Scope of Practice

[Statua]

Citizen Hospital

Staff duties and scope of practice.

This document outlines the duties of each active position at the Citizen Hospital. It outlines what each position is expected to do in any situation. The document also outlines the scope of practice of each position, stating what can and cannot be done by the holder of that position.

Intern

All delegated tasks by the interns preceptor only under direct supervision of the preceptor



Nurse

Running triage
Vital signs (pulse, respirations, blood pressure, blood glucose, SpO2 levels, pupils, skin ctc)
Oxygen administration
Drug administration (IM, SubQ, IN, Neb)
Cardiac monitoring
Dressing application
Advanced cardiac life support (cpr, ventilation)
Airway Management (head tilt chin lift, jaw thrust, Heimlich maneuver, magills removal, suction, opa, npa)
Soft tissue wound management
Fracture management (exclusion: cannot set and cast)
Dislocation management
Spinal immobilization (c-spine and collar, backboarding)
Assisting PCP/ACP in non-surgical procedures


Primary Care Practitioner


All above practices
IV therapy
Cardioversion, cardiac pacing,  cardiac drugs
ET tube intubation
Chest drainage
Nasalgastric suctioning
Bloodwork and lab
X-Ray
12-Lead ECG
Ultrasound
Amputation management (exclusion: cannot skin graft or apply prosthetic part)
Assisting ACP in surgeries
Initiating amputation protocol



Advanced Care Practicioner


All above practices
IO therapy
Fracture setting and casting
Skin grafting
Applying prosthetic parts
All surgical procedures
Training Interns and Nurses