You have been asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses.


When investigating a new procedure that physicians would like nurses to adopt in the hospital, it is crucial to analyze the scope of practice for registered nurses (RNs) to ensure that the procedure falls within their jurisdiction. This process involves a thorough examination of the RN’s legal and professional responsibilities, as well as an evaluation of factors such as safety, efficacy, and feasibility. Additionally, a well-planned approach to introducing the new procedure to both physicians and fellow nurses is essential for a successful implementation. This paper will outline the process of determining the scope of practice for RNs and discuss strategies for introducing a new procedure.

Determining the Scope of Practice for Registered Nurses

To evaluate whether a new procedure falls within the RN scope of practice, several steps need to be taken. Firstly, reviewing relevant regulations and legislation is crucial. This includes examining state nursing practice acts, which define the RN’s legal authority and responsibilities. These acts typically outline the tasks that can be performed by RNs and may also specify limitations or restrictions. Additionally, analyzing any relevant federal laws or regulations pertaining to the practice of nursing will provide a comprehensive understanding of the RN’s role.

Next, it is essential to refer to the professional standards and guidelines set forth by nursing organizations such as the American Nurses Association (ANA). These standards provide ethical and professional guidance, and they often include specific recommendations for nursing practice. By comparing the proposed procedure to these standards, it can be determined if the procedure aligns with the RN’s professional responsibilities.

Furthermore, consulting with nursing practice experts and specialists can provide insights into whether the proposed procedure is within the RN’s scope of practice. These individuals possess extensive knowledge and experience in the field and can provide valuable input based on their expertise. By seeking their advice and consultation, an informed decision can be made regarding the suitability of the procedure for RNs.

Introducing the New Procedure with Physicians and Fellow Nurses

Introducing a new procedure to physicians and fellow nurses requires effective communication, collaboration, and planning. The following strategies can be employed to facilitate a smooth implementation:

1. Develop a clear and concise proposal: A well-structured proposal is crucial for presenting the new procedure to physicians and fellow nurses. It should include a comprehensive overview of the procedure, its benefits and potential risks, evidence supporting its efficacy, and relevant references. A clear outline of how the procedure aligns with the RN scope of practice and existing guidelines should also be provided. This proposal will serve as a basis for discussions and decision-making.

2. Engage in open dialogue with physicians: It is essential to establish open lines of communication with physicians to ensure a collaborative approach. Inviting physicians to participate in meetings, presentations, and discussions related to the new procedure will foster a shared understanding of its purpose and benefits. Additionally, addressing any concerns or questions raised by physicians will facilitate their acceptance and support for the procedure.

3. Involve fellow nurses in the decision-making process: Engaging fellow nurses in the introduction of the new procedure is vital for their buy-in and commitment. Seeking their input, feedback, and suggestions will create a sense of ownership and enhance the likelihood of successful implementation. Involving nurses in decision-making processes also promotes a collaborative approach and strengthens the overall team dynamics.

4. Provide comprehensive education and training: To ensure a successful adoption of the new procedure, thorough education and training should be provided to nurses. This might include workshops, simulations, and hands-on practice sessions, tailored to the specific needs of the nursing staff. The training should address the procedure’s rationale, proper technique, potential complications, and any precautions to be taken. Offering ongoing support and resources for nurses’ professional development will contribute to their confidence and competence in performing the procedure.


Investigating a new procedure that physicians would like nurses to adopt requires a meticulous examination of the RN scope of practice and a thoughtful approach to introducing the procedure. By thoroughly analyzing relevant regulations, professional standards, and seeking expert opinions, it can be determined whether the procedure falls within the RN’s jurisdiction. Additionally, effective communication, collaboration, and comprehensive education are essential for introducing the new procedure to physicians and fellow nurses. By following these steps, nurses can ensure the safe and efficient implementation of the procedure in their practice.

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