Nurse tech working as RN - page 4

So at my facility, a short-term rehabilitation center with a few long-term care patients, nurse techs can cover RN shifts, only if the shift is a NOC shift. Is this legal? Just want to make sure this... Read More

  1. by   ChrissyCasualty
    The ONLY time you can use the title of "nurse" is if you have a nursing license. Whether it is Registered Nurse, Graduate Nurse, Licensed Practical/Vocational Nurse, or Graduate Practical/Vocational Nurse....they all have licenses. The graduate nurses must be supervised by an RN. If you are doing nurse duties without a license you are at risk for losing your license before you even get it. Your facility has some explaining to do.
  2. by   ChrissyCasualty
    Quote from esrun77
    One last question though--if there is one RN plus me in the facility, can I complete RN duties under her guidance? I am certified with medications, as well as certified as a CNA.
    Unless you have a Graduate Nurse temp license then no, you cannot do any RN duties. Even a GN needs to be supervised by an RN. I don't know how it works where you are but in Texas you do not get your GN or GVN until you recieve your authorization to test for thr NCLEX. If a person fails the NCLEX, they lose that temp license and cannot practice until they pass it.
  3. by   Koshea61
    Some facilities hire medication aides who pass medications after being trained. Sunrise as st living does it. There is a RN in charge too. I don't agree with this practice as an RN but... in schools non nurses can be trained to give med as well.
  4. by   SmilingBluEyes
    Two words: Get out.
  5. by   Rose_Queen
    Quote from ChrissyCasualty
    The ONLY time you can use the title of "nurse" is if you have a nursing license. Whether it is Registered Nurse, Graduate Nurse, Licensed Practical/Vocational Nurse, or Graduate Practical/Vocational Nurse....they all have licenses. The graduate nurses must be supervised by an RN. If you are doing nurse duties without a license you are at risk for losing your license before you even get it. Your facility has some explaining to do.
    Well, no, not all of those have licenses. Graduate nurses (GN or GPN) do not have licenses; they simply haven't taken NCLEX yet and may have applied for a temporary practice permit if offered.
  6. by   lpnsrock01
    I don't get this.... if she is a student in nursing school she should already know she can't do RN duties until she is done with school and licensed. Is her school teaching ethics at all? I would run as fast as you can from this employer because trust me you will be thrown under the bus when something goes wrong, not to mention working outside your scope of practice can set you up for legal issues. One more tip... give the whole story up front, not just snippets. You will get a better informed answer that way. I would like add that you are working as a CNA or Med Tech.... nurse tech? That could be very confusing to family as they might think you are a licensed nurse and you are not.
    Last edit by lpnsrock01 on Jul 30 : Reason: wanted to add to the comment
  7. by   RN3909
    You can not complete RN duties without an RN license. The only duties you can perform are that of a cna. I wouldn't pass meds either as the state has really done away with those certifications.
  8. by   livelovelaugh22
    I hope by this point that you have either...
    A) put your foot down and insisted that you will only operate within your scope
    B) are searching for alternate employment
    C) quit
    D) A&B
    E) All of the above
  9. by   Nurse2865
    I think there is some confusion. Are you working as an Intern or a CNA/GNA? You can not mix the two. If Intern, there are certain guidelines where you can perform RN duties, under an RN preceptor direct supervision, otherwise, there is something sketchy about the place you are working and you should get out before you lose any chance of holding an RN license. Make some calls to your states licensimg board to clarify!
  10. by   Karafair
    Um....no it is not legal for techs to administer medicine, assessments or taking orders from doctors.
  11. by   Rose_Queen
    Quote from Karafair
    Um....no it is not legal for techs to administer medicine, assessments or taking orders from doctors.
    There are states where non-licensed personnel are permitted to pass meds if they have completed training.
  12. by   cdsavannah59
    I'm shocked actually and I'm not a nurse lol. I'm a PCT who has known a few Nurse Tech's that didn't pass the first or maybe second try at NCLEX, but those few Nurse Techs did eventually pass the exam. I would think it's a totally illegal practice to hire a Nurse Tech to cover a RN position. It seems your facility hasn't taken into account any future court case that may arise from a patient, your name is attached to documentation and it could eventually cost you your license.
  13. by   highlandlass1592
    What I haven't seen anyone do is direct you to your board of nursing: THEY ultimately regulate what you can and can't do. Get a job description from your employer, detailing exactly what your responsibilities are then contact the BON with your question.

    As a tech, you will never complete RN duties, as you call them. You can however complete tasks delegated to you by the RN

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