Examples of Advanced Practices
Category of advanced practice | Examples |
Medication management | Deciding when medication needs to be stopped |
Deciding when to give medication (adjunct) | |
Deciding what dose to give | |
Assessing for contraindications or drug incompatibilities | |
Administering medications | |
Responding to adverse reactions (minor and major) | |
Writing a report after a reaction | |
Nonmedical cardiac stress testing | Standing in when there is no physician in the stress room |
Preparing the patient | |
Taking the lead in cardiac stressing | |
Being responsible for monitoring the patient | |
Taking appropriate action if the patient has a problem | |
Deciding when to administer a radiopharmaceutical | |
Deciding when to cease a stress test | |
Responding to cardiac events; deciding when help is required | |
X-ray imaging | Requesting before ventilation–perfusion imaging |
Requesting to investigate unexplained hot areas seen on a bone scan | |
Requesting CT after SPECT to establish | |
Precise location (could be low-dose CT) | |
Diagnosis (diagnostic-quality or high-dose CT) | |
Surgical preparations (mark up for surgery) | Being involved with nuclear medicine scanning |
Identifying the nodes on a scan | |
Marking skin to suggest where the node is for the surgeon | |
Formal reports about scans | Describing what is seen |
Noting whether there are incidental findings and whether they are clinically significant | |
Answering the clinical question | |
Making a (pathologic) diagnosis or indicating normality | |
Suggesting a prognosis based on scan findings | |
Suggesting the next step (e.g., further imaging) | |
Radionuclide therapy sessions | Assessing the clinical presentation |
Evaluating information from the diagnostic work-up | |
Deciding whether the case is suited to radionuclide therapy | |
Taking a lead role in calculating the dose | |
Preparing the patient for the dose; including assessment of contraindications | |
Administering the dose | |
Assessing the patient for complications | |
Following up the patient |