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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 wit...
Expanded Roles
•   Hospital ED Technician
•   Wildland Fire Base Camp
•   Combat medical officer
•   Community health prac...
Expanded Scopes
• Floor vs. ceiling debate is common
• Skills/procedures/medications that would be
  disallowed without ad...
Locations
• Hospital
• Medical clinic
• Deployable medical environment
  – Mass gathering events
  – Disaster medical
• In...
Resources to be Compiled
• Specifications
    – Knowledge, Skills, Abilities
    – Funding alternatives
    – Medical supe...
Resources to be Developed
•   Scope of practice matrix           These are not necessarily
                               ...
Contact

      Nick Nudell
nudelln@dhw.idaho.gov
  O: (208) 334-4633
          or
 medicnick@gmail.com
  M: (415) 254-5821
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April 2007 Expanded Role vs Expanded Scope

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

Published in: Health & Medicine, Business
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April 2007 Expanded Role vs Expanded Scope

  1. 1. Expanded Scope vs Expanded Role Nick Nudell Idaho EMS Bureau
  2. 2. 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??
  3. 3. 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?
  4. 4. 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
  5. 5. 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?
  6. 6. Resources to be Compiled • Specifications – Knowledge, Skills, Abilities – Funding alternatives – Medical supervision plans (?) • Job Descriptions • Common protocols • Scope of practice examples • Employment contract samples
  7. 7. 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
  8. 8. Contact Nick Nudell nudelln@dhw.idaho.gov O: (208) 334-4633 or medicnick@gmail.com M: (415) 254-5821

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