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

by 50kn 10,972 Views | 15 Comments

Does/Can an RN (working at dermatologistís office, aesthetic clinic etc.) give anesthetics before procedures such as skin biopsy, laser surgery, botox, etc.)? If so, what anesthetic medications are most frequently used? Is IV... Read More

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    Quote from ruralgirl08
    OMG, I cannot believe this is allowed?! This undermines the whole point of being a licensed skilled professional with a regulatory body to answer to. We have nurses out there wanting work, and unlicensed workers are allowed to be preforming regulated duties inside our scope of practice. Am I missing something here? IMO that's just wrong....would you want a butcher to do the job of a surgeon, because he is cheaper? I would also boycott that office for the principle.
    Just remember, because nurses have something in their scope of practice doesn't mean that nurses own that particular procedure/task/thing. Just because it isn't in a Nurse's scope doesn't mean that it isn't in someone else's either... Different states allow physicians to delegate tasks that nurses aren't allowed to delegate. It's very possible that a state may allow a Physician to delegate to a MA the task of injecting local anesthetics if the Physician knows that the MA is appropriately trained and the Physician is able to supervise the MA in doing that task. I would imagine that if an issue with an MA comes up, the complaint would be lodged to the Medical Board for that state as MA's function directly under the Physician's license...

    On the other hand, if you're not comfortable with the practices of that particular Physician's office, vote with your wallet and go someplace else.
    Mrs. SnowStormRN and lindarn like this.
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    Oh that's a given. In these tough times MD offices especially speciality office are a dime a dozen. Most are marketing for new PPO PT's. In my case, I'm
    Usually known to be a bit overboard on researching an office prior to being treated. However i was recently diagnosed with a new & scary DX & the rheumatologist recommended a derm to evaluate a skin condition to back up his DX. He recommended a dermatologist & I trusted that his staff would send me to one they frequently use. Instead they looked up my Health Plan & picked an random one... Go figure. Oh well lesson learned. I appreciate all the responses I've received & I'm
    Going to actually call the board to getva final answer. I looked it up on line & it's not clear. For now I still have the sutures in my head & am having a hard time finding a physician willing to remove them. GEEZ!!! guess I'll do it myself.
    lindarn likes this.
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    I am a RN supervisor for a very large facility in california. In the state of california it is NOT in the scope of practice for a medical assistant to inject any
    type of anastetic (spelling?its late been up since 5am) including lidocaine mixed with Rocephin. I know that there is a big push by physcians to enlarge the scope of practice of medical assistants. For example a lisc. individual is required to verfiy all medications given by an MA against the order prior to giving. That means physcally looking at the medication (ex: dilaudid or immunizations). In a busy practice this can be very time consuming because they don't have nurses on staff. They also can not take a verbal order, and act upon it. We just went through a very large review of what MA's in california can an cannot do. The LVN's now do not see any difference between themselves and an MA.
    lindarn likes this.
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    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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    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
    Mrs. SnowStormRN likes this.
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    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).
    lindarn likes this.