Unlisenced assistive personell replacing nurse positions - page 5

hello all! i am currently an lpn/lvn student. i went to college for my associates degree in medical assisting. here is the problem, while in school for my ma we were told time after time that ma's are the equivalent of an... Read More

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    Quote from ObtundedRN
    From my understanding, MA's are taught how to run the MD's office and how to do some clinical skills. As previous posters have mentioned, MA's do billing and scheduling, etc. That isn't covered in nursing school.

    However, I think there should be RNs in the office for patient education. An MA can't do that, and the MD isn't going to (sometimes I wonder if they even know what to teach the patient). My previous MD didn't have a nurse, so there wasn't any patient education beyond "take this 3 times a day." I now go to an MD that has an MA, LPN, and RN.

    And from my understanding, specialty offices use more nurses for that patient education.
    You took the words right out of my mouth. Ive seen MAs do "office work," billing, scheduling appointments, and organizing files." I think this is appropriate. Usually the offices Ive been in have nurses on duty as well (LPNs and RNs). Having a MA at the desk is great and cost effective, why hire a nurse to do this job? Usually when Ive gone to the back, the nurses are weighing patients, teaching, and giving injections. This is a good set up for MD offices. I do think that some of the things the OP said could be taken the wrong way, please also note that there are arguments an RN can make in relation to an LPN - whats the point? We are all on this medical team, we can work together. Im sorry, I know my grammar is far from perfect, but you keep talking about education and licensed personal and both of those words are misspelled
    Not_A_Hat_Person and herring_RN like this.

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    MAs cannot apply the nursing process to the patients who visit the office. They cannot determine what patients require and what they don't. They are dependent upon the MD for all guidance in teaching and prep.

    We take RNs out of the PCP setting and then we wonder why our health behaviors and outcomes suffer across the nation. For many people, the only time they interact with an RN is in the acute care or rehab setting.
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    Quote from italia23
    2 lillymom-

    a nurse is supposed to know if they suspect a pulmonary embolism they need to get the pt positioned in trendelenburg stat.
    just to clarify- if the patient has a pulmonary embolism (blood clot that has lodged in the pulmonary circulation), you want to put them in fowlers and apply o2. the trendelenburg+left side is for an air embolus, like you'd see with a central line, to prevent it from reaching the brain and causing the patient to have a stroke. daytonite explains it well here- http://allnurses.com/nursing-student...ml#post2282190.


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