The stupidity of some people with "RN" after their names never ceases to amaze me!
We can all understand being busy, and in the real world, corners are cut sometimes. But this is soooo over the top in terms of irresponsibility, lack of professionalism, fraud, indifference to safety, etc.
I suppose it is just out of the question for the supervisor to actually come to the bedside and DO PATIENT CARE! That she would log onto the computer to enable the tech to do RN work doesn't really surprise me, I guess. But how shortsighted of her! What if that child had aspirated? How would she defend herself to the plaintiff's attorney or the BON? "Oops. That wasn't really me caring for the child who aspirated and suffered brain damage. It was an unlicensed tech working without direct supervision while I was in my office 2 floors away. So please don't blame me."
At first I felt a measure of sympathy for the tech. She is probably young, naive, in desperate need of a job, and so afraid to speak up even when she knows that things aren't being handled properly. But if you have spoken to her about the risk of losing her (yet to be earned) nursing license, and she continues to do this, then shame on her.
The only person in your hospital who MAY give a hoot about all of this is the risk manager/hospital attorney. S/he is the one person who ought to have a clear understanding of the legal implications of this practice. (Potential criminal charges, potential civil litigation, possible loss of 3rd party payor funding, possible loss of accreditation, etc.) If you think you can make a case with the risk manager, please try to do so.
If not, then please get yourself out of this setting ASAP. Please make clear notes regarding dates, times, and other personnel involved in this practice and report them to the BON, as well as the State Department of Health (or agency that licenses hospitals.) This is truly a public health and safety issue.