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INR - Scope of Practice???

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    Posted: Nov 08 2013 at 3:26pm

Our user asked: "I have a scope of practice question. If a PT is the only discipline involved in Home Health Services, could they legally collect a blood sample or do a needle stick such as for checking blood sugar levels, or INR????"

Ask a PT Response: "The short answer is yes, if they have had phlebotomy training.  A PTINR is basically a skin prick. Like a blood sugar  test.  Much like a phlebotomist who is trained in a blood draw ( and has no educational background) a PT who is much more educated can do the same procedure.  Many pts. do their own blood sugars so a PT can certainly do that also. That said… I would not recommend doing this though unless there has been very comprehensive training by a preceptor with return competency and risks have been educated.  Also if the PT is in independent practice or a contractor they want to be sure their malpractice insurance covers this or that they are covered under the company they are working for. Hope that helps."
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