Differences between Medical Assistants and Registered Nurses?

Nurses General Nursing

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I ran into an old friend from elementary school and she brought up that she was graduating soon from a 12 month long MA program. I am not sure, but I guess she had begun her 4 month long clinical phase(?). I congratulated her on her success (she graduated with honors) and I mentioned that we had something in common, that I also was entering the medical field. I told her that I had just been accepted into a RN program a few days prior (I was still in shock ). As soon as I said that, she got really defensive. She began stating that MAs do 90% of what RNs do, if not more. MAs get paid almost the same as RNs because the knowledge is the basically the same:uhoh3:.

She basically said that RNs and MAs are the same except that MAs don't do IVs.

Then she proceeded to tell me how she hated the RNs in her clinicals.

After a while she calmed down and said that she wanted to be a RN but went the MA route because she was getting a break with the tuition. She also plans on eventually going into a RN program once she is more financially able. My question is how similar are MAs and RNs? I worked at an internal med office for a year and I remember pretty well what our MA did most of the time (she trained me).Then again I am sure there are more skills under her belt that she just never had the chance to use within that year. Once she began talking then my defences went up as well (I felt like she was putting me down), although I kept quiet because who am I to say anything, I am not a nurse yet , right? ;)

Since I did not attent school with her, how do I know what her curriculum consisted of? So now I am turning to you ladies and gents to educate me on how similar or different MAs and RNs are.

Specializes in RN.

Number one reason why RN's are not hired for medical offices is because their skills are over and above what are needed. Most of the time when an RN is employed in a medical office setting is because the MD may be an oncologist or some other specialty MD, or in a community clinic that the staff needs to be over seen by an RN. Plus doctor's don't want to pay the MA's adequately as it is, there is no way the doc is going to pay an RN just to basically process a patient and run a few lab tests that MA can do for half the cost if not more.

Specializes in RN.

And depending on your certification. LVN's in California have to go through IV certification before they can do anything with the IV even then they can't do pushes.

Specializes in RN.
[quote=fayejum]. cma's can now start iv's in nc.

please tell me that im not the only one that thinks this is a bad idea!!!!!!!

as an ma i think it's a very bad idea.

She used to live in Chicago but she moved. I know when I was a CNA and someone would call me nurse, I would correct them immediately because I haven't earned that title.

i can believe shed be making as much in chicago as a med assisitant as an RN in my small town egypt area- RNs in the big cities mae nearly TWICE what i am making after 14 yrs and they are just grads - :( if i was braver id work in the cities but ill take my much lesser pay for quiet town know everyone around anyday. even our hospitals dont pay us much more than the nursing homes - its all in where you live and the demand on what you get paid. not so much demand in small town i guess.

if mas made the same as an rn had the same responsibilities, same pay, etc wouldn't more of us just then become a ma for shorter training time?

mas are valuable people to the medical community. their knowledge base is a great stepping stone into the acutal nursing field. some medical offices use the term "nurse" generically calling anyone that can take a pulse and that wears scrubs "nurse". this is such a touchy subject for me. (can you tell):uhoh21: yes you can go to xx college and earn a degree in medical assisting but for the most part it is on the job training and in most states you do not need a degree, certificate, license or other to practice as an ma.

to become an rn you have to be educated in math, psychology, sociology, critial thinking skills, ethics, clinical skills, sit for a board and practice with a valid license. (i am sure there is something i have left out please forgive me as i rant.)

your school chum was playing the one up game. congrats on getting into an rn program.:nurse:

if i had my way and could do it all over id never be an rn id be an lpn - unfortuantely back when i was going to school they no longer offered the class as everywhere here was phasing out lpns - ha - right - lpns to me are more important than the rns - i hate being boss and not getting to do as much hands on with the residents - it sucks - and if anyone does do something wrong - guess whos butt it is - yep - if i could ask them to downgrade my license i would ( but they wont i already asked lol) your friend sounds like she is looking to ge the powewr that she thinks rns hol - good luck to her - she aint gonna like the power the first time her orifice is in the wringer for someone sles mistake.

A lot of things in this forum! :nuke:

I did an MA program before going to nursing school, and I learned so much more during my present schooling than I did my MA program (1 semester to go, then I'll be dreading the NCLEX more!). In my training, we took 6 weeks of A&P, 6 weeks medical terminology, etc. A 6 week block isn't enough to learn more than the very basic stuff. One of my instructors while going through the MA program actually stated that she thought eventually MAs would be allowed to work in hospitals because of the nursing shortage - according to her, we were only 1 or 2 classes away from an LPN anyhow. As I learned, that's an incorrect statement. Unless more monitoring of MA training is done, and more schooling, MAs don't need to be in a hospital setting since the critical thinking skills needed to properly care for patients is lacking. As an MA, you're taught how to give injections and draw blood. You are not taught the reasons why the injections/venipuncture is necessary. MAs aren't taught that lab values should be X & Y, they just place the lab results on the patient chart, and put it on the physician's desk. I'm not picking on MAs, don't get me wrong, since I've been one. However, the skills learned for MAs are more proper for a clinic/office than they are outside of that setting. I'm so glad I went back to school for my BSN, even if it is heck at times. Even though there are times I feel dumb trying to learn it, I stop & remember it's more than I knew during my MA class/jobs as an MA. :icon_roll

Regarding the PCT stuff, PhoenixGirl must have a wonderful & trusting facility. If their PCTs can do not just vitals but also phlebotomy, EKGs and other microbiology tests, that's great. In our facility, PCTs are pretty much stuck to CNA duties. I guess the abilities of a PCT will vary from facility to facility, depending on how much that facility wants to be liable for any errors made on behalf of the PCT (unless they recommend the PCT to carry liability insurance).

So much to learn, not just from school but others in the field. We all show how vast differences are depending on where you're at, from MA training to PCT duties!

small areqas like ours will pay for thier cmas to take classes to be skilled and qualified in certain arweas such as ekgs and taking blood draws as they are cheaper laor than a nurse - it doesnt take a wizard to9 do the skills once trained and they are reding the results. so that is why they do that.

Specializes in Med-Surg, LTC, Rehabiliation Nursing.

I was never trained as an MA, but, I ran a Doctors office for 4 years, a 72 year old D.O. He demanded a lot of me, trained me to do blood sugars, ekg's, check in patients, take historys, basically everything an MA (from everything I have read in the previous threads), is required to do. On top of all this, I ran the office, the front desk and took care of the billing and all referrals to insurance companies. After all this, when he retired, I decided to go for the nursing degree. I was not an MA, not technically, but the knowledge I gained gave me a very good base for going into nursing school. We are all a very important part of the health care team. I am now a registered nurse, and the critical thinking skills that I learned in school are vastly different from what I learned from the Doc I worked with. Just my 2 cents, but the MA role is a vital part of the nursing community. We all need each other. Having said that, I now know that the MA role is hugely different from/ and can be a stepping stone to the RN degree. Not everyone has to take the steps needed to become an RN. I think it is a personal choice, and everyones life, choices, reasons, ect., are personal. We cant judge anyones choices. RN was a long, hard road. I am sooo glad I did it, but, it was darn difficult. For anyone making the choice, I guess I am trying to say, you have to weigh your own circumstances.

As for any MA saying they are an RN, well, that is not right. But, I cant even count the times that I have had people tell me they were a nurse, and then find out they were a CNA or an MA. Why? I dunno.

If the job were the same, then why would they claim the status of RN?

Thanks for the information on PCTs, sounds like a great job. Wonder what you all think of unlicensed folk doing all this? I really trust those with more education (with experience) to make judgements about what unlicensed persons should or shouldn't be doing. As I have said before, ignorance is not bliss, but it can be nearsighted: I might think I know something because I don't have a clue about what I don't know So, sometimes, I am a bit weary of the debate: being at the bottom of the skill curb, I have to 'fess up so to speak....Years of experience, the ability to give good conscientious care, and reading until my eyes bugg out does not equal what you all have to learn to become licensed. It makes me a darn good aide, but not a nurse.

Also, kadokin, thanks for your encouragement. It has been a tough year, lots of set backs in my plans, and you cheered me along.

Thanks.

i tell my cnas often and i am sure its the same with pct or cmas or whatever - without you we can not do olur jobs well. witth the increasing responsibility and paperwork for RNS we have precious little time for actual patient cares as we would like and without my eyes and ears - my cnas - much would be missed that i can not get to - in essence - my cnas are very very goo at assessing my residents and keep me on top pf problems - its a great place to work when you can work efectively as a team for your patients.

RN's make $55 an hour on the weekend at my facility...$35 during the week. What does the MA make? 10 -12/ hour; little bit of a difference. Medical Assistants are ancillary staff their role is to help (assist). The RN's role is to coordinate the staff. If necessary she or he can help to do tasks, but it is not their role.

55 an hour - holy crap i AM in the wrong area lolol. kidding - even ythough that is over twice what i am paid i wouldnt trade my small town everyone knows everyone fo rthat - hmmm - i ocul dwork less than half time though lol.l kidding -

Specializes in Med-Surg, LTC, Rehabiliation Nursing.
if i had my way and could do it all over id never be an RN id be an LPN - unfortuantely back when i was going to school they no longer offered the class as everywhere here was phasing out LPNs - HA - right - LPNS to me are more important than the RNS - i hATE being boss and not getting to do as much hands on with the residents - it sucks - and if anyone does do something wrong - guess whos butt it is - yep - if i could ask them to downgrade my license i would ( but they wont i already asked lol) your friend sounds like she is looking to ge the powewr that she thinks RNs hol - good luck to her - she aint gonna like the power the first time her orifice is in the wringer for someone sles mistake.

Just a question, are you saying that you want to give up the knowledge and education you have gained as an RN?

Also, LPN's are held accountable for their actions just as much as RN's are. It has nothing to do with "Power". What do you mean?

How is it that you have no "hands on" with the residents? LPN's get more?

?!?!! I am very confused as to what you mean by that. Can you explain?

Your friend must either be very insecure or full of herself to think that a CMA is anywhere in the same are as a nurse. With more education comes more knowledge. Doesn't matter what the title or profession is. A MSN has more knowledge than a BSN, and the BSN have more knowledge than the RN and so on down the line. Yes, experience counts for something, but the more you learn the more you know... period. Thus respect needs to be given to anyone that put in the time, effort and the money to gain the knowledge!

i have to add my 2 cents - just cause a [erson has a bsn or rn or any degree does NOT mean they know more- i know quite a few rns and bsns that dont know crap compared to our experienced lpns - just cause they may have passed thier classes at the time doesnt mean they retained any of that knowledge - many times its cause they only went in to get the money and could really care less about what they need to know - ive seen it and its not fun to work with em - as a matter of fact its down right scary - there are nurses ive worked with i absolutely will NOT evr work with again as they are a liability to the proifession and a lawsuit waiting to happen - and in our area it runs rampant in the good ole traveling nurses or whatever you call em that make the big bucks. iits not as uncommon as one may thnk - at least around here. respect for time effort and money are not where i give it - they earn my respect when they can show their knowledge base was actually learned and can be utilized. anyone can learn things for a few months enough to pass a test - and bone up fopr the boards which i am tyold is sooo much easier now that it ios all commputerized - not every one can actually pout tht into working material.

There are big differences between an MA and a CNA. All you have to do is a web search and you will find your answer. Comparing the disciplines really gets us no where. It is like comparing apples to oranges some are bitter and some are sweet. I think each and every person is needed in every discipline to achieve the best care possible for our patients. MA's should not be calling themselves nurses just as nurses should not call themselves doctors (not that I have ever heard a nurse do this, I just used it as a reference).

i know one nurse who thinks she is a doc an knows more than a doc - she is married to a doc and though she has never said she is a doc she takes it upon herself to diagnose treat and prescrbe and idiot doc hubby just signs the orders- scary - i had her diagnose treat and prescribe heavy atibiotic for hsingles - i went in next day - it was a freaking pimple from wetness - i even took my DON and administrator in to show this wonderful case of shingles- of course the antibiotics were never given and i am sure she was talked to as ever since i get the old cold sholder lol. i dont care - when we start acting above our roles like that we need to be knocked down a notch i thin klol.

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