Medical Assistant Scope of Practice
Laws that Regulate Medical Assistants
When it comes to medical assistant's duties, their
employers and the public have very specific exptectations. On
the other hand, when medical assistants provide services and
patient care they must realize that there are specific laws as
to what they can and cannot do that may vary from state to
state.
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Essential Duties of Medical Assistants
We often receive questions whether a specific
patient health care task or procedure is within the medical
assistant's scope of practice or permitted in their state.
The questions often involve the use of certain equipment, the
administration of medications, or types of invasive and
non-invasive health care procedures. However, we do not
maintain a specific “task lists” and do not respond to
questions that require specificity as to a particular
task.
Laws That Govern The Medical Assistant Profession
It is not possible to provide a comprehensive and exhaustive
list of laws that govern the medical assistant professon,
however, it can be said, that Medical assistants in the USA are
required to work under the direct supervision of a licensed
healthcare provider, such as practicing medical doctor, or
physician, licensed nurse practitioner, or physician's
assistant whenever they provide direct patient care.
Medical assistants must practice ONLY methods and
procedures that are allowed by law within their particular
state. And all medical
assistants must adhere to Health Insurance
Portability and Accountability Act (HIPAA) of
1996.
Some states require that medical assistants who draw blood
for lab tests to be certified and have passed a practical
examination in phlebotomy.
Some states require medical assistants to have a special
license from their state to expose patients to X-rays.
Other states may mandate special training before medical
assistants can administer certain types of needle
injections, or tests such as allergy testing, or
PPD/Mantoux skin tests.
Document, Document,
Document!
Complete and careful record keeping is critical.
Each aspect of the medical encounter: personal and
family histories, allergies to medications, medications
administered and prescribed, physical exam findings,
imaging and lab test results, discussions with patients,
including specific advice given, procedures performed
during course of the visit should go in the patient record,
along with the date and initialed by the provider, nurse,
or medical assistant.
Disclaimer: The
above is not an exclusive itemization of the technical
supportive services a medical assistant can or cannot perform.
Medical assistants must ALWAYS adhere to state and local laws
and regulations! As an integral part of the allied healthcare
team medical assistants must demonstrate practice consistent
with legal standards and state regulations that may apply.
Since all fifty (50) states vary in their regulations as to the
definition, training standards and scope of practice of the
medical assistant, specific state requirements for practice
must be identified and met by the concerned individual within
the state they work!
Nationally recognized credentialing
bodies for medical assistants, however, may further define and
regulate the role of the medical assistant. Medical assistants
working in a medical office setting must adhere to the rules,
regulations and requirements mandated by their state in which
they practice as well as those imposed by their credentialing
body/certification association.
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