Can a RN work as a nursing aide/assistant

caliotter3 · Nov 18, 2009

Yes, you can. Do not exceed the job description of the CNA and remember that you will be held to the standard of the RN license. You can't ignore something and claim, "I'm only the CNA here". If there is a change in condition, you must report to the nurse. You can't walk out of the room and take no action. Good luck finding an employer that will hire you under these circumstances. More than likely it will be easier to find a job in LTC.

Seagate · Nov 18, 2009

Thank you for your response.

Is a LTC the same thing as a skilled nursing facility? I read on here that hospitals don't care if you have worked in a LTC, it has to be a skilled nursing facility. How exactly does a SNF differ from a LTC?

Kitty Hawk, ADN, RN · Nov 18, 2009

SNF's are more like mini step down units. They can have more complex patients such as one's on vents. Basically many of the patients are coming straight from a hospital and really may not be ready to leave let alone go back home.

MissBrittanyRN · Nov 19, 2009

It depends on your state. You can in my state and probably some others, but unfortunately it appears that you cannot in Michigan. I tried to find some info for you from Michigan's Dept. of Community Health, but it was limited. If you have adobe, you can view frequently asked questions here :

http://www.michigan.gov/documents/mdch_na_faqs_133919_7.pdf

This is quoted from the above link:

17a. I have been an RN for years, but I would like to be a Nurse Aid now. How can I apply?

b. My LPN license was revoked. Can I become a Nurse Aid?

Federal regulations prohibit licensed health professionals from being registered as nurse aids. Even if your license was revoked, you are still considered a licensed health professional.

Additionally, the tasks a nurse aid complete are significantly lower level than those of other health professionals. It would be difficult for health professionals trained in a higher skill level to limite their activities to those of a nurse aid. Practicing high level tasks would be a violation of the nurse aid regulations.

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I would contact someone at your board of nursing directly, as that is what I did to find out that in Maryland, an RN can work as a nursing assistant. I am not sure why it is possible in MD, as the above quote states that it is a federal regulation, that governs this.

If you can work as a CNA, you may need to obtain a nursing assistant certification in addition to your RN license.

Quotes from the director of nursing practice at the Maryland Boad of Nursing-

-"Registered Nurses are not prohibited from working in a position as a CNA when the registered nurse has been issued the certification as a CNA from the MBON"

-"The RN who is practicing as A CNA is held to the CNA standards UNLESS there is a Pt emergency --then in that PT emergency the RN practicing as a CNA is expected to work to the fullest extent of the RN license--so it is a specific PT emergency that permits the exception"

From the Administrator for the Nursing Assistant Certification Program in Maryland:

"The Board does not have any regulations which prevent an RN who is currently certified as a CNA in good standing, from working as a CNA."

If you can work as a CNA, you probably have to obtain a Request for Exemption from Nurse Aid Training form, ph # 517-241-0554, which is the case for nursing students in Michigan.

Hope this helps. Good luck to you!

Wabi Sabi, BSN, RN · Nov 19, 2009

Can you relocate? Perhaps, you should consider moving to another state.

itsmejuli · Nov 21, 2009

After getting my LPN license I applied to a hospital I wanted to work at for a PCT position, they said they couldn't put a licensed person in an unlicensed position. I wanted to work CCU as a PCT while doing my RN.

RN BSN 2009 · Nov 21, 2009

What hospitals have you applied to? Where do you live?

job2010 · Nov 22, 2009

Hi everyone! What about NYC, is RN license good to work as SNA? Is SNA same as LPN? Thanks!!!

**All Heart RN** · Nov 24, 2009

I was told by my Nurse Manager at the hospital that I work for that once I pass my state boards I can no longer work as a PCT (but she did state that I may be able to work as a Monitor Tech).

MedSurgeMess · Nov 24, 2009

Hi everyone! What about NYC, is RN license good to work as SNA? Is SNA same as LPN? Thanks!!!

SNA (student nursing/aide) is an unlicensed position, so no, LPN and SNA are not the same so you cannot work them as such.

MissBrittanyRN · Nov 24, 2009

I was told by my Nurse Manager at the hospital that I work for that once I pass my state boards I can no longer work as a PCT (but she did state that I may be able to work as a Monitor Tech).

Depending on your state, there is a very good chance that she is correct. I would still do your own research with your state board of nursing, because I wish that I originally did. I was told by my clinical director that I could not, other staff nurses, and even my nursing instructors that I could not, so I just assumed that it was true. I ended up finding out from my BON that I could have worked as a PCT after licensure, and my manager is bringing me back with open arms now lol. apparently the only person in the entire hospital who knew was the nurse recruiter! again, it varies by state, so you may not be able to, but I would look into more. good luck to ya!