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1st nursing job in a doctor's office - a little wierded out



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No. 10
Old Jul 07, 2009, 09:15 AM

Default Re: 1st nursing job in a doctor's office - a little wierded out
I am intrigued with this post as well. I am an LPN who mostly worked in nursing homes and didnt do a whole lot of IVs, EKGs and the like. I am also working toward a degree in DMS. I was recently offered a position in a doctors office and think it would be a great learning experience for when Im through with my studies. I too am verrrry nervous as I have never worked in this sort of environment and not sure what to expect or what is expected of me. I am scared to death that I will look stupid and flop! I am frantically skimming the web to refresh myself on different procedured we covered in practical nursing clinicals, but I hardly ever used. Any advice is appreciated.
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No. 11
from DolceVita
Old Jul 07, 2009, 09:22 AM

Default Re: 1st nursing job in a doctor's office - a little wierded out
I would leave. Immediately. Frankly, I would leave and report the whole thing to your BON.

I had a "nurse" perform procedures etc. on me until I found out later that she was a med asst. Now I know that med asst. can perform these procedures but the woman said she was a nurse.

Not OK......

Good luck.
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No. 12
Old Jul 07, 2009, 10:13 AM

Default Re: 1st nursing job in a doctor's office - a little wierded out
Hi,

In Washington State, an MA can administer injections, including immunizations. I believe CNA's are also authorized to do this. As far as starting IV's, I would have some objections to having a CNA or MA doing that. I would check your state's DOH for scope of practice laws and investigate this yourself before reporting the activity at your clinic, just to be sure. I also work in a doctor's office (fam practice) as an LPN and the MA at our clinic does pretty much everything that the LPN's do, but we don't draw blood or start IV's there. (Thank God!)
That being said, I would be cautious about staying in that environment. As you stated in a previous post, you should worry about your licence since, technically, the CNA is working under your supervision. An MA would not be, I believe, since they are technically working under the physician's supervision.

HTH,

monica
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No. 13
from DolceVita
Old Jul 07, 2009, 11:52 AM

Default Re: 1st nursing job in a doctor's office - a little wierded out
Originally Posted by jamieslovingmom View Post
Hi,

In Washington State, an MA can administer injections, including immunizations. I believe CNA's are also authorized to do this. As far as starting IV's, I would have some objections to having a CNA or MA doing that. I would check your state's DOH for scope of practice laws and investigate this yourself before reporting the activity at your clinic, just to be sure. I also work in a doctor's office (fam practice) as an LPN and the MA at our clinic does pretty much everything that the LPN's do, but we don't draw blood or start IV's there. (Thank God!)
That being said, I would be cautious about staying in that environment. As you stated in a previous post, you should worry about your licence since, technically, the CNA is working under your supervision. An MA would not be, I believe, since they are technically working under the physician's supervision.

HTH,

monica
This isn't just about scope, it is about these people misrepresenting themselves as nurses.
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No. 14
Old Jul 07, 2009, 01:12 PM

Default Re: 1st nursing job in a doctor's office - a little wierded out
I realize this is also about misrepresentation...I did not feel the need to reiterate that. The OP asked for opinions about how to handle her situation...I stated my opinion.

monica
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No. 15
from Jerico
Old Jul 08, 2009, 05:25 AM

Default Re: 1st nursing job in a doctor's office - a little wierded out
I was in a dr office one day and the recept told me "the nurse" is going to discuss your procedure with you (colonoscopy). So "the nurse" takes me into a business office area, sits me down and starts to discuss the procedure. I start asking technical questions, things an informed patient would ask...and she could not answer the questions. Not only that, she never even introduced herself. SO I said: "Are you a nurse?". She said: "Yes". I said, "Where is your ID tag?". She says, "Oh, it is in my desk". I said: 'May I see it?". She takes it out of the drawer and it has her name on it but no professional designation. I said, "Where is the RN or LPN identifier, as I was told I was going to speak with a nurse, to give me my procedure information and discuss...". She says, "Oh, I'm not that kind of nurse....".

I stopped the conversation right there and asked to speak with an office manager. I informed the office manager I was an RN, and "Your officer personnel are calling themselves nurses, I think you need to take care of that, because they are not licensed nursing personnel...I AM...and I don't think the BON of Texas would approve". She was falling all over herself apologizing.

I left, and needless to say I did not use these GI docs for my procedure. A week later I got a letter of apology from the office manager telling me she sent out a letter to all her employees requiring they NOT call themselves "nurses" if they were not RN/LPNs etc.
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No. 16
from DolceVita
Old Jul 08, 2009, 01:55 PM

Default Re: 1st nursing job in a doctor's office - a little wierded out
Originally Posted by Jerico View Post
I was in a dr office one day and the recept told me "the nurse" is going to discuss your procedure with you (colonoscopy). So "the nurse" takes me into a business office area, sits me down and starts to discuss the procedure. I start asking technical questions, things an informed patient would ask...and she could not answer the questions. Not only that, she never even introduced herself. SO I said: "Are you a nurse?". She said: "Yes". I said, "Where is your ID tag?". She says, "Oh, it is in my desk". I said: 'May I see it?". She takes it out of the drawer and it has her name on it but no professional designation. I said, "Where is the RN or LPN identifier, as I was told I was going to speak with a nurse, to give me my procedure information and discuss...". She says, "Oh, I'm not that kind of nurse....".

I stopped the conversation right there and asked to speak with an office manager. I informed the office manager I was an RN, and "Your officer personnel are calling themselves nurses, I think you need to take care of that, because they are not licensed nursing personnel...I AM...and I don't think the BON of Texas would approve". She was falling all over herself apologizing.

I left, and needless to say I did not use these GI docs for my procedure. A week later I got a letter of apology from the office manager telling me she sent out a letter to all her employees requiring they NOT call themselves "nurses" if they were not RN/LPNs etc.
That is very scary. I would be interested to know what kind of nurse this person thought they were (a nurse in their head I think)? Dreadful.
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