Regulation of Health Care Workers Flashcards
conventional health care workers
- health care workers that requires science based education that proves their efficacy in providing client care
- viewed as traditional
- often regulated by a college
complementary/alternative health care workers
- viewed as nontraditional
- supporting traditional health care services in meeting an individuals needs
- not scientifically based
- often sought by patients on their own
- varied education
regulation of health care professionals
- regulatory bodies exist to protect the public from incompetent or unethical practitioners
- legislation that provides title protection
- self governing through professional body
how do regulators protect the public
- educational standards
- licensure exam
- complaints process
- competence assurance
controlled acts
- procedures that must be performed by a qualified practitioner, it not, harm to patient may result
- identifies in Regulated Health Professions Act
- exceptions if an individual has taken a course to learn a specific skill
delegated acts
- when a healthcare professional transfers legal authority to another person to carry out a controlled act they are otherwise unauthorized to do
- guidelines may vary
responsibility of institution in delegation
- to provide guidelines
responsibility of delegating health care professional in delegation
- to complete their own assessment of the patient, the risks, and educate the patient
- to make sure the delegate is able to perform it
responsibility of delegate in delegation
- for performing the act
complaints
- formal process
- complaints committee determines legitimacy and course of action
- course of action is either dismissal of complaint, investigation, or disciplinary action
educational standards
- set by regulator
- includes theory and practical
- entry to practice exams
- competency based assessment programs
licensing
- provincial/territorial regulators in conjunction with education institutions
- almost all require annual renewal (self-assessment, continued education, practice Horus)
non regulated health care workers
- no legislation or regulatory body
- may have professional organizations
- hiring agency determines requirements
- no specific standards
role of physician (3)
- med school requirements (3-4 years)
- residency in area of specialty
- specialists (more training)
role of pharmacist (5)
- dispenses prescribed medications
- educate and collaborate
- medication management
- bachelor degree in pharmacy, internship, & exam
- expanding role (vaccinations, prescribing abilities, lab testing)
role of personal support workers (4)
- largest group of frontline health care workers
- provides basic care (hygiene, mobilization…)
- not regulated
- home care, long term care, group homes, hospitals
role of midwives (4)
- services vary according to province/territory
- prenatal, delivery, postnatal care
- high risk pregnancies referred to OB/GYN
- first in NB in 2017
role of RN (6)
- self-regulated
- work autonomously & in collaboration
- clients are individuals, families, groups, communities, populations
- across lifespan
- provide direct health care services, coordinate care, support clients in managing own health
- leadership
entry to practice for RN
- bachelor degree
- 2,3, or 4 year programs
- NCLEX
- Ontario write jurisprudence exam
role of NP (7)
- RN with advanced training and skills
- diagnosis and treat health conditions
- order and interpret lab and diagnostic tests
- prescribe medications
- health education, disease prevention and health promotion
- specific controlled acts
- yearly registration
role of clinical nurse specialist (5)
- masters or doctoral degree
- specialized knowledge
- leadership positions (clinicians, consultant, educators, researchers)
- not protected title
- yearly registration as RN
role of licensed practical nurse (5)
- 2 year diploma program
- CPNRE (exam)
- expanding skill set (dressing, dispensing meds, charge of units)
- hospital, long term care, community
- collaborates with RNs and other team members
role of physiotherapist
- masters degree
- entry to practice exam
- limit and improve upon physical impairments and pain
role of occupational therapist
- bachelors degree in OT
- entry to practice exam
- must be registered with their provincial/territorial college
- help people learn/relearn to manage important everyday activities
role of respiration therapist
- RT college or university program (3-4 years)
- entry to practice exam
- evaluate, treat, and support patients
- able to intubate and initiate use of respirators
RN settings
- practice
- education
- administration
- research
- policy