Washington state to make Medical Assistants work under RN license? - page 2

by Psychtrish39

5,299 Views | 26 Comments

Hi all. This is for Washington state RNs in particular and I am sure in coming years other states are going to attempt this in state BONs. The DOH ( which is our BON here in Washington ) has proposed draft rules about... Read More


  1. 3
    This isn't just an error or a confusion, this was planned to get rid of nursing from acute care, and replace it with techs, as well as lessen the medmal burden on MDs. Seems clear. We know hospitals hate nursing, we ruin everything don't we.

    BTW, I've seen a lot of posting of late for a network south of me for office RNs with extensive acute care experience. They say 3 to 5 years minimum, mentioning needing people who can take charge. Acute care nursing has nothing to do with office nursing. This thread makes me wonder if they have a similar motive.
    VICEDRN, Esme12, and BrandonLPN like this.
  2. 2
    You know this is such an important thread that it should be in the general forum as it has such a monumental potential affect on everybody.
    Esme12 and BrandonLPN like this.
  3. 1
    We have MA's that work as nursing assistants at our hospital. They only take vitals, and do general patient care, such as clean-up, baths, etc. They do not give any meds whatsoever! After working with many of them for several years now, I can say I would be very hesitant to have them give meds, esp. IV push meds! Most of them have no idea what the RN is doing, and we have to explain everything to them! World of difference between hospital and doctor's office duties.
    tewdles likes this.
  4. 0
    Hospitals will replace RNs with CNAs and MAs at the expense of the health status of their patients.
    Their CEOs etc may improve their bottom line, but will not improve their patient care...
    Nurses who believe that MA practice being proposed in their facilities is unsafe should communicate that in writing to their administrators and then let them "own" the heat and repercussions.
  5. 0
    No nurse shoul let anyone work "under their license"!
    When I was an LVN I had my own license. it requires that I be clinically supervised by a registered nurse.

    If I liven in Washington I would be working with my stste nurses association or other group to collectively fight this.
    If I read it correctly the letter writing time is NOW.

    I would take paper, pens, stamped envelopes and ger fellow nurses to write a factual letter opposing the law.
  6. 0
    No med tech is ever working off of MY license, I gar-un-TEEE you!
  7. 0
    We were actually just discussing the potential to give a portion of our jobs to techs; #121

    This is the direction our Nursing leadership has been moving for some time so I'm not sure they're really all that opposed to this sort of thing.
  8. 1
    Well, I just hope this nursing leadership realize that raisng the education level for entry to practice (ie phasing out LPNs and ADNs) will result in nurses being pushed away from the bedside.

    I wonder if nurses will become like "consultants" for all the UAP who will be working the floor, doing all the actual bedside care?

    Or are some nurses who actually *want* that to happen? Maybe then they'll feel like they're being seen as the "professionals" by all the doctors and physical therapists. They can say: "See, I got a pager, too. I don't wipe butts or pass pills."
    Last edit by BrandonLPN on Nov 30, '12
    herring_RN likes this.
  9. 1
    I worked as Case Manager who interfaced with primary care offices, the offices that had MAs had poorer patient outcomes, reason is that they did not have the training to teach or advocate for their patients.Use of nurses improves patient outcomes.
    herring_RN likes this.
  10. 3
    Quote from BrandonLPN
    Well, I just hope this nursing leadership realize that raisng the education level for entry to practice (ie phasing out LPNs and ADNs) will result in nurses being pushed away from the bedside.

    I wonder if nurses will become like "consultants" for all the UAP who will be working the floor, doing all the actual bedside care?

    Or are some nurses who actually *want* that to happen? Maybe then they'll feel like they're being seen as the "professionals" by all the doctors and physical therapists. They can say: "See, I got a pager, too. I don't wipe butts or pass pills."
    I can't avoid thinking of e-icu's every time this topic comes up. I think someday Nurses will sit in a little room off-site with video and data feeds of each patient, we'll then put tasks on a list that will come up on a display in the Nursing unit, sort of like what's already used in ER's (or McDonalds). At some point Nurses won't even need to be in the same country as our patients.
    herring_RN, Esme12, and BrandonLPN like this.


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