Open Forum

Good afternoon!

Do you have specific written job roles, responsibilities for your RNs in your ambulatory centers? I am looking for specific staffing models in ambulatory to use as a comparison to assist our organization. We have RNs in many different roles but there is not a specific written standard stating why a specific role must be an RN vs such as a CMA. 

Also interested if you have standards for staffing models in your ambulatory offices ? Like how many clinical staff members that you have and is it per provider or patient volume etc.

I am evaluating our process for staffing/hiring etc. 

Would love to talk to anyone with ideas as well!

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Sarah Sizemore
Director, Ambulatory
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We keep our MA/Provider ratio 1:1. we have 1 nurse manager per clinic and 1-2 triage nurses depending on number of providers. Sites that have more than 4 providers per session have 2 triage nurses. Because telephone triage is a nursing task, that is how we define the need for a nurse vs CMA. Our CMA's do some indirect/desktop work, but for the most part, indirect care (triage, forms, DME, care coordination) is done by nurses. Skills/clinic support is typically done by the CMAs, but we do have a few nurse only visits for medications like Apretude. 

Hope that helps! Happy to chat further. 

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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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