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Nevada Stops "Medical Assistants" from Giving Injections



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No. 10
Old Oct 08, 2009, 07:30 PM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by Lacie
My mother's MD office has MA's and it upsets me when seeking advice the put her to the "Nurse" and gets advice very quickly. She is set up for an epidural for pain management and was checking in relation to her "aspirin". The MA who states she is the MD's nurse told her to take her aspirin. If offices are going to tell pt's someone is thier nurse then have a nurse. Futhermore she recieved her flu immunization of which the "nurse" acutally an MA give it in the posterior aspect of her upper arm resulting in a sq now very swollen, eccymotic and painful! Nothing against MA's but tell pt's they are MA's.
This is exactly the problem!!

While I do have a problem with MA's giving medical advice and calling themselves nurses, you can't generalize that every MA who will give an injection is going to do so incorrectly.
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No. 11
from madnurse2b
Old Oct 08, 2009, 07:49 PM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by FairyCari View Post
IF I am going to get an injection, I want a NURSE. I had an MA give me an injection once, and lemme tell you, I can tell the difference..
My butt you can tell the difference! I am in nursing school and I had to do more injections on each other for my cert for my MA certification than I have had to do for my ADN - and I am in a highly regarded program locally. An IM is an IM - if you are trained and you know what you are doing technique is technique. As far as what needs to be monitored afterward, I was a VERY well trained MA and I always monitored for reactions to new medications. I have had an RN tell me that an IV was not infiltrated when it was, I have had an RN tell me that ranitidine was for my family member's allergies not his GERD problems (and yes I know it can be given, but at least I knew what he ACTUALLY took it for)...the list goes on and on. There are great MA's and great Nurses - and if you think that we would be able to get RN's and LPN's for every doctors office in this state (Nevada) let alone every one in the country you are sorely mistaken! We don't have enough for all of the critical needs RN positions for goshsakes. Let people have their jobs, RN is different from LPN is different from a CNA is different from an MA and all have their value.
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No. 12
from nyforlove
Old Oct 09, 2009, 08:31 AM
Updated Oct 09, 2009 at 12:19 PM by nyforlove

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by madnurse2b View Post
My butt you can tell the difference! I am in nursing school and I had to do more injections on each other for my cert for my MA certification than I have had to do for my ADN - and I am in a highly regarded program locally. An IM is an IM - if you are trained and you know what you are doing technique is technique. As far as what needs to be monitored afterward, I was a VERY well trained MA and I always monitored for reactions to new medications. I have had an RN tell me that an IV was not infiltrated when it was, I have had an RN tell me that ranitidine was for my family member's allergies not his GERD problems (and yes I know it can be given, but at least I knew what he ACTUALLY took it for)...the list goes on and on. There are great MA's and great Nurses - and if you think that we would be able to get RN's and LPN's for every doctors office in this state (Nevada) let alone every one in the country you are sorely mistaken! We don't have enough for all of the critical needs RN positions for goshsakes. Let people have their jobs, RN is different from LPN is different from a CNA is different from an MA and all have their value.
Dear "MadNurse2b,"

Read the thread carefully--in states where MAs have no legal authorization to administer injections, they do NOT have the training, experience, certification YOU apparently received as a certified/licensed MA (which apparently exists in Calif.?). [In which state were you a licensed MA?]
In almost all states--I am learning--MAs are prohibited from administering injections and, based on what I have discovered via allnurses.com, there are very good reasons for this precaution. (Did you see my "NON-News" thread in which an MA tried to use an 18-gauge needle on me? Here it is: http://allnurses.com/general-nursing...ng-429114.html) I am NOT disputing that MAs have value; rather, I am contending that MDs must respect their State Nurse Practice Act when it states that ONLY RNs/LPNs may administer injections, just like MDs are the first to complain when Nurse Practitioners seek any increase in their own scope of authority.
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No. 13
Old Oct 09, 2009, 09:17 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
In my state (Florida), MAs are not regulated by the Board of Nursing, so the Nurse Practice Act does not apply to them. Our NPA defines the scope of practice for CNAs, LPNs, RNs, etc - i.e., providers regulated by the Board of Nursing. If a MA is hired by a physician's office and said physician wants the MA to give injections, then the MA will be trained to do so, if, for whatever reason, they were not trained in their program.
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No. 14
from nyforlove
Old Oct 09, 2009, 09:54 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by Boog'sGirl724 View Post
In my state (Florida), MAs are not regulated by the Board of Nursing, so the Nurse Practice Act does not apply to them. Our NPA defines the scope of practice for CNAs, LPNs, RNs, etc - i.e., providers regulated by the Board of Nursing. If a MA is hired by a physician's office and said physician wants the MA to give injections, then the MA will be trained to do so, if, for whatever reason, they were not trained in their program.
Boog'sGirl724,

Thanks for the info. re: Florida.
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No. 15
from nursesail
Old Oct 09, 2009, 10:31 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Hmmm! That may be good for us as nurses. Get back something that should belong to us anyway.
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No. 16
from Cherybaby
Old Oct 09, 2009, 11:21 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by nursesail View Post
Hmmm! That may be good for us as nurses. Get back something that should belong to us anyway.
Forgive me for saying so...but what are we really "getting back"? The right to give an injection? That's not exactly rocket science. And, an MA giving an injection is certainly not going to push me out of a job, so what's the harm? Nurses have their place in the medical community. MA's don't endanger that in the least!

Long before I became a nurse, I used to give my father in law his insulin injections. Anyone can give an injection. It's really not that much of a skilled process. The part that does take some skill is knowing what gauge needle to use, how to draw up the medication and where on the body an injection should go. When I was an MA prior to becoming a nurse, I gave injections of kenalog, lidocaine for surgery prep, flu shots, blood draws, etc. all under the guidance of the MD who taught me how to do so. I got to "practice" on living and breathing patients and based on their feedback, I was able to improve my technique.

I don't think that my "skill" at giving injections has suddenly become that much greater ever since I got a few initials after my last name. I gave good injections then. I give good injections now.

MA's are a very valuable resource in physicians offices. I don't think that they get the respect that they deserve from the nursing community and are treated shoddily...usually by insecure nurses.
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No. 17
from nyforlove
Old Oct 09, 2009, 11:47 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by Cherybaby View Post
Forgive me for saying so...but what are we really "getting back"? The right to give an injection? That's not exactly rocket science. And, an MA giving an injection is certainly not going to push me out of a job, so what's the harm? Nurses have their place in the medical community. MA's don't endanger that in the least!

Long before I became a nurse, I used to give my father in law his insulin injections. Anyone can give an injection. It's really not that much of a skilled process. The part that does take some skill is knowing what gauge needle to use, how to draw up the medication and where on the body an injection should go. When I was an MA prior to becoming a nurse, I gave injections of kenalog, lidocaine for surgery prep, flu shots, blood draws, etc. all under the guidance of the MD who taught me how to do so. I got to "practice" on living and breathing patients and based on their feedback, I was able to improve my technique.

I don't think that my "skill" at giving injections has suddenly become that much greater ever since I got a few initials after my last name. I gave good injections then. I give good injections now.

MA's are a very valuable resource in physicians offices. I don't think that they get the respect that they deserve from the nursing community and are treated shoddily...usually by insecure nurses.
Dear Cherybaby,
If you've read these threads thoroughly, you will note that, e.g., family members legally can be trained to give specified injections to a specified person BECAUSE THEY ARE not charging for the service nor providing services to the public generally. It seems in your case when you were an MA, you were educated/trained/licensed to do so (Which state did you work in?); however, these threads deal with flagrant violations of the law by MDs Offices in many states where the MA has NO education NOR legal right to provide injections. As you detail in your post, it's "not that much of a skilled process," but there are enough subtleties to it that have made numerous state legislatures restrict it to, e.g., MDs, RNs, LPNs, Dentists, EMTs...When I see MAs in such states trying to use 18-gauge needles for injections, I realize: (i) the law as it exists needs to be enforced; and/or (ii) the MD and RN/LPN communities need to determine who else the State should permit to administer injections---and, if anyone, what education/training/certification/licensure that person must receive.
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No. 18
from Cherybaby
Old Oct 09, 2009, 12:03 PM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by nyforlove View Post
Dear Cherybaby,
If you've read these threads thoroughly, you will note that, e.g., family members legally can be trained to give specified injections to a specified person BECAUSE THEY ARE not charging for the service nor providing services to the public generally. It seems in your case when you were an MA, you were educated/trained/licensed to do so (Which state did you work in?); however, these threads deal with flagrant violations of the law by MDs Offices in many states where the MA has NO education NOR legal right to provide injections. As you detail in your post, it's "not that much of a skilled process," but there are enough subtleties to it that have made numerous state legislatures restrict it to, e.g., MDs, RNs, LPNs, Dentists, EMTs...When I see MAs in such states trying to use 18-gauge needles for injections, I realize: (i) the law as it exists needs to be enforced; and/or (ii) the MD and RN/LPN communities need to determine who else the State should permit to administer injections---and, if anyone, what education/training/certification/licensure that person must receive.
I was not addressing the legalities of the issue. I work in the state of Florida as a Nursing Paralegal (part time) and I am well aware of what the issues are. What I was addressing was this need for nurses to get so possessive about what skill set belongs to them. There are a lot of nurses that feel threatened by CMA's as they are taking away what is "ours". I read the threads quite thoroughly. It was the poster that made that statement that I was directly replying to. That is why I quoted their post in mine.
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No. 19
Old Oct 09, 2009, 12:16 PM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
NYforlove.
I find it interesting that you are fighting to preserve "NURSE-ONLY" functions when you yourself are not yet a nurse. Your status says nursing student. It might seem, at your current status, that giving an injection is a big deal and should be reserved for nurses and labeled as such, but giving injections in comparison to all the other things nurses do is pale. Maybe it is hard for me to understand where you are coming from since I am in a state that highly regulates the medical assistants in it's state. Maybe because I know that giving and injection is a function that does not require critial thinking that a nurse is trained for. Injections can be taught to some one in an afternoon. In nursing school we only spent one lab day going over injections. In medical assisting school I had to do so many injections on a dummy and then had to be checked off for so many injections on live people to get my certification; that was more than what I got in nursing school. Really, to get up in arms over preserving a "NURSE-ONLY" function like giving an injection seems belittling, I don't want to be thought as some one with a needle; I earned my degree and pride myself as a nurse because of my critical thinking skills...yes something a MA is not trained to do, but not really something needed to give a basic injection.
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