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  • 1.  Clinic workflow optimization (upscaling MA/RN roles)

    Posted 10-08-2025 01:16

    Hi everyone,

    At our clinic, we're currently exploring ways to upscale the roles of our Medical Assistants and Nurses to better align with top-of-license practices and improve efficiency.

    Currently:

    • MAs handle rooming and POCT.
    • Nurses manage immunizations, limited nurse visits, medication administration, ear lavages, and RPM management.

    We're considering a shift where:

    • MAs would take on immunization administration, ear lavages, and minor suture removals.
    • Nurses would focus on top-of-license visits such as ED discharges, wellness visits, and newborn weight checks.

    I'd love to hear from other organizations:

    • Do your MAs administer vaccines? If so, what does that workflow look like?
    • What other responsibilities do your MAs and Nurses handle?
    • Any lessons learned or best practices you can share?

    Thanks in advance for your insights!



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    Aisha Abubakar MPH, BSN,RN AMB-BC
    Director of Nursing
    Lynn Community Health Center
    Email: aabubakar@lchcnet.org
    Lynn, MA
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  • 2.  RE: Clinic workflow optimization (upscaling MA/RN roles)

    Posted 10-10-2025 07:04

    Hi Aisha,

    Our MA's do most of the skills in clinic- ear lavage, immunization, suture and staple removal, etc. We use Lippincott to make our sign off sheets for various procedures and training. Our MA's go through the CDC Vaccine training for medical assistants (https://www.train.org/main/course/1075739/details) with an in-house quiz, as well as the vaccine handling training they offer (https://www.train.org/main/course/1114139/details) (https://www.train.org/main/course/1116983/details). After this they have to demonstrate ability to give IM and SubQ injections. We audit our vaccine administration pretty strictly so we usually catch issues and address them as they arise.  



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    Torie Bonnet MSN RN NE-BC NPD-BC
    Associate Director of Nursing
    Piedmont Health
    Raleigh NC

    bonnett@piedmonthealth.org
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