CMA playing "Nurse Manager?" CMA boundaries? NPD?

Nurses General Nursing

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  • Specializes in Med-Surg, L&D, NB-100+ (home care & office).

You are reading page 2 of CMA playing "Nurse Manager?" CMA boundaries? NPD?

Wow, what a nasty description at the end of your post for a woman you don't personally know - a narcissistic rat?

With that said, it is within the scope of a plumber, janitor, retail worker, fast food worker, stay at home mom, preacher, astronaut, and high school drop out to create work schedules for a place of employment. Why would putting a nurse's name in the Monday, 9-5 slot on a schedule require professional licensure?

Why couldn't a CMA perform administrative duties in a clinic? For all you know, she might also have a Masters in Health Admin. Perhaps she has 20 years of clinical and leadership experience. Maybe she has a bachelors degree in human resources and is well equipped to manage staff/administrative problems.

A CMA can't *clinically* manage you, but she sure can administratively manage you.

Specializes in Med-Surg, L&D, NB-100+ (home care & office).
3 hours ago, LibraSunCNM said:

Well, then I wish you a more drama-free workplace in the future.

I can handle every-day-run-of-the-mill-drama, I've de-escalated many a tense situation over the years, even after the abuse ended and being diagnosed with C-PTSD.

It's the moment my jaw starts to tingle, followed a nano-second later by the realization someone's ****** with my head that I struggle with.

I sense that your intentions are good, and I sincerely appreciate it.

I just think it's important to know the difference between drama and mind-************, because the line seems to be growing thinner and thinner.

Specializes in Med-Surg, L&D, NB-100+ (home care & office).
4 minutes ago, FacultyRN said:

Wow, what a nasty description at the end of your post for a woman you don't personally know - a narcissistic rat?

With that said, it is within the scope of a plumber, janitor, retail worker, fast food worker, stay at home mom, preacher, astronaut, and high school drop out to create work schedules for a place of employment. Why would putting a nurse's name in the Monday, 9-5 slot on a schedule require professional licensure?

Why couldn't a CMA perform administrative duties in a clinic? For all you know, she might also have a Masters in Health Admin. Perhaps she has 20 years of clinical and leadership experience. Maybe she has a bachelors degree in human resources and is well equipped to manage staff/administrative problems.

A CMA can't *clinically* manage you, but she sure can administratively manage you.

When commenting on my post, please do so using effective communication and active listening, essential skills for any and all in the medical field.

“Most people do not listen with the intent to understand; they listen with the intent to reply.” – Stephen Covey

Editorial Team / Admin

Rose_Queen, BSN, MSN, RN

6 Articles; 11,663 Posts

Specializes in OR, Nursing Professional Development.
20 minutes ago, RenaissanceNurse said:

When commenting on my post, please do so using effective communication and active listening, essential skills for any and all in the medical field.

“Most people do not listen with the intent to understand; they listen with the intent to reply.” – Stephen Covey

Once you've put it out there for comment, you have no control over the responses, whether you agree with them or not. I hadn't previously read your last line and agree with the poster you quoted- that was a very judgemental opinion of someone you only met for a few minutes.

Specializes in Emergency / Disaster.

If you are offered the position, I think you should ask for a couple shifts to make a determination. Explain your confusion over who will be administratively and clinically managing you and that you would like to meet them / work with them for a day or two just to make sure that you click. Don't mention "right hand" just that you want to make sure that you are truly welcomed back into the flock and you know what and where your position is. That might not be acceptable for some place you hadn't worked before, but not knowing the circumstances under which you left and how many people are still there and how you may interact with each of them.... I'd want to spend just a little time checking it out. Besides, Right Hand may be really good at what she does and although not a nurse, may actually be a super helpful person.... or not.

Face the situation straight on. Either say no and move on, or run head on into and see where you land. Don't take a passive back seat and hope that everything works out. If you start out quiet and hate it, the situation will never improve.

I wish you much luck and healing.

KatieMI, BSN, MSN, RN

1 Article; 2,675 Posts

Specializes in ICU, LTACH, Internal Medicine.

I worked for a few years with RMA managing very large and busy private practice. Nobody cared for her medical knowledge, everybody knew she was a multitasker and organizer of the level 80.0100/Goddess Assoluta with a big warm heart and an ocean of common sense.

Also saw a few SNF heads/leads with degrees in "LTC administration" who were honest, hard-working, dedicated and eager to learn, and a few DONs who were doing nursing longer than I am alive and whom I had to report to State as they actively harmed helpless human beings they were supposed to take care for.

If someone knows for real how to do the job, the letters behing the last name can be considered as secondary factor under usual circumstances. RMA cannot prescribe meds or do surgeries, that's correct. But administrative duties and scheduling - even if it is not written somewhere, they can do it, and those of them who do this gloomy and thankless job well deserve our endless gratitude.

Specializes in OB.
2 hours ago, RenaissanceNurse said:

I can handle every-day-run-of-the-mill-drama, I've de-escalated many a tense situation over the years, even after the abuse ended and being diagnosed with C-PTSD.

It's the moment my jaw starts to tingle, followed a nano-second later by the realization someone's ****** with my head that I struggle with.

I sense that your intentions are good, and I sincerely appreciate it.

I just think it's important to know the difference between drama and mind-********, because the line seems to be growing thinner and thinner.

And what I'm saying is I saw no evidence in your post of mind ********, just possible red flags for a poor workplace. It sounds like this is much ado about nothing---just walk away.

An OB office we work with has a CMA as their "head clinician". Not even kidding, they have her bossing LPNs around. She has an ego the size of a Mac truck. They have an Uro/GYN that we have to sometimes refer to and more than once, this CMA has dismissed the urgency that some patients need to be seen when we send them over, even failing to pass on important information to the physician if we have to speak with her by phone...even information we have told her is important.

I refuse to deal with her anymore. When I call I ask to speak to either the physician if he is available or the nurse..

klone, MSN, RN

14,790 Posts

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
4 hours ago, RenaissanceNurse said:

When commenting on my post, please do so using effective communication and active listening, essential skills for any and all in the medical field.

Dude. I don't even know what to say to that. Your OP, and your subsequent posts, do seem like a teapot. Yes, you do sound paranoid.

Also, your attitude, that because manager has an MHA, he can't take advice and rely on a lowly MA to help run the clinic, is quite distasteful.

I think you're being incredibly unfair, and ascribing ulterior, malevolent motives to this MA based on....I'm not really sure what. I find the idea that you've already diagnosed this person with narcissistic personality disorder infuriating.

I agree with the others that you shouldn't take this job, but only because you've already made up your mind on how this is going to play out, and I think it would be unfair to the employees at the clinic, as I could easily see you bringing a level of toxicity to the workplace dynamics.

klone, MSN, RN

14,790 Posts

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
Quote

Your OP, and your subsequent posts, do seem like a teapot.

That was supposed to say "tempest in a teapot"

Specializes in Med-Surg, L&D, NB-100+ (home care & office).
8 hours ago, bitter_betsy said:

If you are offered the position, I think you should ask for a couple shifts to make a determination. Explain your confusion over who will be administratively and clinically managing you and that you would like to meet them / work with them for a day or two just to make sure that you click. Don't mention "right hand" just that you want to make sure that you are truly welcomed back into the flock and you know what and where your position is. That might not be acceptable for some place you hadn't worked before, but not knowing the circumstances under which you left and how many people are still there and how you may interact with each of them.... I'd want to spend just a little time checking it out. Besides, Right Hand may be really good at what she does and although not a nurse, may actually be a super helpful person.... or not.

Face the situation straight on. Either say no and move on, or run head on into and see where you land. Don't take a passive back seat and hope that everything works out. If you start out quiet and hate it, the situation will never improve.

I wish you much luck and healing.

Thank you so much, your kind and supportive words were a welcomed comfort ?

Specializes in Med-Surg, L&D, NB-100+ (home care & office).
7 hours ago, LibraSunCNM said:

And what I'm saying is I saw no evidence in your post of mind ********, just possible red flags for a poor workplace. It sounds like this is much ado about nothing---just walk away.

I guess you have to endure the emotional-mind-raping I have, before you can fully understand what seems so fantastical, but is actually very real and sucks really hard.

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