Quote from algebra_demystified
I see it as a good thing. The role of the RN will continue to evolve, and I think it will be upwards. Less paper-chasing, more assessment. I say let the marketplace decide. Would you rather have RNs take your blood pressure, or would you rather have them treat patients for HTN?
I think this is a mistake. Personally I do not think taking a blood pressure is beneath the nurses role and there is important information that can be obtained LISTENING to the B/P. Just like listening to the Apical pulse isn't just for a number...in the presence of an acute MI the development of a rub/gallop/murmur is indicative of a worsening of the patients condition and/or an extension of the MI.
The addition of non-licensed personnel will NOT bring about the disappearance of any paperwork...it will only entail more paper work for one nurse to document the conditions of 30 acute care patients who is "cared for" by the 5 MA's......The MA's will replace the RN at the bedside. Do anyone really think that they will just add these people to the schedule and not get rid of the more expensive personnel? There won't be more assessment...you will be further for the patients and yet still bear the responsibility of the MA's actions. Trust me I came from a time that team leading was in nursing...it wasn't a picnic. I went to critical care because I got tired of charting on people I never laid eyes on.
This makes me angry....when did we as nurses begin to believe we were too good to be nurses? everyday I see the dumbing down of the bedside nurses responsibility all in preparation of these non licensed personnel to "take over the bedside" while the RN get relegated to the desk...Acute care will be run like LTC with one licensed person responsible for all the non licensed personnel at the bedside.
It is about saving money.....I think it is an effort to get rid of the red ink and decrease their budgets by getting rid of what they feel is an unnecessary expense.....qualified nurses at the bedside is an unnecessary expense. The largest non revenue generating expense of the hospital are the nurses salaries....ask any CEO. If they can cut that in half...they are all for that. It won't matter to them the quality of care......for YOU, the NURSE, WILL STILL be held accountable.
I want a nurse to take my B/P for maybe she can pick up on a subtlety that she can act on that the CNA/MA missed and save/improve my life. As a nurse I m not giving a B/P med without taking it myself unless I trust that person implicitly.
With all this push for more education and advance degrees....nurses are educating themselves out of the bedside...out of a job. It makes me sad to watch this...somewhere along the line we lost who we re. Bedside nursing became something to escape from and something people decided they were too educated for....and wanted to move on to a real nursing job.
This is NOT GOOD and I hope I am wrong....