Does/Can an RN give anesthetics before procedures such as skin biopsy, laser surgery, - page 2

Does/Can an RN (working at dermatologist's office, aesthetic clinic etc.) give anesthetics before procedures such as skin biopsy, laser surgery, botox, etc.)? If so, what anesthetic medications are... Read More

  1. Visit  ruralgirl08 profile page
    1
    Unfortunately, its just another example of: Making More Profits vs. Providing Quality of Care. It frustrates me, as nurses go through extensive education (which is a continuum,) rigorous testing, gain the expereince, to provide specific skills to the public (which we are also held accountable for,) to allow other unlicensed people being able to preform these medical duties by "delegation," in an employment setting. We may not own them, but we earned the right to preform them, this should be respected for many valid reasons.
    lindarn likes this.
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  3. Visit  lindarn profile page
    3
    And MDs and MAs get away with this because the public is unaware that they have amateurs working on them.

    The public also does not respect the education that RNs have, and do not understand what a nurse's scope of practice is, and what an LPN/LVNs scope of practice is. And how that differs from an MA.

    It is scary how doctors are continually pushing the envelope with what they will allow MAs to do. Didn't I read on allnurses, how some doctors were allowing MAs to inject rectal polyps with a colonoscope? Unassisted?

    Not that doctors go to any great length to educate their patients, do they? And you know that they will be the first to scream for,"TORT REFORM!" And try to prevent the public from collecting damages from them for injuries caused by untrained, minimaly educated MAs. I guess ignorance is bliss.

    JMHO and my NY $0.02.
    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW
  4. Visit  klone profile page
    3
    Quote from PetiteOpRN
    Nurses do not perform blocks (injecting local). This is outside of the scope of practice.
    Are you sure? If so, I imagine it depends on the state. Where I live, RNs can give a local before IV starts (they don't work worth a darn, IMO, but it's within our scope to do it).
  5. Visit  Rodman profile page
    0
    Nurses should not give local anesthetics. we are not trained in extensive anatomy like an MD anesthesiologist or dentist
  6. Visit  herring_RN profile page
    0
    Quote from klone
    Are you sure? If so, I imagine it depends on the state. Where I live, RNs can give a local before IV starts (they don't work worth a darn, IMO, but it's within our scope to do it).
    In my state the only RNs who may administer local anesthesia are Certified Registered Nurse Anesthetists.

    Here is a discipline with termination or suspension of a license. One of the accusations is gross negligence/practicing outside the scope of practice for administering local anesthesia.

    http://www.rn.ca.gov/public/rn665334.pdf
  7. Visit  akulahawkRN profile page
    1
    Quote from herring_RN
    In my state the only RNs who may administer local anesthesia are Certified Registered Nurse Anesthetists.

    Here is a discipline with termination or suspension of a license. One of the accusations is gross negligence/practicing outside the scope of practice for administering local anesthesia.

    http://www.rn.ca.gov/public/rn665334.pdf
    If that's the case, then every PICC nurse that I've ever observed has been exceeding their scope of practice because as part of the SP that they follow, they administer a small amount of lidocaine right at the site where the PICC will be placed, specifically to make the procedure painless. I'm in California.

    I read the complaint and it is likely that the RN did exceed his authorized scope of practice. I doubt there were standardized procedures in place to allow him to do what he did.
    toomuchbaloney likes this.
  8. Visit  sallyrnrrt profile page
    0
    Quote from lblvn
    Hi- After reading your posts, I have a question. I went to see a Dermatologist today. He advised me that I needed a scalp biopsy. To my surprise, he had his Medical Assistant inject my scalp. When I questioned this; I asked her if this was in her scope of practice? She said "yes". I asked for the MD to do it but he said he recommended her to do it since he was "rough with big hands"(aka LAZY). My question is under California state law is this legal? I'm trying to research it but haven't come to a site that can provide me with a clear answer.
    medical assistants do not have the type of "scope of practice we do"........they are a task orriented, and work under the physician captain of the ship structure....


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