Quote from RN4NICU
Actually, you would still be held to the standard of an RN - you are always held to the standard of the highest license you hold, regardless of what your role is at the time.
Are you sure about that?? If I'm working as a NURSE, then I may be held to the standard of the highest NURSING license I hold. But if I"m not working as a nurse then I'm held to the standards of the position I'm working. Otherwise, no matter what my job, not matter what the context, I would always be working as a nurse, whether I'm a teacher, lawyer, first responder, etc. I would NEVER have a time where my nursing license ISN'T at stake.
Pat_Pat, so long as first responders are following first responder protocols then each team member will perform at the same level as any other team member, regardless of title. However, there may be certain situations that requires drugs to be pushed that are outside these protocols, ordered by an MD, let's say, in which case an RN would be needed. It would be up to the RN to then identify him/herself as such and then be able to push the drug. However, the RN license is now on the line whereas before, the MD would have to push the drug and his/her license is on the line if anything adverse happens as a result.
I've been involved in many discussions around this topic as I've looked into wilderness emergency medicine. PA's, as an example, are asked by their suprvising MD's to NEVER identify themselves on scene as PA's, only as trained in first aid or ACLS. That way it protects the MD's license, which is the license the PA is practicing under. Same thing goes for RN's practicing in lesser, non nursing roles.