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fired for refusing to practice out of my scope



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No. 10
Old Jun 29, 2009, 05:15 PM

Default Re: fired for refusing to practice out of my scope
I have learned that our employers only have their best interests at heart and in those cases, they'll get anyone to do what they want. I just got through a situation where a nurse with a private agency wanted me to travel to a different state to administer vaccinations. I knew that we can't practice in other areas unless they are cluster states that allow this. I asked her about this, she avoided the answer, so, I said 'no', did some investigation on my own by contacting the BON and discovered that she was wrong.

I suspect that the BON would only get involved if you actually did continue to do what this man asked of you. I am not proficient in law, or the medical boards, but I suspect that you would have to report him for not doing his own job by cutting the polyps himself. Lazy bum...you don't need to work for him, anyhow.
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No. 11
from ANPFNPGNP
Old Jul 15, 2009, 11:28 AM

Default Re: fired for refusing to practice out of my scope
Originally Posted by caliotter3 View Post
While you are at it, you might want to contact the state Medical Board and report the doctor to them. You have the right as a member of the public to report unethical behavior to the Board
In some states, such as Texas, it is mandatory to report a health care provider who is practicing unethically or illegally. The way some nursing boards look at it, if you know about it and don't do anything about it, you're just as guilty as the person who was doing it! I totally agree with that. We're supposed to be patient advocates, not turn our heads the other way b/c we don't want to get involved.

Report the doctor to the Board of Medicine and report that nurse to the Board of Nursing.
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No. 12
from eforest
Old Aug 12, 2009, 07:17 PM

Default Re: fired for refusing to practice out of my scope
As a medical student, the first time I had a nurse tell me that she "couldn't do such and such" because it was out of her scope (well not in those exact words, but the same idea) I was frustrated and didn't understand. Then I learned that even though a nurse, other staff member, might be ABLE to do something, and even willing to do so, it is in fact basically ILLEGAL to carry out certain duties (ie pushing certain drugs on a particular floor, etc). I think that sometimes there is conflict because those on the doctor side don't really know or understand that when they pressure a nurse to do something and she or he refuses on the grounds that whatever is being asked is out of the scope of practice/not permitted on certain floors/ that the doctor cannot override the law. THey don't understand that certain regulations cannot be overridden, and if they are, it is the nurse's a**. It is entirely inappropriate for the OP to be fired for standing his/her ground! I am sure those that are pressuring you into going outside your scope, would sell you up the river in a sec if something went wrong. I am sorry that this happened to you! You were just being honses
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