When assigning high-risk procedures to PAs, what steps are recommended?

• A. Assign based on convenience and schedule
• B. Avoid informing patient to reduce anxiety
• C. Confirm competency, apply approved protocols, ensure backup supervision, obtain informed consent, and provide post-procedure monitoring
• D. Skip protocols if time-sensitive

Answer: (C)

Ensuring patient safety when assigning high-risk procedures to PAs requires a structured approach that covers capability, standard procedures, oversight, informed consent, and post-procedure care. Verifying the PA’s specific competency for the procedure ensures they have the necessary training and experience. Using approved, institution-wide protocols standardizes how the procedure is performed, reducing variation and errors. Arranging backup supervision provides a safety net if unexpected issues arise during the procedure. Obtaining informed consent honors patient autonomy and documents that the patient understands risks, benefits, and alternatives. Finally, post-procedure monitoring allows for early detection and management of complications, improving outcomes.

These elements collectively address safety, ethics, and accountability. Choosing convenience ignores safety, withholding information from the patient breaches ethical and legal duties, and bypassing protocols—even in urgent situations—compromises care and liability.