Some states do regulate the use of the title "Nurse" to be used only by licensed personnel. Anyone can "supervise" anyone if for strictly administrative purposes. The non licensed manager has no jurisdiction over clinical policy and responsibility. Technically the title "Nurse Manager" in this case is a misnomer. Just as the "Nursing supervisor" who is not a nurse is the supervisor but can't supervise clinical duties as the higher license prevails.
" California law, which specifically addresses the scope of practice of a medical assistant. California law defines a medical assistant as "a person who may be unlicensed, who performs basic administrative, clerical and technical supportive services in compliance with this section...for a licensed physician and surgeon or a licensed podiatrist, or group thereof, for a medical or podiatry corporation, for a physician assistant, a nurse practitioner, or a nurse-midwife...or for a health care services plan, who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Division of Licensing." If working with a medical assistant, or if you are a medical assistant, check your state's statutes and regulations to determine the scope of practice for a medical assistant.
In some states, medical assistants are overseen by the board of nursing and the law can be accessed through the board's Web site. In others, it is board of medicine which oversees medical assistants. In some states, there is no agency overseeing medical assistants. In that case, practices should write a policy stating what the medical assistant may do (and may not do), and stating that the physician in charge delegates the stated duties to the medical assistant. Medscape: Medscape Access
I would check with the State Board of IL whether a MA can legally supervise a nurse reguardless of what degree the nurse holds it's the license that is legally binding. http://www.nationalnursesunited.org/...f-med-asst.pdf NYS Nursing:Practice Alerts & Guidelines:FAQ
Can a Licensed Practical Nurse (LPN) be a charge nurse or supervisor in a nursing home or outpatient clinic? Answer: An LPN may not assess (interpret clinical data) or develop nursing care plans. To the extent that charge nurse or supervisor responsibilities require ongoing assessment, LPNs accepting such positions could have a disciplinary charge against their license for working beyond their lawful scope of practice.
So that makes me question how a MA supervises the RN or LPN. Medical Assistant Scope of Practice - Medical Assistant Net
MAs are not licensed to make independent medical assessments or give advice. Physicians must determine the skill level and capabilities of each MA they supervise and take into account liability risk and quality control when assigning them their responsibilities. Physicians should provide initial direct supervision and periodically assess the quality of their work. In practices with nurse managers, medical assistants can receive additional supervision coordinated to maximize workflow in a practice. Communicating the MAsí roles to other staff and clearly delineating their responsibilities is important in maximizing the productivity of the health care team. What a Medical Assistant Can Do for Your Practice - Apr 2005 - Family Practice Management
As far as calling her the NUrse Manager....here is Illinois statute
Other states are more inclusive of the specific titles they are reserving to the licensed nurse only. Examples include
No person shall ... use any words, abbreviations, figures, letters, title, sign, or device tending to imply that he or she is a registered professional nurse including the title or initials "Registered Nurse," "Professional Nurse," "Registered Professional Nurse," "Certified Nurse," "Trained Nurse," "Graduate Nurse," "PN," or "RN," or "RPN," or similar titles or initials with intention of indicating registered professional nurse. Illinois Nurse Practice Act Section 6(e).Who can be called a "nurse"? | AORN Journal | Find Articles
Some states will make unauthorized use of a title referring to an RN a misdemeanor; others may simply label it as unlawful or unprofessional conduct. Some states extend their enforcement to the employer of the person, or to any other person who aids
or abets the misrepresentation, and makes such action a misdemeanor (in some cases, it may be considered a felony). Depending on the state, violation of any applicable title protection provision in a nurse practice act can result in a fine or criminal conviction of not only the person using the unauthorized title but also of others who employ or otherwise aid or abet the unauthorized use. So, in the example posed in the member's question, it is possible that not only is the office assistant acting unlawfully, but so too is the physician who refers to her as his nurse and/or the employer who allows her to use the term. This is assuming, of course, the state prohibits use of the term "nurse" in the first place.