Dont want my license to cover a certain PCT

I believe the OP works in an outpatient chronic unit, not a hospital. In some states, NM, AZ tech's have to be certified now. They can lose their certification. And they need to be reminded of that fact. I believe many of them would not want to lose their jobs.

In IL also - the dialysis techs have to be certified.

As a traveler I used to have a list of the states. Where it might be is a mystery. But come April, I believe, they will have to be certified in every state. Thanks to CMS. FMC is tutoring their PCT's heavily.

The scenario Lacie describes is really the only one where you would be held liable for the PCT's failure to follow P&P - i.e., you did not do something that you signed for, or allowed the PCT to do something they are not legally able to do (I'm in the same state as Lacie and also disapprove of the common practice of letting PCTs give heparin; once, an RN I used to respect told me that in a clinic she used to work at the nurses "trusted" a certain PCT to give all tx meds to the pts - oral and IV, even EPO! Later I found out that the same PCT was functionally illiterate and the clinic had covered up for that as well

Anyway, my understanding is that if you don't allow your PCTs do do things that are illegal or that they have not been properly trained to do (or proved themselves competent to do) - then your license would not be in jeopardy if they do it anyway (unless you know about it ignore it). For instance, if the PCTs give NS for hypotension, know that they should notify you but fail to do so, then they should be disciplined or fired - but you cannot be held responsible for something that you were not told about (hmm... does the nurse have to be in ten places at once, assuming you have 10 pts on the machine?!) If that's the case, there really shouldn't be dialysis techs who are legally able to do some things in my state that are truly frightening (e.g, access central lines/perm caths!)

HTH,

DeLana

Have you thought of writing her up? especially for the falsification of legal documents? With that being said, if upper management doesn't support you then you should decide if it is worth the job. There were a few PCTs that I had to watch "extra" just so no pts died (not really an exageration). I totally understand your predicament.