I’ve been asked to do something that falls outside my role, what should I do?

The BMJ Pub Date : 2025-01-13 DOI:10.1136/bmj.q2869
Abi Rimmer
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Abstract

It can be hard to know how to respond when asked to undertake a task that isn’t part of your role, but there are ways to deal with it, Abi Rimmer hears Ashley Simpson, medical education fellow, NHS Lothian, says, “Being asked to undertake a task you believe is outside your role can be challenging. Navigating these situations is often context dependent, requiring a balance between your professional responsibilities, team working, and patient safety. “Delivering healthcare is a team effort, with each professional holding specific responsibilities. There is often overlap in competencies, however, meaning that some tasks can be undertaken by multiple team members. “As a resident doctor rotating though departments, it’s important to clarify the typical responsibilities of team members in each setting. A task outside your role in one department may fall within it in another. Establishing role boundaries can empower you to handle situations like this more effectively. “Occasionally you may be asked to complete tasks typically assigned to others—for example, phlebotomy—because of workload or staffing pressures. In these instances, working collaboratively may be the best approach for patient care. If this becomes a frequent occurrence, impacting your own clinical responsibilities or professional development, you should escalate this to your clinical or educational supervisor. “The General Medical Council requires doctors to work within their competence. If you are asked to perform a task that you are not trained to undertake, you must voice this. While that might feel difficult in hierarchical teams, patient safety is your priority. Politely explain—for example, ‘I’m sorry, I’m not competent to perform this task safely. I think it …
我被要求做一些超出我职责范围的事情,我该怎么办?
英国国家医疗服务系统(NHS Lothian)医学教育研究员阿比-里默尔(Abi Rimmer)听到阿什利-辛普森(Ashley Simpson)说:"当被要求承担一项您认为超出您职责范围的任务时,您可能很难知道如何应对,但还是有办法解决的。处理这些情况往往取决于具体情况,需要在专业责任、团队合作和患者安全之间取得平衡。"提供医疗服务是一项团队工作,每个专业人员都承担着特定的责任。然而,能力往往是重叠的,这意味着有些任务可以由多个团队成员共同承担。"作为一名在不同科室轮转的住院医生,明确团队成员在每个环境中的典型职责非常重要。你在一个科室职责之外的任务,在另一个科室可能属于你的职责范围。建立角色界限可以让你更有效地处理类似情况。"有时,由于工作量或人员压力,您可能会被要求完成通常分配给其他人的任务--例如抽血。在这种情况下,合作可能是护理病人的最佳方法。如果这种情况经常发生,影响到您自己的临床职责或专业发展,您应将其上报给您的临床或教育主管。"医学总会要求医生在其能力范围内工作。如果你被要求执行一项你未接受过培训的任务,你必须提出来。虽然这在等级森严的团队中可能会感到困难,但患者安全是你的首要任务。礼貌地解释,例如,"对不起,我没有能力安全地完成这项任务。我认为...
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