Quote from mochamonster
This is the exact thing I was concerned about. Since they are treating you as an NP and not an RN by asking your opinion and making decisions based on that NP opinion, are you not "practicing" as an NP when you are working as an RN? Also, conversely if something were to happen to your patient as an RN that you could resolve as an NP and you did not act, legally wouldn't you be held to that standard even if your employer requires that you only act as an RN?
I've heard opinions from both sides, on here and in person. I suppose it just comes down to how much professional risk you are willing to take when working as an RN. Thanks for your input. I find this scenario to be quite interesting.
I guess in a sense they are treating me as an NP but I think its because me and these particular individuals are friends, we've been working together for the last 6 yrs and they ask me just as if we were having a conversation about any old thing. There are 2 other RNs on my unit who are NP's as well and I never heard them asking them the same quetions because I guess because I am the more easy going, approachable one.
Also, I guess I might be practising as an NP while working as an RN only because of the decisions I make with my patients. I just feel more efficeint for example, I have the same 6 patient assignment that the other nurses have. If one of my patients starts to go into resp distress, based on RN experience and NP training, I will know to do vitals, including O2 Sat and Blood glucose, give at least 40 mg of Lasix IV push if theres crackles and put the patient on a NR etc. I will do all of this before I call the MD who at my instituiton will be happy when he/she comes and will ask me what I did and put in the orders for me. As an RN, I remember, I would have just checked the BP, Pulse, and O2 Sat and paged the MD or PA, not knowing what else to do.
So, I say all this to say that being an NP and working as an RN has helped me to be more efficient and opened my eyes more so I can pay attention to my patients S&S. No, at the institution where I work at I'm working as an RN so the mgrs treat me as one, if I get in trouble while there,I will get in trouble as an RN,not an NP. Only my coworker friends ask me NP things. Maybe its just to see how much I know, who knows.