LPN's work under their own license, and in many states can't push IV meds! But a MA can do in an MD's office a great deal more, and usually under the direction of the MD. This guideline would now take responsibility off of a doctor, and put it onto the RN. Which has delegation as part of their scope. (but appropriate delegation--and this is by no means appropriate). This is crazy. I am curious about this--Who clinically teaches MA's to push meds? (and why would one push IV meds in an MD office???) Never the less, I don't think I would want to work in an MD's office that allows this. It is too much responsibility on an RN to delegate (and be responsible for) what she could do herself safely for a patient. As an LPN, if I am responsible for asssessing, giving med, and re-assessing, then I want to be sure it is all correct. And it is not within my scope to push meds. Sounds like the MD's can have a little less malpractice insurance
, however, the RN's are going to need a great deal more. And the RN would need the support of the MD to say to the MA's "when I am on, the ONLY thing I want the MA's to do it xyz. There will be no pushing of meds. Although you may have the credentials, I am responsible."
As an aside, it is also within an LPN's scope to delegate. Interesting if the LPN's scope in Washington State does not include pushing meds, but the MA's scope is in an MD's office. An LPN can be IV certified, but still scopes are such that IV pushes are not part of it in many states (and I KNOW that in other states, LPN's can and do push meds, but not in a number of them).
All in all sounds like they are putting this on the RN's and leaving the LPN's out of it, as part of scopes and licenses--delegate to the UAP....fingers crossed they get it correct. Not.