SVSK

You wrote: Hope this helps a little. Good luck with your project. I'm sure many here would like to see the results. Thank you, your explanation helped a lot. I'm making a case that oversight at the facilty level is far greater than what the consumer gets from state licensing. And that the turf wars over scope of practice could leave us with an inflexible political outcome, not necessarily one that is best for patients. So, I'm suggesting that the best outcome is to take the legislature out of the picture and allow facilities to use accrediting and credentialing organizations and other information (verified information about education and experience and adverse judgments) to decide what an individual is allowed to do. I'm suggesting that the fact that hospitals, health maintenance organizations and managed care organizations can be held liable for negligence in credentialing is what probably protects consumers the most. Have I missed something important?

Suzanne, I'm an economist writing about scope of practice. You wrote "if you have never done it and been certified in it by your facility, then don't." You wrote about a facility specific checklist and BON rules. You used the term "Policy and Procedure Manual." An NP that has been helping me talked about his tasks being defined by "standardized procedures and protocols" which are determined by the hospital nursing director, medical director and the NP. Do the terms differ by type of health care professional and geographic location? Are there specific terms that everyone uses or is that not the case? I need to get this straight and I would really like to find an article that explains this. Have you written something that I could cite? I see you are a "super moderator." I'm not sure what that means, but it seems you have a lot of answers! I hope you'll be able to help me on this. If you would be willing to talk with me privately, my email address is [email protected]. Thanks!