April 2007 Expanded Role vs Expanded Scope

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Information about April 2007 Expanded Role vs Expanded Scope

Published on January 11, 2009

Author: medicnick



A discussion of expanded roles versus expanded scopes of practice for paramedic providers in developed countries

Expanded Scope vs Expanded Role Nick Nudell Idaho EMS Bureau

Expanded Roles • Non-typical roles=Expanded roles • Some may a.k.a. “role creep” – If duties and acts are concurrent with another scope of practice, opposition may be observed • SoP laws may allow or prohibit its application in certain settings by certain providers • Most desirable to identify commonly used expanded roles – Does this make the role a non-non-typical role??

Expanded Roles • Hospital ED Technician • Wildland Fire Base Camp • Combat medical officer • Community health practitioner • Chronic care provider • Cardiac cath lab technician • What other roles are in place or can be imagined?

Expanded Scopes • Floor vs. ceiling debate is common • Skills/procedures/medications that would be disallowed without additional: • Training/education • Testing/certification • Licensure • Credentialing • Some jurisdictions are very conservative while some are rather liberal • Require a significant investment in the post- employment phase • Are frequently practiced less than within scope

Locations • Hospital • Medical clinic • Deployable medical environment – Mass gathering events – Disaster medical • Independent deployment – Remote (petroleum industry, 3rd world disasters) – Industrial sites – Wildland fire base camps • What other locations can be identified?

Resources to be Compiled • Specifications – Knowledge, Skills, Abilities – Funding alternatives – Medical supervision plans (?) • Job Descriptions • Common protocols • Scope of practice examples • Employment contract samples

Resources to be Developed • Scope of practice matrix These are not necessarily mutually exclusive! • Role matrix • Governance documents • Outreach materials – Potential providers – Potential employers – Trade associations/colleges – Industry collaborative organizations • Workforce survey related to roles and scopes

Contact Nick Nudell O: (208) 334-4633 or M: (415) 254-5821

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