Attn Clinic/Doctors office nurses! - page 3

by Elleveein 10,719 Views | 45 Comments

I've seen this topic before but it's come up again at my clinic/urgent care, sorry in advance if you've heard this a million times. Do you call medical assistants nurses at your clinic? Would you care if a pt or the doc called... Read More


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    Try reporting them to the Dept of Health and the your state's Attorney General's office. IMHO- if these MA's are of a different culture, They may have medicine men, soothsayers or community elder's or members who practice some primitive form of medicine and midwifery but they are not educated in the practice of nursing or medicine. That maybe well and good for thier "country of Origin" but this is the United States and our laws state you must have a license to practice nursing or medicine and to get that license you have to complete a formal education program designated for that purpose.

    In the hospitals I have come across more times than I can count- nursing assistants doing patient education. What formal education do they have to do such an action. How many nutrition courses have they completed, How many clinical science, pathophysiology,pharmacology courses have they completed. I want these people to show me their transcripts
    In the clinic setting I have found MA's and receptionists doing triage (Triage ia only legally allowed to be done by an RN because it requires critical thinking and decision making). and when I inform them not to do this, they start doing the triage calls in their native language not realizing I recognize the medical terms in their language. I too have brought this to managment's attention. I have begun documenting these insidents - name, date, time of call, patient's name and the words I heard used and I sit there and listen to the conversation and when the unlicened person hangs up I ask what her triage decsion was and write it down. I have also gone to the doctor and made the doctor aware. When something bad happens to one of these patients, and It will, I will be all prepared to fully cooperate with the investigaing party or parties.I guess you can tell how burned up about this subject I am!!
    elprup likes this.
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    I used to get get burned up too. In my case the docs and other staff are ignorant, they just don't know. They think it's ok to call all of us nurse as long as they don't say RN or LVN. I work for 7 MD's all born and raised here, they practice regular western medicine soooo yeah. Maybe I will inbox the name of my clinic, you seem like a real spit fire!
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    Eleveein - you must be working at the place I quit!!!! I would even take down notes on bulliten boards that listed MA's as nurses. Oh and our place has LVN's as Triage Nurses. Of course I pointed that out too. BTW, the LVN was awesome regarding "most" issues...but still, it is NOT legal! I was the only RN as well. Doctors were so overworked and underpaid they did not really care from what I noticed...until an FNP stated she was a Dr..well that ruffled everybodies feathers. Very annoying. I do agree, until we stand up for our profession and rights, and educate public, nothing will change. There are over 600,000 members on allnurses, I would think we could change the world!!!
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    I wish there was an FNP at our clinic but no I'm the only nurse. I do plan on leaving soon, I just started doing hospice work. As soon as i'm comfortable with it i'm out, I make medical assistant money so i really can't afford to stay there anyway. As a hospice nurse i make 25 hourly, at the clinic I make 16.30 hourly. I very disappointed in the nursing board I reported this and they did nothing
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    Medical assistance , patient care technicians, nurses aids, medication technicians do not fall under the jurisdiction of the Board of Nursing because they do not have a license. These groups are classified as " Unlicensed Assistive Personnel". They only hold a certificate. Therefore; the Boards of Nursing can not discipline them. They have no authority over them. Just like the Board of Nursing has no authority over a Doctor, Mortician, Hairdresser, Engineer, Lawyer, Dentist. All hold licenses and answer to their own regulatory body.

    The prosecution and disciplining of an "Unlicensed Assistive Personnal"- a nurses aid, medical assistant, ect, comes under the state's Office of the Attorney General. Google your state's office of the attorney general.

    For a medical Assistant, nursing assistant, hurst driver etc to call theselves "nurse" is a criminal offense, a felony- fraud.. It's the equivalant of stealing some one's credit cards- it's identy theft. It's fraud. A person who calls themselves a "Doctor" who is not a medical Board licensed Physican is committing fraud. They are frauding the public. A person who calls themselves a "Nurse" who is not a nursing Board licensed nurse is committing fraud. They are frauding the public. They are misleading the public to thinking they are something they are not. A lawyer has to pass the Bar exam to become "licensed" to practice law. A law clerk or a paralegal can not call themselves a "Lawyer" They cannot give legal advice. They do not posses the education to qualify to take the Bar exam so they therefore cannot give legal advise, try cases, represent clients.

    So, why do we nurses tolerate these assistants and aids calling themselves "Nurses"? They do not posses the education to qualify to take the Nursing Boards or NCLEX and therefore practice nursing- make nursing decisions, perform critical thinking, defy the nurses task delegation, engage in patient teaching, interpret lab results( yes, there are quite a few who give patients their lab results both over the phone and hand them paper copies without the providers review. This I have personally witnessed and reported. I could tell some stories on these events alone), teach patients and families about their medications and give general nursing advice. They are soooo out of control. If this were a law clerk, does anyone think this would be tolerated?? Heck- NO.

    The majority of the fault lies with nursing adminstration. There is no back up to the "licensed " nurse. When the nurse try's to correct the aidor the medical assistnat, the aid or the medicalassitant say- "It's not what the nurse said, it's how the nurse said it, My feeling we hurt, they embarassed me", My personal favorite" the nurse is being abusive" It is viewed as the "poor aid, medical assistant is being picked on" by the "nasty nurse". Do they think their feelings are going to any less spared when the lawyers and prosecutors drag them into to court on a witness stand and ask them why they let said patient think they were a "nurse".They're feelings weren't too hurt to do that! Call the Attorney General's Office and let them "pick on" the poor aid, medical assistant and the nursing administration can tell it to the Attorney General, the Federal judge, the prosecutor to stop "picking on the aid and the medical assistants
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    Allllrighty then. I'll contact the attorney general, I doubt anything will happen.
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    The clinic I used to work at, the MA's were used to the patients referring to them (MAs) as nurses and they even used to say, the other "nurse", even the the other FNP once came out and asked "where are the nurses?" to which I replied, you and I are the only nurses that work here, they are MAs, He laughed and acknowledged that since I was faculty at the BSN program I would say that. He & they quit calling themselves nurses, they even got name tags that said, "Jane Smith, Medical assistant".

    These are protected titles, so to call yourself a nurse or use the initials RN is illegal. One of the local hospitals even had tags made for "Clinical Nurse Preceptor" but unfortunately they abbreviated it to " CNP" I had to write a letter to the director of nursing pointing out this is my title on my nursing license and it is a protected title for Certified Nurse Practitioner and informed her the RNs could not have badges with these initials.
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    hi elleveein - i've had so much frustration over this and other scope of practice issues i've looked for resources for a long time. the practice act is not very specific and is geared toward consumer protection but kaiser ambulatory services had a committee go through the law and make this very detailed booklet with clear graphs. it's very specific on the subject of who can be referred to as "nurse" and the possible consequences of violating those rules. i found it had lots of useful information, so here is the link in case you are interested.

    scope of practice[color=#330033] - resource guide

    http://www.ambulatorypractice.org/clinical_practice/docs/scope of practice resource guide.pdf

    i
    just wanted to add that other healthcare workers can run into problems with titles as well, and some consumers are very aware of this. one of the pas at the urgent care center i use was accused of misrepresenting himself as a doctor (physician). wearing id tags with titles and being careful about introductions is just prudent nowadays.
    Last edit by nursel56 on Jun 21, '12 : Reason: add something
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    Thanks for the info. I'm not gonna worry about it any more, as long as I use proper titles I'm not going to obsess over what they're are saying.i reported it, thats all I can do.
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    As a patient, I felt mislead when my hubby told me that the "nurse" at out PCPs office was not a nurse, but rather a medical assistant. Apparently the term "nurse" is used loosely in their office as well. She is a top notch MA. It does sort of bug me that the MD allows a MA to phone in Rx. Of course, flip flops worn with scrubs should have given it away. )


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