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Medical Assistants and Scope of Practice

  • 1.  Medical Assistants and Scope of Practice

    Posted 07-06-2022 09:07
    Hello all, 

    I'm a Nurse Education Development Specialist (new to the role) and was wondering what your organizations have in place for scope of practice for Medical Assistants in your ambulatory networks. We have a lot of gray areas here in Ohio. I was wondering if you could share any insight into any legislation and/or organization materials so I can see what is out there.


    Quiana Simmons, BSN, RN AMB-BC
    qsimmons@metrohealth.org 



    ------------------------------
    Quiana Simmons
    Metrohealth Medical Center
    Maple Heights OH
    ------------------------------


  • 2.  RE: Medical Assistants and Scope of Practice

    Posted 07-06-2022 12:40
    Hello Quiana! I would be happy to share the job description we came up with.  I will email it to you.  Its something we are still fine tuning.  We also have quite a few CCMAs in the mix since we have a local program.  Much different than the traditional CMA.  Unfortunately each state is different so I don't really know much about Ohios rules. Indiana is fairly non descript.

    ------------------------------
    Ryan Taylor MSN, RN, CPN, NE-BC
    Director of Medical Practice Management
    Memorial Hospital and Health Care Center
    Jasper, Indiana
    812-996-8489
    ------------------------------



  • 3.  RE: Medical Assistants and Scope of Practice

    Posted 07-07-2022 08:55
    Ryan,

    Would you be willing to share that with me well? 

    Rob Schrock MSN, RN, FNP-C
    Clinical Director IU Health Physicians Advanced Practice
    6820 Parkdale Place Suite 106
    Indianapolis, IN 46254
    317-962-7773

    ------------------------------
    Robert Schrock
    Clinical Director Community Medicine Advanced Providers
    IU Health Physicians
    Westfield IN
    ------------------------------

    Original Message


  • 4.  RE: Medical Assistants and Scope of Practice

    Posted 07-07-2022 09:05
      |   view attached
    Good morning,

    I will attach it this post.

    ------------------------------
    Tomika Green MSN,RN,AMB-BC
    Nurse Clinician
    VCU Medical Center
    Henrico VA
    (804)647-0199
    ------------------------------

    Attachment(s)

    pdf
    AMB_Care Role Delineation_June2022rev.pdf   1.00 MB 1 version
    Original Message


  • 5.  RE: Medical Assistants and Scope of Practice

    Posted 07-08-2022 17:03
    Tomika, 

    Thank you for sharing. This helps a lot with the categorization in your document. It helps to identify many tasks that sometimes get left out when composing documents like this. Thanks again!

    Quiana

    ------------------------------
    Quiana Simmons
    Metrohealth Medical Center
    Maple Heights OH
    ------------------------------

    Original Message


  • 6.  RE: Medical Assistants and Scope of Practice

    Posted 07-08-2022 11:51
    1. Thank you for your help! 


    ------------------------------
    Quiana Simmons
    Metrohealth Medical Center
    Maple Heights OH
    ------------------------------

    Original Message


  • 7.  RE: Medical Assistants and Scope of Practice

    Posted 07-08-2022 17:00
    Ryan, 

    Thanks for the description you sent. I appreciate your help!

    Quiana

    ------------------------------
    Quiana Simmons
    Metrohealth Medical Center
    Maple Heights OH
    ------------------------------

    Original Message


  • 8.  RE: Medical Assistants and Scope of Practice

    Posted 07-07-2022 08:25
    Good morning Quiana,

    I am an Ambulatory Nurse Clinician in Virginia. The scope of practice is very vague here. In private practice CMA/CCMA's work under the license of the provider. At my hospital the CMA/CCMA's are trained and supervised by the nurses. I will be happy to share our role delineation document with you via email.

    ------------------------------
    Tomika Green MSN,RN,AMB-BC
    Nurse Clinician
    VCU Medical Center
    Henrico VA
    (804)647-0199
    ------------------------------



  • 9.  RE: Medical Assistants and Scope of Practice

    Posted 07-07-2022 14:10
      |   view attached
    Hi Quiana

    The Scope of Practice across the US is indeed very gray. Often times the board will leave certain things up to the organization to determine what is appropriate or not. I have attached the scope of practice for the MA that I developed for my Org. I am usually revising this if not annually, at least every 2 years as things arise. I am located in CA so your state will defer. Feel free to use as a guide.

    Good Luck

    ------------------------------
    Kristyl McCray MSN RN-BC
    RN Clinical Director, Education & Prof. Practice
    PIH Health Physicians
    Whittier CA
    (562)698-0811
    ------------------------------

    Attachment(s)

    pdf
    87211.327 Scope of Practice for MA 6.23.20 v6.pdf   161 KB 1 version


  • 10.  RE: Medical Assistants and Scope of Practice

    Posted 07-08-2022 07:44
    The reason the Scope of Practice for the cma remains blurred is because the Scope of Practice is (under all available state regulations) written for the "physician provider" to be responsible and accountable for the cma practice and competency.  

    Once the cma  position is relegated to the department of nursing, the role becomes that of an unlicensed assistive personnel. Nursing has to thendevelop a scope of practice for "that role" regardless of the cma certification. 

    ----------- 
    Aleesa M. Mobley PhD APN CPHQ
    AAACN Leadership SIG Advisory Board 
    Adult Health Nurse Practitioner / Education Technology Consultant (856) 230-1229
    Assistant Professor, Clerkship-Director Rowan University (SOM)
    Neuromusculoskeletal Institute - Pain Management and MAT
    E-mail: mobley@rowan.edu   P. (856) 566-7010  F. (856) 566-6956

    Save Paper - Do you really need to print this e-mail?
    "We make a living by what we get. We make a life by what we give" ...Sir Winston Leonard Spenser Churchill 
    "Not having heard something is not as good as having heard it; having heard it is not as good as having seen it; having seen it is not as good as knowing it; knowing it is not as good as putting it into practice." ― Xunzi

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    Original Message


  • 11.  RE: Medical Assistants and Scope of Practice

    Posted 07-08-2022 17:05
    Kristyl,

    Thank you for sharing. This is a great comparison document I can use. 

    Quiana

    ------------------------------
    Quiana Simmons
    Metrohealth Medical Center
    Maple Heights OH
    ------------------------------

    Original Message


  • 12.  RE: Medical Assistants and Scope of Practice

    Posted 07-07-2022 22:42
    Hello Qiana, 

    First, welcome to ambulatory and education! Secondly, as others have mentioned, each state has their own interpretation of the COMAR regulations. Private practices usually do not tend to follow those regulations, but most governmentally regulated organizations do. You can search for your state's COMAR regs for MAs and review with your clinical director or legal to ensure you are all on the same page.

    ------------------------------
    Amy Cadoret MHA,MSN,NEA-BC,AMB-BC
    Manager, Patient Care Services
    Vanderbilt Center for Women's Health
    Murfreesboro TN
    ------------------------------



  • 13.  RE: Medical Assistants and Scope of Practice

    Posted 07-08-2022 16:59
    Amy,

    Thank you for the welcome! I think since there is so much uncertainty, I'm even more confused. As a former MA, I was not allowed to do half of the things they can do now. That leads to even more confusion because there is nothing solid anywhere. What I am trying to do is standardize according to my organizations needs since many different ambulatory clinics operate differently. I'm going to keep working at it. 

    Quiana


    ------------------------------
    Quiana Simmons
    Metrohealth Medical Center
    Maple Heights OH
    ------------------------------

    Original Message


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