Ok, I'm an RN, have been for some time now, and am starting NP school in August. I do not get all this "not in the RN's scope, it's an unusual task, blah, blah, blah nonsense." A skin assessment is not in an RN's scope because it relates to the chief complaint? WTF does that mean? Does that mean that if a patient comes in with a CC of shortness of breath, that the RN shouldn't listen to their lungs because the provider will do so as well? Frankly, if you are not doing assessments related to the chief complaint as an RN, then you are working as an overpaid CNA. If you don't understand a particular assessment that you do not do often, then by all means, ask the provider to clarify, or consult whatever reputable sources you typically use to learn new things as an RN (yep, lots to learn outside school, and even whatever education your employer provides). Quite frankly, whoever roomed this patient should have had them in a gown and discussed a skin check with the patient before the provider ever saw them. The reason for the areas the patient wanted checked that people are questioning? Its in the original post- she lives alone, and she wanted someone to check the areas that she cannot check herself. Not an unreasonable request in my mind, particularly if you are already there to have a tick removed.