I know of providers who have the cma provide and read the TB skin test. I do not and will not have a PPD read by a cma. In my experience, it is hard enough to get a licensed person to do it correctly. One more thing to be researched for comparative patient outcomes. I have cms's who I have loved working with, but I have sincere reservations about broadening their scope of practice just because they have 2 hands and 2 feet.
First, for those who know the 10-patient competency, who is responsible for signing off on the competency? The nurse who has delegated this to an unlicensed person or the physician to whom the cma role is bound in most states.
I have the understanding that the cma may read a "negative result." Anything other than negative (nothing to see where) requires an assessment. For those of you who may allow the cma to "measure" the site; is the cam trained to recognize erythema on different skin tones and are they able to "assess for an induration" which is the only thing that should be measured if the result is positive.
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Aleesa M Mobley PhD APN (she/her/hers) Why Pronouns Matter Assistant Professor - Clerkship Director [Pain Management/Substance Use Disorder]
Physical Medicine & Rehabilitation - Neuro Musculoskeletal Institute
Lippincott Procedures: Subject Matter Expert - Wolters Kluwer Publishing
Rowan Medicine Bldg., 42 E. Laurel Rd, Ste 1700, Stratford New Jersey 08084
T: 856-566-7010 | F: 856-566-6956| C: 856-230-1229
mobley@rowan.edu | som.rowan.edu
Learning is not attained by chance, it must be sought for with ardor and attended to with diligence [Abigail Adams (1744 - 1818), 1780].