This is just not sitting right with me and I feel like I need some insight from other nurses.
In the facility where I work(surgical sub-specialty clinic with on-site ambulatory care operating room), an RT (who was working as the receptionist) was recently promoted to "clinician."
The new position requires:
administration of medications (oral, IM, IV)
assessment (NOT directly related to respiratory status, including orthopedic/complex wound assessment)
teaching (preop, conservative management, medication...all not related to respiratory status)
nursing procedures (dressing changes, suture removal, starting/ dc'ing IVs)
triage (urgent patients in house/taking patient phone calls)
evaluating/discharging post op patients
I can't find anything that states that any of this is strictly limited to nursing. I've read the state statutes regarding RT scope of practice (with a fine-tooth comb). Basically, it includes everything that nursing does (assessment, treatment, med administration) but is specific to respiratory care. But the first line is , "The 'practice of respiratory care' includes, but is not limited to:..."
So my employer is using "is not limited to" to equate RT with nursing.
Don't get me wrong, I don't think RTs are beneath RNs at all, but I think there is a scope of practice issue here, and I'm worried about patient care. I would not expect an RT to do sterile dressing changes or first-assist in the OR (in my state, now all scrubs must be certified or RN/LPN), let alone administer medications (obviously, respiratory meds aside).
I've scoured the internet for anything more specific that would apply to this situation, and I'm pretty much empty-handed.
Am I completely off base?