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*rant* "Nurse" at office answering questions.



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No. 30
from jeepgirl
Old Sep 06, 2005, 03:11 PM

Originally Posted by HeartsOpenWide
MA are allowed to ask questions over the phone. How was she assessing? I though she was asking questions. I work as a Certified Medical Assistant as I am going to school. When patients call and asked to talk to a nurse the receptionist says, "We do not have nurses, we have medical assistants, would you like to talk to one?"

MAs are allowed to triage, which involves asking questions so they can tell the doctor what is going on. But not make major decisions.

They can however give basic medical advise, like "Your U/A came back and indicates that you have a UTI. The doctor is having me call in an Rx for you. It is a good idea to drink a lot of orange juice. Avoid bubble baths and make sure you urinate frequently and not hold it too long.” Then when they ask questions about the test result they can say, “Normal range for urine pH is 5.0 to 7.0. Above 7.0 is considered alkaline, and below 5.0 is acid. If a urine specimen is above a pH of 7.0, more than likely it contains a large amount of bacteria, which is why the urine is alkaline. Urinary casts that are formed in the kidneys are destroyed, and urinary casts are important in the diagnosis of a patient’ condition. Adjustments can be made to help the body balance out pH levels. A patient with a condition like the above, maybe instructed by their doctor to drink large amounts of orange juice, not only to help flush the bacteria out of the urinary system, but to help balance their pH levels with the orange juice’s citric acid.
When homeostasis is out of balance, all cells of the body suffer. Moderate dysfunctions, like bacteria in the urine that causes a pH level rise, can cause illness, like a painful burn upon urination (UTI). Severe dysfunction can lead to death."

Yes, MA's should not refer to themselves as Nurses. I however hope that when I become a nurse I do not gain such a negative attitude about some one that has a lower status than me. I know when I become a nurse I do not want a doctor to say "Oh, what advise can she give? She is only a nurse"
She was asking questions to ASSESS (by her answers) wether or not to get her in earlier or not. It is obvious to me that she was trying to assess over the phone here... and she doesn't have the proper training or skills as an MA to do so. Wrong Wrong Wrong! Report her... before she really hurts someone by "assessing" over the phone or working outside the realm of her practice!! If you want to call yourself a nurse, go to nursing school... otherwise, be honest and proud of who and what you are.
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No. 31
Old Sep 06, 2005, 03:51 PM

the CNA's who treated me at the hospital i was just in (a pedeatric hospital since i have been going there since i was little) would say hi i am X and i am here to take your vitals. didnt say what they were, but did not represent themselves as what they were not.
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No. 32
from mlcord121
Old Sep 06, 2005, 05:32 PM
Updated Sep 06, 2005 at 05:34 PM by mlcord121

Default The Dr calls us nurses
I completely understand everyone's point of view, but I have been on the other side of it. I've been a MA for 8 yrs and currently going to school for RN. I work at a FP x 4yrs and the Dr is constantly calling us NURSES. Even after I constantly correct her. I am always telling the patients, "No, I'm not a nurse, I'm a medical assistant. But I'm going to school to be a nurse." When I first started working there the front office staff would always come back to me saying that a patient was on the phone with questions. I would tell to take a message for the dr and I'd get dirty looks and huffs and puffs. So after awhile I just okay, what line are they on and I would take a message myself.
I feel so incredibly uncomfortable, I am not trained for that. Well not yet anyway. I don't try to triage or assess the pt, I just honestly tell the patient I don't know and that I will ask the dr and call them back. And you know what really gets me, is that the Dr I work for was once a RN herself!! Is that crazy or what? She just completely forgot the difference btwn an RN and MA.
Sorry for the long post
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No. 33
Old Sep 07, 2005, 11:12 AM

She probably did not forget. From the doctor's perspective, it sounds some how "better" to have "nurses" working for you than Medical Assistants. I bet on it. She is breaking the law, whether she is aware of it or not.
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No. 34
Old Sep 07, 2005, 11:32 AM

.
AM I off here? Or am I just being a cranky new mom? I guess I'm just protective of the title "nurse", since that implies a certain skill and knowledge set.

Alison[/quote]

No. You are not out of line here. You have hit upon one of my pet peeves. I have worked in several clinics, where dr.s referred to their MA's as "my nurse".
I also have had MA's tell me they should be paid the same as me (RN), because they do the same job. When I give them a typical nursing problem regarding meds and they always give me an incorrect answer, I tell them to come back and ask for the same salary as me, when they can give me the correct answer.

I can't count the number of times, I have had to go back and correct information, which was incorrect, that was given to pt.s by MA's.

I have also started to document these incidents and notify their supervisors of these incidents.
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No. 35
Old Sep 07, 2005, 11:40 AM

MAs are allowed to triage, which involves asking questions so they can tell the doctor what is going on. But not make major decisions.

___
MA's are not allowed to triage. If your statement was true, then MA's would be allowed to work in ER's as Triages Nurses. The last time I checked, there were no MA's in my local ER working in Triage.

As a MA, you can can get information from the patient regarding their medical problem, and pass that info onto your doctor, but if you are the one deciding how soon a patient gets seen, then you are in violation of the Nurse Practice Act.
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No. 36
Old Sep 07, 2005, 11:46 AM

[quote=DusktilDawn]Have you talked to your cousin about the possible legal ramifications concerning this?
It makes me wonder about what these instructors in these MA courses are telling their students. Has anyone seen the advertisments for Georgia Medical Institute? Without using the word "nurse" at all in their advertisment, they certainly leave the impression that anyone can beome a nurse "in a few short months."


One of our local vocational training schools, doesn't use the term Medical Assistant, when advertising it's school. It shows a picture of a young women in scrubs with the caption "medical professional", under her picture.
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No. 37
from boulergirl
Old Sep 07, 2005, 11:53 AM

I get uncomfortable, as a nursing assistant, when people refer to me as a nurse. I don't want that kind of liability when I don't have that level of expertise. I've even had a patient call me Doctor. Uh, just because I can take vital signs doesn't make me a doctor!

My sister refers to her MIL as a nurse even though she's an MA. There does seem to be a widespread confusion in the public arena about what the difference is between the two. Last night one of my coworkers (who is an MA at her other job) lectured me about how important it is for me as a NURSE to take accurate vital signs. Uh, I'm NOT A NURSE! I'm tempted to correct these people, but they would probably get irritated and say "Whatever".
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No. 38
from FrumDoula
Old Sep 07, 2005, 05:05 PM

Here's an update. I complained to my doctor and stressed the liability part of it. Who knows if anything will change.

While I was there, I asked for Miriam to be weighed, since she's 6 weeks old and I was curious. (She's almost 14 lbs and was 8 lb 9 oz at birth, so I'm thrilled.)

When they went to weigh her, they pulled out a piece of paper to line the scale with, and what did it have written all over it??!?!?!?!?!?!?!?

ENFAMIL. It was a freakin' advertisement for a formula company!!!

Those of you who know me from my posts know that I had a total cow. I complained to the doc (boy, was SHE happy to see me! ) and to the clinic manager. The doc had a great response (she was very unthrilled to hear about the scale liners), but the clinic manager had some real gems.

She justified the decision for a couple of reasons:

1. It was free, so they HAVE to use it. *ahem* If you had free stuff from Phillip Morris, would you HAVE to use that, too?

2. Even though some women nurse, and the clinics supports breastfeeding, some women just CAN'T nurse. Well, no duh, lady, but that doesn't mean you should give free formula advertising when the research says that doing so lowers breastfeeding rates.

Really, her comment is about guilt. They don't want to make women feel guilty for not breastfeeding. Fine, don't. But don't sabotage the healthier choice, either. As a health care clinic, make your stand strong and unambiguous. Just because some moms can't or don't want to doesn't mean you remain "neutral". Have lactation consultants that you can call, have a mother-to-mother nursing group that meets at the clinic, have the #'s of LLL leaders women can call. And then maybe (*gasp*) you'll see your BFing rates rise.

Oh, and you know what burns my hide, too? They put out the stupid formula papers, but had NO breastfeeding/nursing promotion posters up. Nada. (That was justified on the basis that the clinic is "new". Oh puh-leeze. It's been open since 2003.) In fact, the doc I met with said she and another doc tried to put out some BF pamphlets, and they mysteriously disappeared.

I'm writing a letter to the head of the clinic (the pediatrician who is not really so BF friendly), and CCing it to the Dean of the medical school. I'm also going to offer to give a class on breastfeeding promotion, and will offer free posters as well. Anything to help change the attitudes floating around the clinic. My husband, who's a med school student, is going to contact the OB-GYN and Pediatric clubs on campus and enlist their help.

Thanks for letting me vent, everyone. The situation is making me nuts. Still, there's possibility for change, and that warms the cockles of my heart. (Even though it may take guerilla tactics to do so. )

Alison
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No. 39
from FrumDoula
Old Sep 07, 2005, 05:13 PM

Oh, and if they choose to not change anything at the clinic, I will let them know that any chance I get, I'll make sure that every nursing mother I know should NOT take their children to that clinic. Sometimes appealing to the financial side is the only route you have.

Hopefully this will not be the case. I want to see the clinic succeed. But it needs to follow the osteopathic model of promoting health and preventing disease, not just treating illness. (Though as a clinic, they certainly stand to make more money from formula fed babies, since they generally suffer from more illness and have a higher # of doctor visits, according to the research.)

*whew* Ok, I'm done.

Alison
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