and provider Education and Community Outreach Educates or counsels individuals or groups on appropriate nutritional intake and expenditure. CDE: educates patients and families about diabetes management, including insulin pump therapy. Ambulatory setting only: Comprehensive assessment of patient & family readiness to learn, needs, and barriers. Formulates patient & family education plan and delegates implementation of plan as appropriate. Advice based on independent scope of RN and/or standard procedures. Provides patient & family education under the direction and orders of MD/RN/PA/NP and using established protocols. Provides patient & family education under the direction and orders of MD/RN/PA/NP and using established protocols. Basic knowledge of resources available for patient & family education. Notifies licensed staff if patient needs additional education. May provide protocol- specific education. Unlicensed personnel may not provide medical advice. Evaluation Monitors patient’s response to nutrition and progress in meeting Collaborates with other members of the team when other aspects of treatment plan such as, medication, are not effective. Responsible for evaluation of overall patient condition & response to treatment. Achieved by RN direct observation and assessment. Contributes to the evaluation of the patient’s response to nursing intervention by documenting and communicating with the MD/RN/PA/NP. Communicates data for the purpose of modifying the plan of care. May evaluate patient’s demonstration of self-care and report to MD/RN/PA/NP. Observes, collects measurements, and reports data MD/RN/PA/NP for evaluation. Observes, collects basic measurements and reports data to MD/RN/PA/NP for evaluation. If RA is a LIP or RN then may assess patient. Otherwise, collects and reports data. Procedures CDE: may blood glucose sensor after demonstration of competency. CDE: may place subcutaneous needle sets for insulin pump after demonstration of competency. Sterile and non-sterile nursing procedures requiring advanced scientific knowledge. Invasive medical surgical procedures as approved by standardized procedures and upon documentation of training and demonstrated competency. Performs/assists with general and specialized procedures and treatments according to approved standardized procedures. May assist MD/RN/PA/NP in more advanced procedures. May perform approved procedures based on competency and under direction of MD/RN/ PA/NP. May perform OHSU approved nursing assistant procedures based on competency and under direction of MD/RN/ PA/NP. May perform procedures within their scope of practice. Non-licensed personnel may perform authorized procedures under supervision of PI after demonstrating competency.
telephone order or a protocol. Medication orders are co-signed by an authorizing provider. by an authorizing provider w/in 30 days. All other orders are Pended. by an authorizing provider w/in 30 days. All other orders are Pended. by an authorizing provider w/in 30 days. All other orders are Pended. by a provider or Registered Nurse. Medication and Supply Refills Records refill request in patient’s record. May independently authorize refills of nutritional supplements, formulas, and supplies without cosign. May only authorize (Sign) medication refills when acting upon a verbal or telephone or when using the standardized Refill Protocol.” Signed medication refill orders are co-signed by authorizing provider. All other medication refill requests must be Pended and routed to a provider for review. Records refill request in patient’s record. May only authorize (Sign) refills when acting upon a verbal or telephone order or when using the standardized Refill Protocol.” Signed refill orders are co-signed by authorizing provider. All other refill requests must be Pended and routed to a provider for review. Records refill request in patient’s record. May only authorize (Sign) refills when acting upon a verbal or telephone order or when using the standardized Refill Protocol.” Signed refill orders are co-signed by authorizing provider. All other refill requests must be Pended and routed to a provider for review. MA/Tech: Records refill request in patient’s record. May only authorize (Sign) refills when acting upon a verbal or telephone order or when using the standardized Refill Protocol.” Signed refill orders are co-signed by authorizing provider. All other refill requests must be Pended and routed to a provider for review. May record refill request in patient’s record and route to provider, nurse, MA or tech for review. Non-licensed or may record refill request in patient’s record and to provider, nurse, MA or Tech for review. PA's may prescribe any medication if prescription privileges (plus additional medical service request for prescribing investigational drugs when applicable), are in in his/her OMB approved Practice Description. NP's with prescriptive authority may only prescribe medications listed in the Oregon State Board of Nursing formulary.