Sample Essay on:
Scope of OR Nursing Practice

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Essay / Research Paper Abstract

A 5 page research paper that addresses the controversy surrounding the use of unlicensed assistive personnel, technicians or LPNs in the OR rather than RNs. The writer discusses scope of practice, focusing on New York State law, and why this practice is dangerous to patient safety. Bibliography lists 5 sources.

Page Count:

5 pages (~225 words per page)

File: D0_khuaprn.rtf

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Unformatted sample text from the term paper:

that health care systems are seeking to cut costs by having some licensed and unlicensed personnel carry out nursing functions without the appropriate level of education or preparation (Bruser and Whittaker, 2006). The American Nurses Association (ANA) defines a "technician" as a "skilled workers who has specialized training or education within a specific area" (ANA, 1997). The term "Unlicensed Assistive Personnel" (UAP) is defined as an individual "who is trained to function in an assistive role to a licensed registered nurse" and the definition mentions that this term can also refer to "technicians" (ANA, 1997). As this indicates terminology is vague and can change from state-to-state. Therefore, to simplify this discussion, the term UAP will be used and should be understood to encompass surgical or "scrub" technicians. Incursion into nursing practice by non-nurses is occurring throughout the US, according to Nancy Agard, RN and associate director of Nursing Practice and Services for the New York State Nurses Association (NYSNA) (Bruser and Whittaker, 2006). A key issue in this debate is the scope of practice, which is legally defined for RNs according to the state nurse practice law in their state. Such statutes define, through scope of practice, the activities that "only a nurse can perform" (Bruser and Whittaker, 2006). The activities of UAPs, unlike those of nurses and other licensed caregivers, is defined through job description and not regulated through scopes of practice (Bruser and Whittaker, 2006). When UAPs are required to perform complex nursing tasks, it puts patients at risk. The example of UAP status in Idaho is typical. The Idaho board of nursing identifies "Surgical technicians," as anyone who has undergone a training program or has successfully completed a one-year educational program given by an accredited national body (Habgood and Welter, 2000). Such personnel are ...

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