Not sure what to think!

Nurses General Nursing

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I recently interviewed with another company and the doctor that interviewed me is a specialist. I was somewhat surprised at what was said. I will try and keep this from being to long.

anywho, I was told that the nurse who works for him will need to know what he knows about his work and all that he knows, they need to be a really smart person. That the nurse will need to be doing alot of reading about his specialty and understand it. This docter stated that he would teach his nurse how to suture, give botox injections, remove lesions and what ever he decides to teach (0f course if the nurse is willing to learn). This doctor also said that it is within the law for him to delegate these tasks as long as he has trained the nurse to do them. He also stated that he could teach his nurse how to do brain surgery if he wanted too. Told me that he double books and works through lunch. He also told me to take some time and think about it because he did not want someone to start and quite in 2 months.

Well I do not mind doing alot of reading and I do believe that the nurse should have a firm understanding of the specialty they work in, my concern is the suturing, removing lesions and giving botox injections. I do believe this is not allowed in my scope of practice. I am an LPN and it concerns me that the doctor tells me I can do anything under his license if he trains me.

Well I personally do not feel right about this and I feel that I would be putting my hard earned license on the line.

I was just wondering what everyone else thought about this situation. Input is greatly appreciated.

Specializes in Me Surge.
The doctor specializes in dermatology. He is very specialized and you can tell by his attitude. He comes in from a big city. This is a new clinic that has started up in the last year and this guy is the new addition. I have a friend who is a medical assistant who works there and she likes it. She says that he has been nice, but I am afraid that he is one of those doctors who will turn out to be Jekyl and Hyde. Maybe I am making a mountain out of a mole hill. But I guess with being a new nurse, I want to make sure that I am not violating my scope of practice.

Your friend the medical assistant actually does not have a license to lose. You do. He can bill for his services and pay her peanuts. But the part of this that bothers me the most is that he wants to have an MA or LPN do lesion removal. That's totally sick. If someone goes in for a suspicious lesion the MD needs to remove it to get good margins, that's a life and death matter and not something I would be comfortable having a MA do. Suturing, lesion removal is outside the scope of practice of even an RN. Suturing is in a NP or RNFA scope of practice with training. I've heard of RN's doing botox and I'm not sure that's even in the scope of RN practice. please check your BON.

Specializes in Assisted Living Nurse Manager.
Your friend the medical assistant actually does not have a license to lose. You do. He can bill for his services and pay her peanuts. But the part of this that bothers me the most is that he wants to have an MA or LPN do lesion removal. That's totally sick. If someone goes in for a suspicious lesion the MD needs to remove it to get good margins, that's a life and death matter and not something I would be comfortable having a MA do. Suturing, lesion removal is outside the scope of practice of even an RN. Suturing is in a NP or RNFA scope of practice with training. I've heard of RN's doing botox and I'm not sure that's even in the scope of RN practice. please check your BON.

Yes I will be checking with the BON, but I have a feeling I already know what they are going to say. Thanks to everyone for all the replies.

The doctor specializes in dermatology. He is very specialized and you can tell by his attitude. He comes in from a big city. This is a new clinic that has started up in the last year and this guy is the new addition. I have a friend who is a medical assistant who works there and she likes it. She says that he has been nice, but I am afraid that he is one of those doctors who will turn out to be Jekyl and Hyde. Maybe I am making a mountain out of a mole hill. But I guess with being a new nurse, I want to make sure that I am not violating my scope of practice.

Alarm bells are going off, klaxons are blasting, and sirens are screaming! Take your license firmly in hand and RUN! You worked too hard in nursing school to lose it all for some part-time employer who wants you on the staff to take the fall for any disaster that happens.

Specializes in DD, Geriatrics, Neuro.

Notwithstanding all the other redflags, "Double booking".....RUN and FAST.

Specializes in OR, transplants,GYN oncology.
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