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*rant* "Nurse" at office answering questions.



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No. 40
Old Sep 07, 2005, 05:41 PM
Updated Sep 07, 2005 at 05:43 PM by SmilingBluEyes

AHHHH You are right to be peeved, but in the huge scheme of things, you may be "tilting at windmills", here, so to speak. MANY dr offices and hospitals get and use Formula-provided tools and freebies like these and it's hard to get them to stop. One thing, as nurse, I do NOT eat the meals the formula companies provide us when they have their "classes" for us. These classes are to tell us the latest about their formula, e.g. Lipil, AHA etc and promotional deals for our patients. I will listen, and politely, because some of my patients choose to use formula and they should know what is in there. I however, am not willing to be "bought" by eating their dinners and I try not to use their pens, etc. I do have a name badge holder w/Similac on it. I need to replace it w/something more appropriate, now that I think of it.

I feel I also am fighting a losing battle, e.g. "tilting at windmills" myself, but it's my own personal code.

I just do not want to be "bought" by formula companies as a health care professional.

I hate handing out diaper bags, for the same reason. I don't like the inference "Breast is best, but JUST IN CASE, here is the formula!". One place I worked, the Pediatrician had a standing order, "remove all formula and ads from the diaper bags prior to issue for breastfeeding moms". Pretty gutsy move on his part, but no one argued w/him on it. I thought it was great and did this w/pleasure.

deb
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No. 41
from FrumDoula
Old Sep 07, 2005, 09:10 PM

Originally Posted by SmilingBluEyes

I hate handing out diaper bags, for the same reason. I don't like the inference "Breast is best, but JUST IN CASE, here is the formula!". One place I worked, the Pediatrician had a standing order, "remove all formula and ads from the diaper bags prior to issue for breastfeeding moms". Pretty gutsy move on his part, but no one argued w/him on it. I thought it was great and did this w/pleasure.

deb
A very gutsy move, if you consider health promotion and standing up for babies to be "gutsy". How sad that it is. There is such clear research about what those formula gift packs do to sabotage breastfeeding that any hospital handing them out to nursing moms should be ashamed of itself. There aer so many other products you could put in there. When I was discharged from the hospital with my ds, the nurse there actually tried pushing me into accepting the formula. ("But what if there's an emergency??")

Well, as we've seen from the Gulf Coast, emergencies do happen, and I'll take breastmilk over contaminated water in my formula bottle, thanks. *shudder* This should be a call to action for hospitals and heath care professionals. My heart goes out to the bottle feeding moms down there who were probably panicked over not having clean water for their babies. Such a scary situation. But our society could help prevent some of those deaths if it wasn't so busy shoving formula at women at the dr's office, at the hospital, in major maazines and through direct advertising to the consumer.

On another message board I frequent, many of the mothers said they would have accepted the emergency formula, drank it themselves to stay hydrated, then continued to nurse their babies and toddlers.

Deb, I admire the fact that you do not partake in the meals and use formula products. (But heck, I admire you, period!) It is not always easy to take a stand on such things. But popularity is not my first goal, healthy moms and babies are. When I become a nurse (*please God!*), I will always try and put my patients/clients before profits.

If a woman wants to bottle feed, I also believe that more education needs to be done regarding how to bottle feed. I'm sick to death of seeing propped bottles and babies not being held or forced to hold their own bottles prematurely. Bottle feeding can be done with so much love, and I think health care educators can stress that as well. Just a thought.

Alison
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No. 42
Old Sep 07, 2005, 09:41 PM

Originally Posted by SmilingBluEyes

I hate handing out diaper bags, for the same reason. I don't like the inference "Breast is best, but JUST IN CASE, here is the formula!". One place I worked, the Pediatrician had a standing order, "remove all formula and ads from the diaper bags prior to issue for breastfeeding moms". Pretty gutsy move on his part, but no one argued w/him on it. I thought it was great and did this w/pleasure.

deb
*****

Deb - we used to do the same thing, formula, coupons and all related formula stuff. Until one new mom who was breastfeeding found out from a friend of hers who was also a new mom and NOT breastfeeding, that the bags had formula in them. BFing mom came in and made a complaint that her formula was removed. Needless to say, we had to stop doing that.

steph
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No. 43
from moondancer
Old Sep 07, 2005, 11:49 PM

Sorry, but I haven't seen any negative attitudes here. The bottom line is....MA's/Techs, NA's....unlicensed assistive personnel can not, under any circumstances, assess and then "triage" a pt.. It is against the nurse practice act. Assessment is something that only RN's are licensed to do. And yes, most nurses are protective with the term "nurse", rightly so.



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"
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No. 44
Old Sep 08, 2005, 04:40 PM
Updated Sep 08, 2005 at 04:56 PM by sk1ttlesnca

As a MA we are told over and over again-all the way through school not to do what this woman has done to you, I would say something so this problem can be corrected. But we are advised to ask questions so we can better help the patient get what they need-ie: appt to see the Dr. and how soon the appt should be ect...
I hope everything works out for you!!!
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No. 45
from Reborn
Old Sep 08, 2005, 04:51 PM

Originally Posted by purplemania
It is against the law in Texas to represent yourself as a licensed nurse when you are not one. Is that not so in your state? The District Atty. in Texas prosecutes people who pass themselves off as nurses (even LVN';s who say they are RN's).

Ditto NC.

But it is a problem. The CNA's in home health or even the personal care aides, which in some companies are simply OFF THE STREET help , just LOVE to call themselves nurses.
I'm not even really too polite, I just say, "you mean Nurse's aide?".
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No. 46
Old Sep 08, 2005, 05:39 PM

This is one subject that really really makes me angry. We have this problem at the hospital with medical assistants calling Dr's orders to the floor. They say they are the Dr's nurse. Are you an LPN or RN? No I'm a REGISTERED MEDICAL ASSISTANT . This one particular chick has pulled this on me at leat 5 times in the past year and each time I've told her "IT IS AGAINST THE LAW TO SAY THAT YOU ARE A NURSE IF YOU ARE NOT", she continues to call "I'm Dr L's nurse. OMG Makes my blood boil !!! I reported her to the CNO, to Administration, to Dr. L himself and nothing was done about it. By some miracle last week these fliers went up all over the station and all over the dictation room that states "It's against the law for the floor nurses to accept a doctors order over the phone from anyone other than a licensed health professional which excludes MEDICAL ASSISTANTS! I just dare her, I just double dare her to try to identify herself as a nurse again. I believe the flier says it's Federal law but not 100% sure. Will check Wednesday when I work again and will let you all know. I think I'll send Dr L's Medical Assistant a copy in the mail for prosperity. OMG Makes my blood boil !!!!
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No. 47
from kiyasmom
Old Sep 08, 2005, 08:24 PM

I posted earlier about my cousin the MA, and I took one poster's advice about telling her about the ramifications of calling herself a nurse. However in our conversation I was enlightened. It seems MAs go to school, just like nurses, but then their education continues under the direction of a physician. I know nurses do CEs, but this sounds like it is a little different. Their CE is more like an apprenticeship, and they have no definitive scope of practice. So if their physician teaches them to hang IVs, supposedly (and I'm only taking this from what she told me!) they are legally allowed to do so. And so on and so on. She said that they aren't taught to call themselves nurses in school, but after being taken under the wing of a MD and learning "nursing" skills, a lot of the MDs start to refer to them as "my nurse". She said that after gaining the MD's respect and mastering certain skills they do feel justified to call themselves "Dr. Z's nurse." She said she would never refer to herself as "A nurse", but only as his/her nurse specifically. She related it to a sickly husband calling his wife, the caregiver, "my nurse".

It is definitely not right, and I SO DO NOT AGREE, but I felt I would share from her POV, just so as an example of how one MA felt about the nurse title.
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No. 48
Old Sep 08, 2005, 08:46 PM

You're right her POV is WRONG. A nurse goes to nursing school and graduates as a "nurse", earns a college degree, and holds a nursing license. Why can't they be Dr's L's assistant? They are not nurses! I worked very hard to get my degree and am insulted by their arrogance. In Tennesse they are not allowed to deal with IV's no matter who teaches what and I personally don't know any Doctors who know how to handle and IV themselves. They always push the call light. Come make this thing be quiet!!! Can you tell this is a sore subject with me?
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No. 49
Old Sep 08, 2005, 09:13 PM
Updated Sep 08, 2005 at 09:16 PM by hipab4hands

[quote=kiyasmom]I . It seems MAs go to school, just like nurses, but then their education continues under the direction of a physician. they have no definitive scope of practice. So if their physician teaches them to hang IVs, supposedly (and I'm only taking this from what she told me!) they are legally allowed to do so. ls they do feel justified to call themselves "Dr. Z's nurse." She said she would never refer to herself as "A nurse", but only as his/her nurse specifically. She related it to a sickly husband calling his wife, the caregiver, "my nurse".

It is definitely not right, and I SO DO NOT AGREE, but I felt I would share from her POV, just so as an example of how one MA felt about the nurse title.[/QUOTE

Your cousin is setting herself up for serious trouble .
1. MA's do not have to go to school. A dr. can pull anyone off the street and given them the title of MA. However the dr. is responsible of all actions of that person.
2. MA school is a misnomer. In some "schools," you can take a 90 day course and get a certificate. I've worked with MA's, who've come out of these "schools", not knowing how to assemble a syringe and needle.
3. MA's are not allowed to hang IV's or manage them, even if the dr. told them to do it.
4. MA's definately have a scope of practice- they have to work under the direct supervision of a dr./ they can not do invasive procedures, they can not give narcotics, etc.
5. Your cousin is not "justified" in calling herself a nurse. This is the equivalent of me calling myself a Dr., just because I do some of the same tasks as they do
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