Nurse Impersonators - page 18

:( Am I the only one who resents the "nurse impersonators" who abound in the health care field? Everyone who works at a doctor's office or in a hospital wears scrubs and seems to pass... Read More

  1. by   RNPD
    Emaas-to answer one of your questions-YES I CAN DO IT ALL WITHOUT ANY HELP FROM A CNA, CMA, EMT or anyone else other than an MD. In nursing school, I learned to do everything a CNA et al does and more. I don't need anyone to feed my patients, bathe them, or toilet them. I can do phlebotomy and EKGs. I can do all that and STILL do my nursing work IF-and it's a big IF-if I have only a manageable amount of patients. It is called primary nursing, the best nursing model there is and I did it for years. Of course it is very expensive because to succeed the primary nurse can't be responsible for more than 3 or 4 patients. So for example, the hospitals needed 9 or 10 RNs at a nurse's salary to take care of 30 patients. So they came up with a NEW model, called patient focused care. Now they hired the same amount of people, but HALF of them are CNAs who are paid HALF what an RN is paid. They do the unskilled work, we do the skilled-and it is a hell of a lot more than "filling out a care report and being a highly paid secretary." It is the hospitals that FORCED us to become the nurses we are today-we don't think we're too good to do all patient care, we're just too expensive! Maybe if you make it through nursing school you'll learn all this and understand what a nurse really is and that the only people who are entitled to the title "nurse" are those who are licensed as LPNs and RNs.

    Why does it always have to be about US vs THEM, whenever they don't get it? Why don't they get over themselves and understand that we aren't knocking anyone's worth, simply because we don't want to see others steal a title that WE worked hard for?
    Last edit by RNPD on Feb 18, '02
  2. by   mattsmom81
    So true RNPD. It's all about money and really when you get down to the nuts and bolts, that's the only reason all these techs, CNA's, MA's, EMT's etc. are there is because they are more cost effective ie cheaper. The biggest problem I see as a professional who knows why I do the things I do and am legally accountable: I DON'T WANT TO BE RESPONSIBLE FOR THESE CHEAPER REPLACEMENTS OF NURSES! I feel I have enough liability on my own just protecting my own license these days! Which is why I stay in ICU. Even in ER the nurses are now responsible for EMT's and PCA's, (which is why I don't do ER anymore...LOL!) This problem is only going to get worse, and each nurse has to decide how much is too much for her/him to take on. I don't trust hospitals--they turf everything they can to the nurse's shoulders in my experience, therefore I do not feel I can be responsible for others health care workers...sorry if this sounds callous, guys, but there's 25 years of nursing behind these thoughts and feelings of mine...and if you're trusting your facility to stand behind you if one of these UAP's screws up, well, what can I say? Am I negative?? Maybe, but definitely realistic.. so be careful out there.
  3. by   RNIAM
    mattsmom has hit upon a real idea here. Who is putting up with all of these imposters? Nurses. How can it be fixed? Refuse to cover any unqualified personel on your licence. Simple? Of course not, this may mean job loss or reprimand. It goes against the good nurse ideal.Until Nusres take the fight into their own hands this will continue. I am going to become a nurse. I will refuse to work for anyone who wants my licence to cover anyone but me. Maybe that will limit me to a few select jobs but this is a chance I will take.
  4. by   EXOTIC NURSE
    Cost Effectiveness

    This is the excuse that is being used for why the hospitals are employing unlicensed or unskilled personel to do certain duties. Primary care is the BEST nursing but as mentioned before it is not cost effective, although the patients benefit from it very well. We have team nursing at our facility and it sucks so to speak because the patient is confused ........they have a CNA, a RN/LPN passing the meds and a RN who will call the doctors and listen to their complaints. No one at my job wants to be more than what we are hired for ....it is too much responsibility to deal with especially with the fact we have 15 to 20 some odd patients because they feel we have 3 staff memebers to a patient they can pile them on........(what a crock!!!!!) One day I hope to see the Nursing field change and I am thinking that the only way the Nursing field will change is when there is only one entrance into the nursing field and that is BSN it might not help the shortage to much and it may demand more pay but who knows.......We need a lot of help here as Nurses to expand because the future of our patients depend upon it.
  5. by   maikranz
    [i]Originally posted by mattsmom81
    "...Some areas now 'registering' their MA's. So they're RMA's. Sounds a little close to RN doesn't it? Money, control and the medical model vs the nursing model. <sigh> But what to do?? "

    Great thread guys! [/B]

    Actually, the "RMA" is the certification granted to graduates of
    medical assistant programs accredited by ABHES (Accrediting Bureau of Health Education Schools) who have successfully passed the certification exam. These programs are not numerous and found primarily in the Midwestern states.
  6. by   EMaas
    I'm sorry if my past posts have seemed rude, and they have, however, I feel like I need to stick up for myself and what I do for a living. I completely understand the entire nurse impersonater issue, as I am commonly mistaken for an RN and am always correcting people, no matter if I have my name tag on or not. It clearly says, CMA,EMT and I am still called, referred to and mistaken as a nurse. In our facility there are a few MA's that have had no formal training or medical degree at all and they are working in clinical medicine and are titled Medical Assistant. To me, this is both scary and insulting as I worked hard to earn my associates degree, pass two certification tests and keep current. As well, I'm often helping fix mistakes made by these people who don't always know what they are doing. So, yes, I get it. I know where you are all coming from.

    However, I do feel that many of the comments about CMA's made above are spiteful and insulting, and I have to question how these "bad" MA's are even still working. I don't think that any CLINICAL MA who graduated from an acfredited school, and [assed her certification exam could not know how to put on a BP cuff, or know to get a bleeding individual from the waiting room. That's either severly bad judegemnt or perception...I'm not sure which. All I know is that I work with very competent, qualified and caring CMA's, who don't impersonate nurses and who do provide great patient care. I also know that CMA's and RN's have completely different roles in healthcare, but that we can both provide excellent care and patient support in our own rights.

    And to whoever comment that "IF" I make it through nursing school, maybe I'll get it...I can assure you, I WILL get through nursing school, at the top of my class, and be proud of it. I do get it. I just don't like being bashed because I'm a CMA. I'm sure if The BSN's starting cutting down the ADN's, the ADN's would stick up for themselves too.

    Happy nursing.
  7. by   fergus51
    Emaas, no one is bashing you. You are not what is being described as a nurse impersonator, so please don't feel bashed! And, yes, the whole ADN vs. BSN thing has p[layed out way too many times on this board! I hope you enjoy nursing school.
  8. by   P_RN
    You will do well emass. Stick around and let us know how it goes.

    PS I have beaucoups of letters after my name, but I'm still just P the RN.
  9. by   Q.
    EMass-

    It's nice to see your post clarified and I'm sure you will do well in school. I was actually happy to see your frustration with other Medical Assistants or whomever who steal your certification by misleading others as well. Then you can appreciate what nurses go through on a daily basis, especially in a clinic setting. You can also see the dangers that this poses to the public, and to the nursing profession which is struggling to stay alive.

    I realize you feel the need to defend yourself, but please, try to understand that the post was not about you or about BASHING CMA's. I think you may have been a bit defensive because of incompetence that was discussed - granted, these are generalizations, but you would be amazed at the widespread impersonation that goes on. Take a look around you. This is a very, very, VERY important nursing issue and I want to reiterate that our frustrations WILL come out - and they are generalizations but sometimes, nurses need to vent too.
  10. by   mamabear
    Boy, does that gall me! I work psych, so it's a little different. ALL the male nurses are initially addressed as "doctor" by the patients and anybody else relatively new to the unit, and all females, be they lab techs, dietary, housekeeping, radiology or psych techs, are addressed as "nurse". You can imagine how this went over when we recently added a female shrink to the staff.
  11. by   SKM-NURSIEPOOH
    How about this one:
    I have a nephew whose mother and aunt are CNAs by profession. He seems to believe that they both are nurses; I'm not sure if they told him that or if he thinks it due to their uniforms. My nephew made this remark to me about five years ago, right after I graduated from LPN school. he was only six at the time. My question is: should I have set him straight about his mother & her sister? Or should I've just did what I done which was just to bite my tongue and let them correct him? He's twelve now: do you think I should ask him if he understands their profession or should I just leave it alone?
  12. by   pebbles
    Originally posted by SKM-NURSIEPOOH
    How about this one:
    I have a nephew whose mother and aunt are CNAs by profession. He seems to believe that they both are nurses; I'm not sure if they told him that or if he thinks it due to their uniforms. My nephew made this remark to me about five years ago, right after I graduated from LPN school. he was only six at the time. My question is: should I have set him straight about his mother & her sister? Or should I've just did what I done which was just to bite my tongue and let them correct him? He's twelve now: do you think I should ask him if he understands their profession or should I just leave it alone?
    If you can do it in such a way that you do not denigrate what his mother and aunt do, then by all means, educate him to the reality.... There are real reasons that assitants try to pass themselves off as nurses (pride, wanting respect, etc). You'll end up with some pretty bruised feelings if you aren't tactful. I'd be peeved if you said something about my mum that I perceived as disrespectul, true or not!

    I think part of the reason assistants may be tempted to SAY that they are nurses is because the work thay do and the role they DO occupy isn't given any respect. I felt bad for the unit assistants when I was in university, because my instructors would devalue wahtever they told me, saying "oh, she's just an aide". Not having education and background knowlege doesn't make you "just" anything.

    That doesn't justify people who actively try to pass themselves off as nurses whaen they aren't, or management practices that are deceptive. Just a comment on inter-professional work relations.
  13. by   SKM-NURSIEPOOH
    Hi Pebbles,

    The love that I have for my nephew is the main reason why I didn't set the record straight. I, in no way, would want to burst any bubbles nor would I want to embarrass his mother & aunt. So why should I care what he thinks; maybe it's a ego thing on my part. It's easy to blast the nurse impersonators on this post but perhaps people put them into their current situation. I know there are some who do it on purpose, but at the same time, there are those who are terribly embarrassed because people don't take what they do seriously or being valuable or important. Everyone wants to be that super hero for their kids.
    Last edit by SKM-NURSIEPOOH on Feb 21, '02

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