So why even bother with getting an RN? - page 3

by netglow 13,720 Views | 80 Comments

Saw an ad for urgent care wanting to hire MAs. They want you to be able to provide compassionate nursing care, assessing patients & taking effective action. They also want you to be able to triage critically ill patients and... Read More


  1. 1
    Quote from samadams8
    What state are you working in? No license for te MA to lose...no independent sop. And just b/c you can, it doesn't mean you should...right? Me, I'd set strict limits...base vs, wt, very basic. If you need more, you should have an experienced licensed nurse. Least that's how I'd go...everyone will do whatever I supposed.
    I'd have to agree. I know in my state of licensure, we're not allowed to delegate assessments and patient education, regardless of how willing we might be to accept responsibility for the delegate's actions or how much we trust the delegate.
    GrnTea likes this.
  2. 5
    Quote from duskyjewel

    You know, it's really no wonder this country is going to hell in a handbasket, with thinking like this. The solution to your problem is to sic the government on someone else, to take away their job by regulating it out of existence? Who else's job would you like to use the power of overbearing government to destroy?
    I do not think the PP wants to regulate it out of existence per se, but MAs should be regulated in a scope of practice. All nurses MUST follow one, so why not MAs.
  3. 3
    When I was an MA before I became an RN, I worked at a family practice. Duties there were vital signs, chief complaint, updating medication list.

    Messages were given to the MD to address.

    I did EKGs, phlebotomy, we did minor procedures in the office (mole removals, sutures) so, I assisted the MD. We autoclaved instruments.

    I gave injections, did strep tests, urine dipsticks, urine pregnancy tests. I also had a limited scope X-ray certification.

    Everything done was based on the MD. No autonomy at all.
    SandraCVRN, kalevra, and Fiona59 like this.
  4. 2
    I've looked around and in some states an "assistant" can bark like a dog if asked by an MD as long as the MD takes all complaints for the barking. This is vary dangerous because EVERYBODY KNOWS that doctors are in their own worlds pretty much and are not watching what an assistant much less an RN is doing. But I am 100 percent positive that in many of these practices and in these clinics the MD allows the assistant to refer to self as a nurse to patients or at the very least does not correct the patient "I'm Dr. X's assistant, I am not a nurse", and they themselves often will say "my nurse will...." I've read twitter and blog discussions about this, where MDs say "nobody has specifically told the patient that they would be taken care of by RNs" thus they are not liable.

    In fact, as soon as "nurse" is heard where there is none, they are hugely liable, and that is where you can get them right in the wallet.
    OCNRN63 and GrnTea like this.
  5. 2
    This is frustrating. Our physicians offices hire MAs and are called by everyone who works there NURSES! Is this not illegal especeially in Cali?
    kalevra and SoldierNurse22 like this.
  6. 0
    Earlier doing this semesters clinicals we had to spend a day shadowing MA at a clinic. To every patient they referred to them selves as nurses. I did find this a bit annoying, after all as a nursing student we always use the title student nurse and not just nurse. But afterwords I didn't think much about it. While I know it is illegal in most states, I wonder how often this get reported. Or do most people just brush it off as a no big deal kind of thing.
  7. 0
    Good day:

    This past Monday, I went to an orthopedic to check out my left arm that's been troubling me for the past six to eight weeks.

    After going through the paperwork, I was told "wait for the nurse."

    Since I've an interest in becoming a nurse, when the nurse came for me, I look at her name badge, noted her name... and while she was doing what I would call light assessment (blood pressure, pulse rate along with questions, I asked what type of nurse (there was no designation on her scrubs, so I was not sure of what type)... she replied "medical assistant."

    She graduated from YTI; and when I asked about boards, she did state that she was certified, having taken care of that after graduating.

    Can medical assistants be certified? What type of certification is it?

    From looking at Medical Assistant Program - YTI Career Institute how does their course work differ from an LPN/LVN?

    Why would it be wrong to call a medical assistant a nurse?

    Thank you.

    P.S. I'm not asking the questions to debate; I'm just trying to learn more as I seek my own direction in the medical field.
  8. 4
    pmabraham,

    It's wrong because the term "nurse" is a protected title in many states, and even if it isn't protected, being an MA vs. an RN/LPN is a totally different profession with (what SHOULD be) completely different levels of responsibility. Why, you may ask? I'll elaborate.

    RNs/LPNs must take licensure exams at the state level in order to practice. In order to keep our licenses current, we are required to renew our licenses every 1-2 years (depending on the state) and maintain enough continuing education credits to prove that we are adequately educating ourselves and (hopefully) going to practice safely because of it. We graduate from accredited schools and are held to professional standards both through our nursing association code of ethics as well as state and federal laws. As professionals with licenses, we are responsible legally for what we do and the mistakes we might make at work.

    Comparitively speaking, MAs can be certified through their professional organization, but state-level licensure does not exist. They work under the direct guidance of the physician, who assumes legal responsibility for their actions.
    http://www.aama-ntl.org/CMAToday/arc...?ArticleID=752

    From a legal standpoint, MAs are not nurses because MAs 1) do not meet the same education standards as nurses and 2) do not take the NCLEX, which is the licensing examination for RNs/LPNs.

    Here's a conundrum that many nursing students face. They've passed their RN/LPN coursework and are ready to take the NCLEX. They take it once, twice, three times--failing all three attempts. They have passed their coursework--many of them have an associate's or bachelor's degree in nursing--and yet they aren't registered nurses.

    I hope that helps.
    Last edit by SoldierNurse22 on Apr 12, '13 : Reason: brain things inside my head
    GrnTea, pmabraham, kalevra, and 1 other like this.
  9. 4
    It seems to me nurses abandoned (or were abandoned by) doctors offices/clinics a long time ago. It's medical assistant territory now.

    Pay for nurses in these setting has always generally been well below hospitals/nursing homes, so I don't see it as any great loss.
    andreasmom02, kalevra, LTCNS, and 1 other like this.
  10. 2
    What critically I'll patients will you likely care for at an urgent care center? It sounds to me more like trying to make the job sound more exciting than it is, which ads for MAs ALWAYS do.
    Fiona59 and BrandonLPN like this.


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