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Nevada Stops "Medical Assistants" from Giving Injections



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No. 60
Old Oct 15, 2009, 09:26 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Many years ago I was a Medical Assistant and can assure you that they are everywhere in Texas....As a matter of fact I cant tell you the last time I seen a RN or LVN in any of the MD offices I go to.....



Originally Posted by belgarion View Post
In Texas I've never even seen or heard of an MA in any doctor's office I've been to. We have CNAs working in hospitals and long term care. There is also a Certified Medication Aide. That position has been around forever. My wife was one back in the seventies. They work in LTC and pass PO meds and do some topical applications but they can't give shots. As for scope of practice, they don't have one because they are under the jurisdiction of the State Dept. of Health, not the BON.

As far as getting or giving shots goes, there are two LVNs working for my doctor. One has been a nurse for about 2 years, the other for about 30 years. I'll let the 2 year nurse give me a shot any day of the week. If I see the 30 year nurse holding a needle I hunt for a hole to crawl into.

Just an observation but it seems that nyforlove is worrying a lot about what other states are doing when her problem is in NY. Do you think that the states that allow MAs to do shots are endangering their citizens in some way? Perhaps we are seeing the start of a nationwide crusade here.
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No. 61
Old Oct 15, 2009, 09:27 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Thanks for your acknowledgment, nyforlove. I would very much like to see your completed paper. When it's available, please let me know at the "private message box".

I'm so glad that you're in a master's program, forging ahead to make healthcare better. There sure are Forces in place that affect nurses, and most of them boil down to $$$$$$! As long as doctors hold the "measuring stick" for our progress, it won't happen. We have to apply ourselves to upholding our standards ethically, as "actions do speak louder than words."

I think there's ample opportunity in the reformed health care program to get the concept out that nursing is its own profession. I usually don't watch "Mercy", the TV program about a spunky nurse, but last night I did. In that episode I watched despite having the flu, I rose to applaud her initiative to overcome a doctor's prejudice about a homeless man. She got him into a program for treatment, which is the nurse's role. I'm so glad that the concept was shown, but wonder if it got lost in the good v bad aspects of the story.
Lois
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No. 62
Old Oct 15, 2009, 09:48 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by cyndis View Post
My very first post must defend the honor of reliable, good, and trustworthy Medical Assistants out there. Pride in your work is an asset!
It's funny that someone said that they would much rather have a nurse give them an injection. All the RNs that have given me injections hurt like heck, still sporting a bruise from the flu shot I got over a week ago. Nurses that have given me any injections dart them in and honestly I think darting hurts the worst. Yes I am a MA (and proud of it) and all the patients that I have given injections to have said that they did not even feel it. But then I don't believe in darting the needle in. It's important to acknowledge what higher education involves.
In school we were taught not to dart and we used each other as guinea pigs so unfortunately I do know the difference between the feel of one over the other. "Darting" the needle (its position when piercing the skin) has nothing to do with pain or bruising, and everything to do with the location of blood vessels and nerves. The actual cause of tissue injury, is pushing the contents of the syringe in too fast, causing swelling and injury, which hurts.
Yes, we may (ya think?) have less schooling but we care about the patients just as the nurses do. TRUE.
As for the triage I ask the patient's provider then I call the patient back to let them know what the provider suggested. The provider is supposed to call the patient back, to avoid "whisper game" type of miscommunication. Don't let them get you to do their job for them!
As for calling me a nurse if a patient calls me a nurse I correct them and tell them I'm a Medical Assistant. But where I work (big facility) they call us nurses which I am not too keen on. You're absolutely right. There's nothing wrong with being a Medical Assistant, unless you're doing the work that someone with more information should do.
Thanks and ya'll have a great evening
Cindy
I think working with you would be fun. You sound like someone with rich life experience, who appreciates being ethical and practising within your boundaries. If you get an urge to continue your education, it would be worthwhile for you.

It sounds like your provider is heaping more responsibility on your shoulders than he/she should. When you have more education, you'll appreciate that and be able to say, "That's your job!" Just because someone is your employer, is no reason to let them get away with shirking their responsibility. However I appreciate that you could be protecting your job, which will keep you in it, and away from progressing to become the professional you could be.
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No. 63
Old Oct 15, 2009, 10:04 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by txspadequeenRN View Post
Many years ago I was a Medical Assistant and can assure you that they are everywhere in Texas....As a matter of fact I cant tell you the last time I have seen a RN or LVN in any of the MD offices I go to.....
More's the pity!

Medical Assistants and Physician Assistants have physicians to thank for their roles in health care. No doubt the ones who started the educational programs for them, had been aced by some "uppity" nurses, and decided to form their own world. It works for them, but for patients, not so much.

Nursing was started by Florence Nightingale eons ago, and kept pace with developments in the medical world while maintaining roles unique only to nursing. MAs and PAs may continue to be in physicians' offices, and some EDs and clinics where they answer only to doctors.

I think too, that their origin has to do with the advent of Nurse Practitioners who work with doctors (not for them), and are very skilled and write prescriptions. They, however, are not junior docs. They are a profession in health care unto themselves, similar to the way physical therapists are. A doctor still needs to write the prescription for them to become part of the patient's health care team, but they're not their employer; and it's up to that practitioner to decide how to implement their care.

What I've written above is information for you, not criticism.
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No. 64
from nyforlove
Old Oct 15, 2009, 10:51 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by lamazeteacher View Post
Thanks for your acknowledgment, nyforlove. I would very much like to see your completed paper. When it's available, please let me know at the "private message box".

I'm so glad that you're in a master's program, forging ahead to make healthcare better. There sure are Forces in place that affect nurses, and most of them boil down to $$$$$$! As long as doctors hold the "measuring stick" for our progress, it won't happen. We have to apply ourselves to upholding our standards ethically, as "actions do speak louder than words."

I think there's ample opportunity in the reformed health care program to get the concept out that nursing is its own profession. I usually don't watch "Mercy", the TV program about a spunky nurse, but last night I did. In that episode I watched despite having the flu, I rose to applaud her initiative to overcome a doctor's prejudice about a homeless man. She got him into a program for treatment, which is the nurse's role. I'm so glad that the concept was shown, but wonder if it got lost in the good v bad aspects of the story.
Lois
Thanks for the vote of confidence! Will send you the finished product.
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No. 65
Old Oct 15, 2009, 11:06 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Hummmm...I'm not sure what you are trying to tell me with this post "information not criticism" ....I was merely pointing out that MA's are definitely in the doctors offices here in Texas.....


Originally Posted by lamazeteacher View Post
More's the pity!

Medical Assistants and Physician Assistants have physicians to thank for their roles in health care. No doubt the ones who started the educational programs for them, had been aced by some "uppity" nurses, and decided to form their own world. It works for them, but for patients, not so much.

Nursing was started by Florence Nightingale eons ago, and kept pace with developments in the medical world while maintaining roles unique only to nursing. MAs and PAs may continue to be in physicians' offices, and some EDs and clinics where they answer only to doctors.

I think too, that their origin has to do with the advent of Nurse Practitioners who work with doctors (not for them), and are very skilled and write prescriptions. They, however, are not junior docs. They are a profession in health care unto themselves, similar to the way physical therapists are. A doctor still needs to write the prescription for them to become part of the patient's health care team, but they're not their employer; and it's up to that practitioner to decide how to implement their care.

What I've written above is information for you, not criticism.
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No. 66
Old Oct 15, 2009, 11:19 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by nyforlove View Post
if I don't keep getting catcalls and criticisms from the nay-sayers, I just may pass the paper on the State Nursing Association and even post it here (if permitted by allnurses.com).
Posting it to your State Nursing Association is not really going to do anything since Nurses to not regulate Medical Assistants. I suggest sending it to your state medical board if you want to see results.
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No. 67
from beerose
Old Oct 15, 2009, 11:24 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by lamazeteacher View Post
More's the pity!

Medical Assistants and Physician Assistants have physicians to thank for their roles in health care. No doubt the ones who started the educational programs for them, had been aced by some "uppity" nurses, and decided to form their own world. It works for them, but for patients, not so much.

Nursing was started by Florence Nightingale eons ago, and kept pace with developments in the medical world while maintaining roles unique only to nursing. MAs and PAs may continue to be in physicians' offices, and some EDs and clinics where they answer only to doctors.

I think too, that their origin has to do with the advent of Nurse Practitioners who work with doctors (not for them), and are very skilled and write prescriptions. They, however, are not junior docs. They are a profession in health care unto themselves, similar to the way physical therapists are. A doctor still needs to write the prescription for them to become part of the patient's health care team, but they're not their employer; and it's up to that practitioner to decide how to implement their care.

What I've written above is information for you, not criticism.
I'm not sure what state you are writing from, but nurse practitoners do not need a doctor to write prescriptions for them...NPs write and sign the RX themselves. A few states inhibit NP from writing scripts when working in a independant practice and a few still do not allow NPs to prescribe narcotics, but most do.
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No. 68
Old Oct 15, 2009, 11:47 AM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by lamazeteacher View Post
MAs just haven't had the experience of looking at the vial, the patient's ID, and then the syringe
Please avoid blanket statements. These statements can cause people to become angry. When I got ONE YEAR of medical assistant training; at a COLLEGE, I was taught all the three checks, the five rights, yada yada. Another reason medical assistants need to be REGULATED throughout the country.

Originally Posted by lamazeteacher View Post
More's the pity!

Medical Assistants and Physician Assistants have physicians to thank for their roles in health care. No doubt the ones who started the educational programs for them, had been aced by some "uppity" nurses, and decided to form their own world. It works for them, but for patients, not so much.
What are you saying about the Physician Assistant? or are you giving an and or statement comparing a Medical Assistant to Physician Assistants? Which are totally different. Do you have a problem with lowering health-care costs? Physician Assistants have degrees often higher than nurses and are of a higher ranking than nurses. They can write prescriptions, give medical diagnoses and treat patients. My experience with Physician Assistants has been that they see low risk patients like your basic illnesses, physicals, ect. I have nothing wrong with shifting dollars to a PA who makes less. Why pay a physicians rate to tell you you have bronchitis and write you a script for ABX? Let the MD see the seizure patients and do in-office surgery. If CNMs can save us $8.5 billion/year but utilizing them for 75% of our women oatients, what savings could PAs get us? I have a friend that graduated from PA school at UCDavis which is a highly regarded school. I do think they will need to be regulated a little bit more as far as education requirements, especially since the call for NPs to have their DNP by 2015.

A doctor still needs to write the prescription for them to become part of the patient's health care team, but they're not their employer; and it's up to that practitioner to decide how to implement their care.
Maybe other state are different, but in California a NP can write prescriptions, even triplicates. They do not need a doctor for that, they can pratice without a doctor in the facility, they just need a doctor within calling distance and some one to consult with. I use to work for a group that had two offices. One office only had a physician in the office a few days a week and the FNPs did not have to practice any differently than when the physician was there.
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No. 69
from nyforlove
Old Oct 15, 2009, 01:54 PM

Default Re: Nevada Stops "Medical Assistants" from Giving Injections
Originally Posted by HeartsOpenWide View Post
Posting it to your State Nursing Association is not really going to do anything since Nurses to not regulate Medical Assistants. I suggest sending it to your state medical board if you want to see results.
HeartsOpenWide,
Thanks for the tip, but emphasizing here the need for the state nursing association (i.e., the PRIVATE group that consists of we citizen nurses who pay our dues) to lobby for enforcement of the law as is exists; not planning on involving the state's Bd of Nursing, which is a govt'l agency that regulates nursing.
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