Acts Online
GT Shield

Health Professions Act, 1974 (Act No. 56 of 1974)

Regulations

Regulations Defining the Scope of Practice of Clinical Associates, 2016

2. Acts deemed to be acts pertaining to the scope of practice of Clinical Associates

 

The following acts are deemed to be acts pertaining to the scope of practice of clinical associates and must be performed within ethical rules of the Health Professions Council of South Africa and all applicable clinical protocols and strategies for all age groups:

 

(a) Obtaining a patient's history and performing a physical examination of the patient in accordance with the clinical associate's level of education, training and experience;
(b) ordering or performing diagnostic and therapeutic procedures for common and important conditions in South Africa and in accordance with the clinical associate's level of education, training and experience;
(c) performing or ordering and interpreting the following investigations:

 

INVESTIGATIONS


Performing finger prick blood tests (on accreditation compliant instrumentation under the guidance of an accredited laboratory according to Point of Care Testing guidelines).

HIV (including counselling), Haemoglobin, blood glucose, blood type, etc.

Ordering and interpreting X Rays


Performing/ordering and interpreting ECG


Performing/ordering urine tests and interpreting results

Dipstix, pregnancy test, Microscopy, Culture and Sensitivity (MC & S), etc.

Ordering stool tests and interpreting results

MC & S, etc.

Performing throat swab, ordering tests and interpreting results

MC & S, etc.

Collecting sputum samples, ordering tests and interpreting results

Acid Fast Bacillus (AFB) , MC & S, etc.

Ordering blood tests and interpreting results

Full Blood Count (FBC)

Liver Function Tests (LFT)

Urea and Electrolytes (U & E)

C- reactive protein (CRP), etc.

 

(d) interpreting findings and formulating a diagnosis for common and emergency conditions referred to in paragraph (b) in accordance with clinical associate's level of education, training and experience;

 

(e) performing the following procedures under supervision of a medical practitioner and in accordance with the clinical associate's level of education, training and experience:

AGE GROUP

PROCEDURE

All age groups

Administration of Oxygen

Acute debriefing/Sharing bad news

Administration of nebulisation

Apply POP - all types

Arterial blood gas - radial, femoral

Check for union of fractures

Cranial Nerve II -XII Examination

Completion of J88 Assault Form

Counselling - bad news

Counselling - death

Counselling - family/mental health

Counselling - HIV

Counselling - Pregnancy

Defibrillation Automatic Emergency Defibrillator (AED)/manual

Death notification

Dress abrasions and burns

Foreign body removal - ear and nose

Gastric Lavage

Intravenous line insertion

Inter costal drain insertion

Injections - Intradermal

Injections - Intramuscular

Injections - Subcutaneous

Lumbar Puncture (except in neonates)

Mantoux

Medical condition notification

Metered Dose Inhaler technique and demonstration

Nasogastric Tube Insertion

Paraphimosis reduction

Patient referral

Peak Flow Meter use and Interpretation

Pulse Oximetry

Removal of foreign body - ear and nose

Removal of POP

Sick leave certification

Snellen Visual Chart Exam

Suprapubic aspiration/catheter insertion

Syringe of ear/Ear irrigation

Venipuncture

Adults and children 13 - 17 years

Aspiration and incision and drainage of abscess

Assist in Caesarean Section

Assist in closed fracture reduction

Assist in diathermy/cautery

Assist in emergency laparotomies

Assist in epidural and spinal anaesthesia

Assist in knee and other joint aspiration

Assist in medico legal examination

Assist in open reduction of fractures

Assist in/perform reduction of joint dislocations

Assist in tubal ligation

Bag and mask ventilation

Basic life support

Bladder catheterisation - female

Bladder catheterisation - male

Blood transfusion

Bone marrow aspiration

Cardiopulmonary resuscitation (CPR)

Cardiotocographic fetal heart monitoring

Cautery/excision of condylomata

Central line insertion- external jugular vein, femoral vein

Circumcision - uncomplicated

Close surgical incisions (all layers)

Cricothyroidotomy

Cryotherapy

Debridement of minor limb injuries

Dilatation & Curettage

Dilatation of pupil

Drainage of simple hydrocele

Dry mopping of ear

Episiotomy - perform and suture (including repair of vaginal tears)

Eye staining

Excision of skin glands/cysts/masses/lesions

Fine Needle Aspiration - breasts and nodes

Full spine immobilization & log roll

Genital swabs

Glasgow Coma Scale (GCS)assessment

Glue lacerations

Incision and drainage of Quinsy

Incision and drainage of paronychia

Instruction in use of crutches

IV Infusion

Incision and drainage of superficial abscess

Incision of thrombosed haemorrhoid

Intra- and post-operative observation

Intrauterine contraceptive device insertion

Insertion and removal of long- acting subdermal contraceptive implants

Knee examination

Leg ulcer chronic dressing

Lymph node biopsy

Maebomian abscess removal

Mental health examination

Mental Health History

Mini Mental State (MMS) examination

Normal vaginal delivery

Oral airway/Laryngeal mask airway/other airway devices

Oral endotracheal intubation

Packing of nose

Paracentesis

PAP smear

Portable ventilation

Pre-op assessment

Pleural tap; Pleural biopsy

Preparation of malaria smear

Reduction of shoulder dislocation

Removal of K-wire

Regional Blocks - penile

Regional blocks - ring blocks

Removal of foreign body - ear, eye, eyelid and vagina

Restraining a patient

Conscious sedation

Skin applications (Podophyllin)

Skin biopsy

Skin grafts - small

Sputum collection

Stool specimen collection

Suture lacerations

Suturing ear

Suturing eyelid

Tamponade of epistaxis

Trauma survey (primary & secondary)

Triage

Venous cut down

Wound care and debridement

Children up to 12 years of age

Apply Gallows traction

Assist at lumbar puncture - Neonate

Lumbar puncture - Children

Hearing Screen

Immunisations

Intraosseous infusion

Initiate Neonatal Resuscitation (bag and mask)

Initiate Paediatric Resuscitation (bag and mask)

Complete the Road to Health booklet

Nutritional assessment

Assess for and initiate CPAP in newborns with respiratory distress syndrome (RDS)

Prescribe and initiate phototherapy in newborns

 

(f) developing, implementing and monitoring a comprehensive management plan for common and important conditions;
(g) issuing sick certificates for a period not exceeding 3 days, which must contain the name and contact details of the supervising medical practitioner;
(h) prescribing medicines for common and important conditions according to the primary health care level Essential Drug List (EDL) and up to schedule IV, except in emergencies when appropriate drugs of higher schedules may be prescribed. The prescription must contain the name of the supervising medical practitioner. In the case of drugs not on the EDL the prescription must be countersigned by a medical practitioner;
(i) being the required assistant at surgery;
(j) making appropriate admissions, discharges and referrals;
(k) performing any act delegated to him or her by the supervising medical practitioner in accordance with the education, training and experience of the clinical associate; and
(I) assisting medical practitioners within district level health care services and with the focus on primary health care.