But she's not a nurse! - page 5

I just started a new position running a clinic. The clinic is staffed by myself and one CNA. I am so happy to be working with this CNA as she has over 15 years experience working in this clinic and... Read More

  1. by   joenp
    I enjoyed reading all the postings, and I do agree with what is being said. A nurse is a nurse is a nurse. We are not CNA's, MA's, RRT's, etc. We go to school for a defined period of time and go to nursing school. I am happy that Judy is very good. But what is she was bad at what she did? She would be giving nursing a bad name, and the patients may generalize to other nurses because of a bad experience. In my state, we must be an LPN or RN, in order to use the title, "nurse". I think that in order to use the title, you should put in your time and earn it!!! In order to show what great things nurses do, we need to make sure that our patients know who the nurses are, and who they are not. I think using nametags: Judy, CNA and your name with RN after would help to simplify matters. I do agree that changing the written materials would help too. We as nurses need to promote our profession and not allow anyone to use that title unless, they really are one. I also think that some of your patients would be rather taken aback, by the fact that the doctors or the administration overseeing your clinic, only invests in one nurse and a CNA. I think that if the patients knew that Judy was not a nurse, they might start asking questions and want to know why there are not more nurses to take care of them. Also, the opposite may happen, once they find out that Judy is not a nurse, they may have a lower opinion or nursing, and wonder what the big deal is all about if a CNA does the same job as a nurse. This would only hurt our profession!! We need to give ourselves credit and make the community more aware of what a nurse is!!! joenp
  2. by   reddgott
    It is by far not the same thing as impersonating a doctor in any respect. if she used "Judy Lastname LPN" as an official title when in reality she is a CNA or MA then yes that is impersonating, but people, people this is a term of endearment of sorts that patients placed on her for wipping there butt. I dont see a reason to be bent out of shape over it. You can change the pamphlets or whatever but someone who has been going to see "nurse judy" for 10 years isnt going to change what they call her to appease the new boss.
  3. by   Flo1216
    Ummm..I never said that we should belittle "Nurse" Judy. I said that the matter should be addressed in a subtle manner. Rapport, schmapport...she is not a nurse and she shouldn't call herself one.
    Last edit by Flo1216 on Aug 2, '02
  4. by   reddgott
    :roll :imbar :roll :imbar :roll well lets settle your claims dayray.

    doctor- 1. a person who has earned one of the highest academic degrees (as a phd) conferred by a university.
    2. one skilled or specializing in healling arts; especially: a physician surgeon dentist, or vetrinarian who is licensed to practice. licensed conferred by a university academic degrees

    open mouth insert foot!
  5. by   reddgott
    oh and by the way I work in corrections and have yet to meet anyone sent to prison for impersonating a doctor.
  6. by   Flo1216
    What DO they do with people who impersonate doctors?You know I stole a pair of scrubs for my boyfriend from L&D once cause he said they looked comfy and wanted them to sleep in .Well, one night , we were cooking dinner and he had to go to my car to get the big carving knife(we had just moved).Well, he was wearing the scrubs. He comes back inside and said,"I just realized that I was walking down the street,dressed like a doctor carrying a big knife...that couldn't have looked good,"
  7. by   mattsmom81
    Well, I know one thing...in Texas we get a bi monthly newsletter from our BON and they have detailed info including PHOTOS of people who impersonate nurses....and ask for our help locating them. They always state they have reported the matter to the authorities for prosecution.

    I can't imagine doctor impersonators getting lighter treatment...
  8. by   StrawberryBSN
    Pronunciation: -prak-'ti-sh(&-)n&r
    Function: noun
    Date: 1969
    : a registered nurse who is qualified through advanced training to assume some of the duties and responsibilities formerly assumed only by a physician

    registered nurse
    Function: noun
    Date: 1896
    : a graduate trained nurse who has been licensed by a state authority after qualifying for registration

    licensed practical nurse Function: noun
    Date: 1951
    : a person who has undergone training and obtained a license (as from a state) conferring authorization to provide routine care for the sick

    Pronunciation: 'n&rs
    Function: noun
    Etymology: Middle English, from Old French nurice, from Late Latin nutricia, from Latin, feminine of nutricius nourishing -- more at NUTRITIOUS
    Date: 13th century
    1 a : a woman who suckles an infant not her own : WET NURSE b : a woman who takes care of a young child : DRY NURSE
    2 : one that looks after, fosters, or advises
    3 : a person who is skilled or trained in caring for the sick or infirm especially under the supervision of a physician
    4 a : a member of an insect society that belongs to the worker caste and cares for the young b : a female mammal used to suckle the young of another

    ....Interesting, eh?

  9. by   coleen
    Most states mandate that a badge or nametag is worn with the full name and position or title. Maybe you can suggest wearing the badges due to state regulations.

    I broke my neck going to nursing school!!! Work, family, financial problems, death of family, school 80 miles away every night for 2 years!! I got very ill, too. So I understand the "she didn't earn the title" theory but after 20 yrs of working in the same clinic tending to patients, dr.s, families, etc... maybe she earned it in another way - The School of Hard Knocks!

    If Nurse Judy isn't overstepping her CNA duties and she's not breaking the law by administering meds, assessing, etc... Then why not let the patients call her what they want. It's been my experience that even the elderly will ask "Is she an RN or an LPN? Is he a real Dr. or one of those assistants?" They know!

    But your state laws or state nursing board will have the answers - find out what a CNA is allowed to do in the clinic. I've noticed many of the Old Timer CNA's overstep their boundaries into nursing territory because that was the "old way" We have had 2 CNA's suspended recently because they just couldn't stop those darn "Manual Extractions" which used to be their job! After all YOU ARE the RN supervisor - it is YOUR LICENSE on the line if this false advertising leads to a lawsuit - which is bound to happen if the wrong person gets wind of the "Nurse Imposter" situation. I think calling her Nurse Judy is OK - but printing it on the brochures should have quotations around the name and then CNA next to it - the brochure can still boost her up as the dedicated great worker she is!

    Good Luck - I agree with the person who said - Examine your motives!
  10. by   NRSKarenRN
    Check out previous post on same subject:
    Is this legal?

    Great advice already given. Tread lightly. Tell Judy when new Brochures arrive to avoid surprise. How about graphic sign for both of you...PM me if interested---love to create stuff like that!

    Adding additional thoughts after rereading your last post:
    To "Nurse" is to show you care about someone. Judy has been doing this for 15 years, a constant in these people's lives and the person who gets things done... as you say the doctor rarely. She probably has survived MANY revolving staff in this time.
    Yes, I understand the legalities involved and people are more sue happy these days. However, I'm concerned about you just changing the brochures behind this persons back.

    Do you REALLY know her educational background? Who does she report to? Are you her direct supervisor? What policies and procedures are in place re delegation of tasks and reporting of patient concerns/ problems to clinic director? In a court of law, it is NOT following P+P along with not practicing within states nursing pracice act that has nurses hung out to dry when incidents occurs. Do you even have up-to-date P + P in place?

    Since you are new, this is the time to review the above with Judy first in private then all staff as concerns about legal responsibility paramount to protect ALL parties. Some states have nurse practice acts that protect the term nurse while others focus solely on terms Registered Nursed and Licensed Practical/Vocational Nurse.
    I just started a new position running a clinic. The clinic is staffed by myself and one CNA. I am so happy to be working with this CNA as she has over 15 years experience working in this clinic and is a wealth of knowledge and help to me. I adore her. She is very nice and cooperative. I only have one problem with the entire situation. Everyone who comes to the clinic calls her, Nurse Judy. All of the employee handouts and printed information and brochures have her listed as Nurse Judy. They have me listed as Nurse Diane. As if we were one in the same. I am a RN and of course her supervisor. She is 20 years my senior and I really do have alot of respect for her. I just can't live with her using the Nurse designation.....

    Today, I changed all the handouts. They now say either Diane _______R.N. or I removed the names altogether and left a blank for either one of us to sign. It was easy to do since I had to make changes anyway to add my name to the literature. There is only one handbook that I can't change till next year...and I plan on just using our names and title without the Nurse word being used. Since I am in charge of everything that has to do with the clinic, I didn't need to go through any channels to make the change. I didn't mention it to Judy, I just did it. I figure, if she asks I'll tell her why I made the change. From a legal standpoint, I think she would agree as she is a real CYA type of person and wouldn't want to place herself at risk. I'm basically just CYA for both of us, b/c if I referred to her as Nurse Judy too and printed the materials that way, wouldn't I too be falsifying our own clinics credentials and also be held responsible for that false pretense??
    I really do like Judy and I wouldn't want to see anything happen to either of us.
    Is this really a good way to continue a smooth working relationship or the way to make an enemy? YOU are assuming FOR Judy that SHE won't be upset. How many months have you been there AND do YOU envison yourself there for FIFTEEN years??

    Someone had to approve placing "Nurse Judy" in the brochures. Do you really think that changing the brochures WITHOUT DISCUSSING with Judy why you did so is being professional and showing courtesy to your colleagues?? Especially since it appears to be just the two of you administering nursing care. I would have a problem with trust issues with am RN who suddenly CHANGED things without explaining WHY changing prior practices...especially something as important as one's title.
    Your 20 years younger that this person....don't know your age or years of nursing experience or management ability but I sense that you can be setting yourself up for a rocky road ahead. Please have the discussion with Judy PRONTO.
    Last edit by NRSKarenRN on Aug 3, '02
  11. by   leesonlpn
    Good point - it probably is used as a term of endearment. It may just perturb those involved more, than if you explained it to the patients They would probably wonder what all the fuss was about. They would say "she looks after me doesn't she?" To them well, ......that's nursing.
  12. by   Mito
    The situation does not sound that serious. I would just a name tag with the RN designation and move on.

  13. by   Grace Oz
    Legalities aside & in the "BIG" picture & on your dying day... What the HELL does it really matter?!
    Just HOW important is it REALLY? My thoughts are with poor "Nurse Judy", given all the positive things you said about her, I'm sure she would be deeply hurt to read some of these posts.
    Remember... we're all HUMANS first!! Who is it that has as their quote; " People might not remember what you said, but they will remember how you made them feel"!! Obviously "Nurse Judy" has made a lot of people "feel" pretty good over those many many years of excellent service. As someone else said; "examine your motives".
    Grace. ( Nurse, mother, wife, sister, daughter, friend & many other "Titles"!)