precepting GN's

  1. 0 I was wondering if anyone can give their input on the legal ramifications of the licensed RN precepting GN's (graduate nurses). Some facilities now are hiring new grads who either are waiting for their NCLEX results or are in-between taking their NCLEX exams(they have failed the first time and r re-taking the exam). I have been asked by my director if I would orient GN's but have refused for fear of my license being at risk? Am i wrong in this? I too have been a baby nurse (many moons ago) but when i was training I was already a licensed RN bring oriented by another RN. Thanks for any advice.
  2. Visit  newwavegirl89 profile page

    About newwavegirl89

    From 'TX'; Joined Sep '10; Posts: 13; Likes: 9.

    16 Comments so far...

  3. Visit  lilypad2424 profile page
    0
    Totally legal. I just graduated. As soon as the board gets the pprwrk from the school, you can work as a "GN." However, I'm not sure how it works if you fail the NCLEX.
  4. Visit  klone profile page
    3
    They're not working under your license.
    linz07, Crux1024, and Sun0408 like this.
  5. Visit  R!XTER profile page
    0
    Don't know about the legalities, but as a GN I just gotta say, Please be nice to him/her!!! It is so so intimidating coming into a situation where everyone is experienced, and everyone knows each other and you are the new one. Please don't forget what it was like to be a new nurse yourself! :redpinkhe
  6. Visit  LouisVRN profile page
    3
    As a graduate nurse in our facility they work as "externs" and can not give medications, they basically act as an aide. I would suggest discussing this with the nurse educator.
    VivaRN, BluegrassRN, and GM2RN like this.
  7. Visit  GM2RN profile page
    0
    I have precepted GNs a few times, but NEVER have I let them push IV meds until they are licensed and can pull them from the pyxis and chart it under their own ID. I also double check everything that I think is necessary to ensure that the patient is safe. Some are given more autonomy than others as they earn my trust.
  8. Visit  back2bRN profile page
    0
    Depends on where you are from. In Alberta,Canada GN's are responsible for their own pt care. There are some limitations placed on them, but as said earlier, it really depends on your province/state. Ask your registration body.
  9. Visit  highlandlass1592 profile page
    0
    You need to get with the BON for your state. How people can practice once they've graduated before they are licenses is entirely up to the BON. In our state, there is no such thing as a GN. If you work with someone who is functioning in the GN "role", they are not licensed and YOU are responsible for the care they deliver. The rules of what they can and can't do are usually spelled out quite specifically. Pay attention to those rules. There is no reason you can't have a good experience precepting them, it can be very rewarding for both them and you. Just know where the boundaries are and stand up for them.

    Our unit got flooded with new grads a few years ago. One of our members of management were going to let them take patients on their own, before they were licensed since they were "GN's". I was all over this...no way was I going to allow that to take place. I cited the section in our Public Health Code (where our nursing practice laws are listed) and provided documentation that this was not allowed to take place. This member of management stated "well, the union has provisions for how GN's can work"...I had to remind her that provision hadn't been updated since GN's were phased out. The either changed the schedule or I was calling the state BON and CMS and filing complaints. It was amazing how fast legal got involved and the management team backed off and changed things. Stand up for what's right.
  10. Visit  LoveMyBugs profile page
    1
    Wait................where are you at?

    There is a place that is hiring new grads!!!!!!!!!
    MsbossyRN likes this.
  11. Visit  Fribblet profile page
    0
    I've never understood why some states allow people to practice as nurses before they have been licensed. It just doesn't make sense to me.
  12. Visit  Amy10BSN profile page
    1
    Hi ! i am was a new grad, passed boards in june! I work in PA, if you are practicing as a GN in PA you have your own temporary grad nurse practice permit that is what holds you liable. The hospital should not let GN's begin unless they have that. I worked as a GN with my practice permit and did everything because i was under my own name and liable for myself this way. ((NY does this also, that is where I went to school))

    Hope this helps
    Crux1024 likes this.
  13. Visit  diligent-trooper profile page
    0
    Quote from lilypad2424
    Totally legal. I just graduated. As soon as the board gets the pprwrk from the school, you can work as a "GN." However, I'm not sure how it works if you fail the NCLEX.
    How can it be legal? How is one to judge the GN is competent if they have not taken the NCLEX? It would be the same as if they had failed it from my perspective.
  14. Visit  diligent-trooper profile page
    0
    Quote from Fribblet
    I've never understood why some states allow people to practice as nurses before they have been licensed. It just doesn't make sense to me.
    I totally agree...and, why would a hospital wish to hire an individual who hasn't demonstrated the minimum competency for providing patient care? What do they do with these individuals if they fail the NCLEX?


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