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Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

Hi Betty,

I actually think it is a Magnet requirement. Our TJC accredited areas are also our Magnet areas (our non-TJC accredited clinics do not count toward our Magnet designation), so I think I blended those standards together. 

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

Original Message:
Sent: 4/4/2024 9:07:00 AM
From: Torie Bonnet
Subject: RE: Ambulatory Supervisors

Hi Betty,

I actually think it is a Magnet requirement. Our TJC accredited areas are also our Magnet areas (our non-TJC accredited clinics do not count toward our Magnet designation), so I think I blended those standards together. 

------------------------------
Torie Bonnet MSN RN NE-BC
Clinical Nurse Edu Specialist-Ambulatory Care
UNC Health
Raleigh NC

torie.bonnet@unchealth.unc.edu

Original Message:
Sent: 04-04-2024 08:56
From: Betty Gilbert
Subject: Ambulatory Supervisors

Original Message:
Sent: 4/4/2024 7:44:00 AM
From: Torie Bonnet
Subject: RE: Ambulatory Supervisors

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

------------------------------
Torie Bonnet MSN RN NE-BC
Clinical Nurse Edu Specialist-Ambulatory Care
UNC Health
Raleigh NC

torie.bonnet@unchealth.unc.edu

Original Message:
Sent: 04-03-2024 09:42
From: Betty Gilbert
Subject: Ambulatory Supervisors

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

------------------------------
Betty Gilbert RN
Univ of Vermont Med Ctr
Milton VT
(802)893-2110
------------------------------

Hi Ashley,

Thank you for your comment! This prompted me to look into this further. North Carolina Board of Nursing states that a non-nurse/non-clinical individual can only supervise HR concerns (time and attendance, dress code, etc), but they cannot supervise from a practice perspective, so there has to be a layer of clinical supervision governing practice:

I would assume this means that as long as nursing representation is somewhere in the reporting structure responsible for nursing practice, there would be a loophole. 

This article was helpful!

That may be different from state to state, though!

------------------------------
Torie Bonnet MSN RN NE-BC
Clinical Nurse Edu Specialist-Ambulatory Care
UNC Health
Raleigh NC

torie.bonnet@unchealth.unc.edu
------------------------------

Original Message:
Sent: 04-04-2024 10:45
From: Ashley Rosa
Subject: Ambulatory Supervisors

Original Message:
Sent: 4/4/2024 9:07:00 AM
From: Torie Bonnet
Subject: RE: Ambulatory Supervisors

Hi Betty,

I actually think it is a Magnet requirement. Our TJC accredited areas are also our Magnet areas (our non-TJC accredited clinics do not count toward our Magnet designation), so I think I blended those standards together. 

------------------------------
Torie Bonnet MSN RN NE-BC
Clinical Nurse Edu Specialist-Ambulatory Care
UNC Health
Raleigh NC

torie.bonnet@unchealth.unc.edu

Original Message:
Sent: 04-04-2024 08:56
From: Betty Gilbert
Subject: Ambulatory Supervisors

Original Message:
Sent: 4/4/2024 7:44:00 AM
From: Torie Bonnet
Subject: RE: Ambulatory Supervisors

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

------------------------------
Torie Bonnet MSN RN NE-BC
Clinical Nurse Edu Specialist-Ambulatory Care
UNC Health
Raleigh NC

torie.bonnet@unchealth.unc.edu

Original Message:
Sent: 04-03-2024 09:42
From: Betty Gilbert
Subject: Ambulatory Supervisors

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

------------------------------
Betty Gilbert RN
Univ of Vermont Med Ctr
Milton VT
(802)893-2110
------------------------------

Hi Betty,

I actually think it is a Magnet requirement. Our TJC accredited areas are also our Magnet areas (our non-TJC accredited clinics do not count toward our Magnet designation), so I think I blended those standards together. 

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

we have ambulatory supervisors that are non-RN and non-clinical, but for our Joint Commission regulated areas, clinical people cannot report up to them. We have two supervisory pathways- Clinic Manager and Patient Services Manager (PSM). To be a PSM, you have to be an RN. To be a clinic manager, you can be either clinical or non clinical. We have RNs, LPNs, Athletic Trainers, etc in this role. Generally, they manage administrative staff. I think they are widely accepted, however I do know there are some areas that RNs report up to Clinic Managers in non-Joint Commission accredited areas, and they have expressed frustration with this becasue non-clinical people don't have the scope of practice training that clinical people do. 

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

We have RN Clinical Leads that support the clinical staff in our sites.  I have a very strong opinion that a licensed clinical colleague should manage clinical staff.  A non clinical supervisor can lead the non clinical staff and tasks that need to be completed. 

Peter DiPiazza, DNP, CNP

Director, Clinical Practice and Performance, Mount Carmel Medical Group

StandOut Strengths: Teacher, Connector

Peter.dipiazza@mchs.com

C: 614.338.9158

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Original Message:
Sent: 4/3/2024 9:42:00 AM
From: Betty Gilbert
Subject: Ambulatory Supervisors

Just curious - what is the feeling about Ambulatory Supervisors being non clinical, non RNs?

------------------------------
Betty Gilbert RN
Univ of Vermont Med Ctr
Milton VT
(802)893-2110
------------------------------