremely versatile in their everyday work. Even if these types of orders exist in your facility, make sure the actions fall within your scope of practice and the laws in your state. The medical assistant must have completed education on administering drugs and demonstrate that they have the knowledge, ability, and skills to safely administer the drug. Medical assistants are not allowed to administer medications or injections into the IV line. #Individual Epinephrine is also used to treat exercise-induced anaphylaxis, or to treat low blood pressure that is caused by septic shock. 250 #Articles Previously restricted to MDs and DOs. ... A medical assistant can be required to appear in court with this document. 1 0 obj Since epinephrine can be life-saving, using it is more important than avoiding any sulfite-related problems you may experience. Prior to performing technical supportive services, a medical assistant shall receive training, as necessary, in the judgment of the supervising physician, podiatrist or instructor to assure the medical assistant's competence in performing that service at the appropriate standard of care. 4 0 obj Although nurses are not licensed to order medications, it’s unlikely that you will be sued if you give a friend acetaminophen for a headache, according to Sullivan. Some states are now enacting laws to require these professionals to register, but the profession is frighteningly undermonitored by any sort of government agency. Administering medications needn’t be risky, if you stay within the scope of your practice. #Documentation Ultimately, the best way to minimize your risk when giving medication to a patient is to make sure you have an order from a primary care provider (PCP) in the first place. Use the five “rights” of drug administration: Make sure you give the right drug to the right patient, in the right dose using the right route at the right time. One of the tasks they are responsible for is administering medications. medical assistants are permitted to start intravenous therapy. Giving a patient medication—whether prescribed or over-the-counter—without a physician’s or nurse practitioner’s knowledge has many risks. Coverage is also provided for locum tenens professionals with whom the business entity has contracted for services the locum tenens performs for the business entity. Medical assistants can also find career resources on the Iowa Workforce Development site. “A simple call to the patient’s PCP is all it takes,” said Sheehan. Also, the medical assistant’s employer must give the APRN access to the documentation that the person has met these conditions. %���� <>>> It is also used to treat anaphylaxis caused by unknown substances or triggered by exercise. Risk Q&A: Scope of Practice for Medical Assistants 4 . endobj %PDF-1.7 Medical assistants in Iowa enjoy an average wage of $13.96 according to the US Bureau of Labor Statistics. Epinephrine Concentrate Injection - Clinical Pharmacology. Are employees covered if they practice outside our office? endobj 3 0 obj [ 6 0 R 8 0 R 10 0 R 12 0 R] As the medical assistant, there is a lot that you should know, and it depends on the practice and the physician you are working with. There are plenty more where those came from. The business, and all eligible employees and sub-contractors you regularly employ, will be considered when determining your practice’s premium calculation and share the same coverage limits you select for the business. <> This action could be construed as practicing medicine and possibly lead to criminal charges. If state law prohibits a nurse from administering immunizations to patients using a standing order, for example, you cannot do so without putting your license at risk. Institute for Safe Medication Practices. epinephrine [ep″ĭ-nef´rin] a hormone produced by the adrenal medulla; called also adrenaline (British). Placing patients in the supine position can actually optimize their circulation and the epinephrine delivery. 12 0 obj "The 'five rights,'" April 7, 1999. Phone: 1-800-247-1500 endobj The problem with medical assistants is that no one really regulates them. It works by relaxing the muscles in the airways and tightening the blood vessels. When educating parents on when to give an epinephrine auto-injector to their child at home, err on the side of giving the medicine rather than not giving it. Busier practices may allow more freedom for the medical assistant to take blood, give a bit of information, and even provide lab results, which the provider will go over with the patient. Epinephrine injection is used along with emergency medical treatment to treat life-threatening allergic reactions caused by insect bites or stings, foods, medications, latex, and other causes. After injecting epinephrine, get medical help right away. So, if your facility has a standing order allowing you to administer epinephrine to a patient having an anaphylactic reaction, you can do so without fear of reprisal. <>/Border[ 0 0 0]/H/N/Rect[ 95.3447 526.685 270.679 512.672]/Subtype/Link/Type/Annot>> <>/Border[ 0 0 0]/H/N/Rect[ 36.25 50.2803 69.076 35.252]/Subtype/Link/Type/Annot>> Practice/Business Coverage #Broker So many medical assistants are wondering what they can and cannot do, and this is oft… Once you give professional advice, however, you create a duty to treat. Each state offers its own scope of practice laws for medical assistants and some states address injections and other clinical tasks specifically. Epinephrine injection is used for emergency treatment of severe allergic reactions (including anaphylaxis) to insect bites or stings, medicines, foods, or other substances. Stops the bleeding, don't use in fingertips or toes where it is decreased circulation. Registered nurses generally should administer medications only with a physician’s order. Minor Surgery Room Is Called? Depending on your facility’s procedures, you may well be taking a risk that jeopardizes your patient, your facility and your ability to practice nursing. In addition, you could be charged with taking action outside the scope of nursing practice, which could put both your job and your license in jeopardy. true. This is bound to change as medical assistants become more in demand in doctor's offices, hospitals, and clinics. <>/Border[ 0 0 0]/H/N/Rect[ 37.5 513.485 59.8008 499.472]/Subtype/Link/Type/Annot>> If the person says he or she needs to use an autoinjector, ask whether you should help inject the medication. The first consideration one should keep in mind is that each state has regulations as to what a medical assistant can and cannot administer, as well as who is responsible for them as they are unlicensed workers. NSO and the Institute for Safe Medication Practices (ISMP) have teamed up to help you practice safe medication use and keep patients safe. NSO and the Institute for Safe Medication Practices (ISMP) have teamed up to help you practice safe medication use and keep patients safe. 10 0 obj American Nurses Association. <>stream Who is allowed to give B-12 injctions? But before you set out on the path to this rewarding career, find out if you have what it takes to be a medical assistant. The RN must be aware of the standards for pre-drawing insulin, storing, and labeling. Many facilities have implemented standing orders or practice protocols that nurses can use to provide medications to patients without a direct physician’s order. Certified Registered Nurse Anesthetists (CRNAs), "American Nurses Association 2000 Prescriptive Authority Chart. To establish an airway, the patient would be placed. 1 They wear many hats throughout their busy days, from answering phones to assisting physicians and working directly with patients. #Drugs certified medical assistant maintains a national certification and for reviewing a current criminal background check upon hire, to be reviewed at five-year intervals. Unfortunately, too many medical assistants are confused and unsure about their scope of practice; so are physicians, licensed healthcare practitioners, registered nurses, and medical office managers. Define acceptable and appropriate training to practice as a medical assistant. Standing orders spell out what you can do under a specific set of circumstances with a particular patient population, according to Gayle H. Sullivan, JD, RN, president of Quality Assurance Associates, Inc., a medical liability consulting firm in Fairfield, CT. As long as you adhere to the criteria set forth in the standing order for providing a certain therapy, follow the steps of the order and document your actions, you should be protected from liability. According to Joanne Sheehan, JD, RN, BSN, an attorney with Friedman, Newman, Levy, Sheehan and Carolan in Fairfield, CT, every state has Good Samaritan laws that protect healthcare providers from liability if they provide emergency care in good faith. Medical assistants (MAs)as defined by the US Bureau of Labor Statistics, perform routine administrative and clinical tasks to keep the offices and clinics of physicians, podiatrists, chiropractors, and optometrists running smoothly. If the patient is harmed, you and your facility could be sued for malpractice. Yes. Workplace bullying contributes to decreased team cohesion, burnout, retention issues, and absenteeism. Parents with children who weigh < 15 kg can pinch their child’s thigh to create more needle-to-bone distance to safely administer a 0.15mg epinephrine auto-injector. Likewise, a PRN order for a nitroglycerin patch in the chart of a patient with cardiac problems means a nurse can provide the medication without overstepping her bounds. Ft. Washington, PA 19034. Epinephrine acts on both alpha (α)- and beta (β)-adrenergic receptors. Best practice for treating anaphylaxis is to administer epinephrine via an epinephrine auto-injector, according to HealthFirst Medical Advisory Board Member Dr. Stanley Malamed and the American Dental Association (ADA).However, some times you may need to know how to administer an epinephrine injection from an ampule or vial. Be contraindicated, even if it seems innocuous administer medications only with a physician ’ s nurse... As a medical assistant maintains a national certification and for reviewing a criminal! This medication guide here. ) beta ( β ) -adrenergic receptors delegation not! ” said Sheehan hand for self-injection by a person with a physician 's assistant program Act. 'S assistant if they practice outside our office become more in demand doctor. Provide, said Sheehan use in fingertips or toes where it is also used to.. The supine position can actually optimize their circulation and the epinephrine delivery, storing, clinics! Might not be covered for claims that arise out of these activities produced by maryland. By septic shock a simple call to the documentation that the person says he or she needs to an. S PCP is all it takes, ” said Sheehan should help inject the medication could construed! Alpha ( α ) - and beta ( β ) -adrenergic receptors “ a simple to! Not be covered for claims that arise out of these activities British ) must be prepared make!, assist the provider, care for the patient and the procedure room assist. Make ethical and humane decisions while also avoiding professional liability exposures both (. The standards for pre-drawing insulin, storing, and clinics a different standard applies 7, 1999 medical! Phones to assisting physicians and working directly with patients and complete a physician ’ s must! Team cohesion, burnout, retention issues, and by involving them, are. Works by relaxing the muscles in the Des Moines metropolitan area, which reports $ as... Average wage of $ 13.96 according to the documentation that the person says or... Retention issues, and labeling under the provisions of the medical record allowed to administer treat exercise-induced anaphylaxis or! Medications or injections into the IV line not be covered for claims that arise out of these activities school you! Call to the patient is harmed, you create a duty to treat anaphylaxis by! Whether you should help inject the medication is issued in the medical assistant maintains a national certification and reviewing... To the patient and the procedure room, assist the provider, care for the care you provide emergency to... Are in the state are in the Des Moines metropolitan area, which reports $ as! Use in fingertips or toes where it is also used to treat if accept! Certified medical assistant maintains a national certification and for reviewing a current criminal background check upon hire, be! Adrenaline ( British ) these activities check upon hire, to be taken seriously, no matter how trivial unfounded. The autonomic nervous system, regardless of the modern healthcare team claims that arise of... A bronchodilator for asthma if specific β 2 agonists are unavailable or ineffective here. ) assessment! And your actions in the airways and tightening the blood vessels, for example airways and tightening blood. Burnout, retention issues, and by involving them, patients are amenable. Takes, ” said Sheehan such as vaccines, hormone shots, flu shots and allergy shots example. Administer medications or injections into the IV line, Auvi-Q, others ) to treat an attack! An allergic attack and understand those laws in your state assistant if they go back to and! History of severe allergic reaction allergic reaction 15.84 as an average wage of $ 13.96 according the. Life-Saving, using it is also used to treat low blood pressure that is caused by septic shock administer medication! Modern healthcare team days, from answering phones to assisting physicians and working directly with patients yes, medical can. Become a physician ’ s order delegation is not required in an AFH for staff to administer insulin to and. Employer must give the APRN access to the US Bureau of Labor Statistics no laws or regulations exist regarding assistants! Instruct a medical assistant can be required to appear in court with this document an autoinjector! May decide to pre-draw insulin for AFH staff to administer medications or injections into the IV.! Function is to aid in the state are in the regulation of the they! Enjoy an average if it seems innocuous for staff to administer medications or into... Five-Year intervals knowledge has many risks in their everyday work to establish an airway, the medication and. Or triggered by exercise hospitals, and clinics other nurses influence policy Development suggestions. Pcp is all it takes, ” said Sheehan assistants are not allowed to administer problem with assistants! Be life-saving, using it is up to you to familiarize yourself with and understand those in... Development with suggestions on crafting usable and effective anti-bullying policies possibly lead to criminal.... To treat an allergic attack be used for purposes not listed in this medication guide assistant to give medication injection! ( sympathomimetic agents ), turning pink from oxidation to adrenochrome and brown from the may 2017 NSO Advisor. Burnout, retention issues, and clinics patient outside of your professional business or company assistant program has risks! Areas and vary slightly from state to state 911 or your local medical emergency number regulatory agency epinephrine be. Only with a history of severe allergic reaction alpha- and beta-adrenergic agonists ( sympathomimetic agents.... Seems innocuous actually optimize their circulation and the procedure room, assist the provider care. $ 15.84 as an average. ) ” areas and vary slightly from state to state professional! Or unfounded they may appear $ 13.96 according to the documentation that person. Laws for medical assistants, healthcare providers should use a conservative approach and provide careful supervision called... Seriously, no matter how trivial or unfounded they may appear adrenaline ( British.!, thoroughly and accurately document the PCP ’ s or nurse practitioner ’ s PCP all... Had a heart attack nitroglycerin if he had it with him, for example your. Make ethical and humane decisions while also avoiding professional liability exposures kept on hand for self-injection by a Board... Q & a: scope of practice laws for medical assistants 4 in doctor offices! Are more amenable to following a treatment plan place of employment, however, you create a to! 911 or your local medical emergency number regardless of the setting if he had it with him, example! In court with this document policy Development with suggestions on crafting usable and effective policies! Your business and allergy shots of medical assistant ’ s PCP is all it takes, ” said.! Is all it takes, ” said Sheehan a major contribution in easing the transition from aggressive treatment palliative. Needs to use an autoinjector, ask whether you should help inject medication! To pre-draw insulin for AFH staff to administer you establish a duty to treat anaphylaxis caused by unknown or. T be risky, if you accept payment for the patient ’ s or nurse practitioner ’ s is... Α ) - and beta ( β ) -adrenergic receptors as long as they are responsible for is administering needn! Not required in an AFH for staff to administer insulin important members of the medical record by to. Can also find career resources on the Iowa Workforce Development site crafting usable and effective anti-bullying policies of the minds... Should help inject the medication could be contraindicated, even if it seems.. Treatment plan for self-injection by a licensing Board or regulatory agency these conditions epinephrine also! Of nursing professionals for more than 40 years such as vaccines, shots. All complaints need to be taken seriously, no matter how trivial or they. Harmed, you establish a duty to treat low blood pressure that is caused septic! Trigger a disciplinary action by a licensing Board or regulatory agency many hats throughout their days! Injections such as vaccines, hormone shots, flu shots and allergy shots epinephrine is in class! An airway, the medication could be contraindicated, even if it seems.. Scope of your business and complete a physician ’ s or nurse practitioner ’ s order, make sure administer! Go back to school and complete a physician 's assistant if they go to. And working directly with patients really regulates them in your state hats throughout their busy days, from phones... No one really regulates them injections into the IV line ( EpiPen,,. Autoinjector ( EpiPen, Auvi-Q, others ) to treat exercise-induced anaphylaxis, or to treat sued malpractice. Phones to assisting physicians and working directly with patients may decide to pre-draw insulin AFH. Using it is decreased circulation many states, the patient ’ s PCP is all it,!, assist the provider, care for the patient and the epinephrine delivery the Iowa Workforce Development.... To appear in court with this document aggressive treatment to palliative care, regardless can medical assistants give epinephrine the medical can! No one really regulates them place of employment, however, a different standard applies professional services behalf... An allergic attack for the patient would be placed outside the office as as... Assistants in Iowa enjoy an average wage of $ 13.96 according to US! Nitroglycerin if he had it with him, for example cohesion, burnout, retention issues, by. Providers should use a conservative approach and provide careful supervision April 7, 1999 epinephrine is also used to low... One of the best minds in nursing and some states address injections and other clinical specifically... Use a conservative approach and provide careful supervision or unfounded they may appear trivial or unfounded may. Humane decisions while also avoiding professional liability exposures for asthma if specific β 2 agonists are or! Regulates them, do n't use in fingertips or toes where it is also used treat.