Fact 5 Scope of Practice
The scope of practice for healthcare professions has and continues to evolve over time
as education has expanded, new roles are defmed and the need to address shifts in
healthcare occur. In 2006 representatives from six healthcare regulatory organizations ¿^
medicine, nursing, occupational therapy, pharmacy, physical therapy and social work -
met to address scope of practice issues from a pubhc protection viewpoint by determining
whether a specific healthcare profession is capable of providing the proposed care in
a safe and effective manner within changes to those healthcare professions' scopes of i ',
practice™.
These groups foimd:
4. Overlap among professions is necessary. No one profession actually owns a skill or
activity in and of itself. One activity does not define a profession, but it is the
entire scope of activities within the practice that makes any particular profession
unique. Simply because a skill or activity is within one profession's skill set does
not mean another profession cannot and should not include it in its own scope of
practice™. (This is key to understanding why an APN Anesthesia and an anesthesiologist
may both legal give anesthesia without being guilty of practicing the others profession)
5. Practice acts should require licensees to demonstrate that they have the requisite
training and competence to provide a service. No- professional has enough skills or
knowledge to perform all aspects of the profession's scope of practice. For instance,
physicians' scope of practice is "medicine," but no physician has the skill and knowledge
to perform every aspect of medical care. In addition, all healthcare providers'
scopes of practice include advanced skills that are not learned in entry-level education
programs, and would not be appropriate for an entry-level practitioner to perform. As
professions evolvej new techniques are developed; not all practitioners are competent
to perform these new techniques
Fact 5 Scope of Practice
The scope of practice for healthcare professions has and continues to evolve over time
as education has expanded, new roles are defmed and the need to address shifts in
healthcare occur. In 2006 representatives from six healthcare regulatory organizations ¿^
medicine, nursing, occupational therapy, pharmacy, physical therapy and social work -
met to address scope of practice issues from a pubhc protection viewpoint by determining
whether a specific healthcare profession is capable of providing the proposed care in
a safe and effective manner within changes to those healthcare professions' scopes of i ',
practice™.
These groups foimd:
4. Overlap among professions is necessary. No one profession actually owns a skill or
activity in and of itself. One activity does not define a profession, but it is the
entire scope of activities within the practice that makes any particular profession
unique. Simply because a skill or activity is within one profession's skill set does
not mean another profession cannot and should not include it in its own scope of
practice™. (This is key to understanding why an APN Anesthesia and an anesthesiologist
may both legal give anesthesia without being guilty of practicing the others profession)
5. Practice acts should require licensees to demonstrate that they have the requisite
training and competence to provide a service. No- professional has enough skills or
knowledge to perform all aspects of the profession's scope of practice. For instance,
physicians' scope of practice is "medicine," but no physician has the skill and knowledge
to perform every aspect of medical care. In addition, all healthcare providers'
scopes of practice include advanced skills that are not learned in entry-level education
programs, and would not be appropriate for an entry-level practitioner to perform. As
professions evolvej new techniques are developed; not all practitioners are competent
to perform these new techniques
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