RN refusing MA assignment - page 2

I am a nurse practitioner/back office manager in an OB/GYN office. A few weeks ago, we had to let go my medical assistant so we are work short handed until a replacement is found. She was also the... Read More

  1. by   TuTonka
    Hmmm has anyone thought that possibly this nurse is unsure of herself and instead of chopping her head off for not being a team player someone MIGHT ask her why she really feels this way? If she has been out of clinical nursing that long she might have a insecurity problem. How about being a team player and find out her side also? ORRRRRRRRRRRRR encourage her to discuss these feelings? I have found there are often reasons for people to act out as she did. Heck she may even become a good team member if someone makes an effort to include her feelings and fears. What may seem unfair today could be a missed opportunity to help a nurse in need. Just a thought.


    TuTonka
  2. by   azhiker96
    I'm a PACU nurse and recovering patients is my top priority. However, I have also restocked blanket warmers, cleaned stretchers, restocked work stations, emptied foleys/drains for other nurses, and other "tech" duties when we were short on techs. I think it's about being a team player, helping out so that our unit runs as smoothly as possible. There are other nurses who do as I do. There are also some who sit and surf the internet or read a book rather than help out. I've noticed, those of us who do help others are a little slower to help those who don't. Karma works.
  3. by   azhiker96
    Quote from TuTonka
    Hmmm has anyone thought that possibly this nurse is unsure of herself and instead of chopping her head off for not being a team player someone MIGHT ask her why she really feels this way? If she has been out of clinical nursing that long she might have a insecurity problem.
    TuTonka
    So after being a triage nurse (or whatever field of nursing) for 35 years she is unsure of herself for "getting weights, blood pressures, stand by assist if needed. Clean the rooms."? I don't buy that. How long would it take to retrain her to operate weight scales, take blood pressures, clean a room and assist as directed? I bet I could take someone off the street and have them functioning pretty quickly on all of these.

    I do agree that it would be good to ask her why she feels she can't do these things. My bet is that it's either beneath her or that she'd have to spend more time doing things rather than enjoying the downtime between triage calls.
  4. by   featherzRN
    I agree that she can and should do these things. I've done them many times as an RN working in an outpatient setting when the MA is out.

    However, in one of my UNION outpatient clinics they would slot RN's into MA slots quite often and apparently the union came in and put a stop to that. We had per diem RN's show up to work and find out they were an MA for the day.

    Not exactly sure why the union ruled that way, as nothing was done that was not in the RN scope of practice. Those of us that filled in as an MA just requested to be put with the docs that saw walk-in cases, not the ones that did a lot of specialized procedures that required an assistant with knowledge of where the equipment should be placed, etc. Rooming a patient, taking VS/EKG and standing in as chaperone is not a big deal.
  5. by   morte
    Quote from featherzRN
    I agree that she can and should do these things. I've done them many times as an RN working in an outpatient setting when the MA is out.

    However, in one of my UNION outpatient clinics they would slot RN's into MA slots quite often and apparently the union came in and put a stop to that. We had per diem RN's show up to work and find out they were an MA for the day.

    Not exactly sure why the union ruled that way, as nothing was done that was not in the RN scope of practice. Those of us that filled in as an MA just requested to be put with the docs that saw walk-in cases, not the ones that did a lot of specialized procedures that required an assistant with knowledge of where the equipment should be placed, etc. Rooming a patient, taking VS/EKG and standing in as chaperone is not a big deal.
    i would think the union put a stop to this, to protect the MA's......
  6. by   LHH1996
    i think she is being rediculous..
  7. by   Ahhphoey
    That nurse just doesn't want to be a team player. Any nurse should be well able to get vitals and check weights. I work in an ICU and I take vitals, weights, straighten up my rooms, restock nurse server carts, assist doctors with procedures or just round with them, and many other tasks on a daily basis and none of this make me feel any less of a nurse; these duties are not a "step down" from any other nursing duties. As long is that wasn't a long term situation and the RN is not being referred to as an MA, I don't see the issue.
  8. by   LuLu2008
    Think about the paradox in this argument. RN's are quickly having their scope of practice eroded by LPN's as well as people with very little education being "delegated" to do tasks that used to be the province of RN's only. Follow the money, and when a facility can hire an unskilled person to perform a task at $8 per hour why should they pay more for a skilled, licensed person? Some of the people in doctor's offices have no training except what the doctor gives them and that is perfectly legal.

    Having said that, the triage nurse is lucky to have a job requiring skilled knowledge and judgment. When she needs to pitch in to do other tasks that the MA normally does, that just goes with the territory. She needs to be grateful that the doctor does not replace HER with a MA that the doctor trains and who will receive a fraction of her salary.
  9. by   TXRenaNP
    Thanks to all for the kind replies. This is my point. Regardless of our position, you do what ever it takes to get the job done and take care of your patients. As the NP/supervisor, if have stepped it and helped out on the floor when the girls need the help. When I walk down the hall, I will help clean the rooms. If in the bathroom, I will tidy it up. It is not beneath me to do so. I don't say that to give kudos to myself, its just that's the nurse in me just like its the nurse in you. I can understand not wanting to float in hospitals to other units that are beyond skill sets but even then, when I worked in peds and was floated to ICU I was given the easiest patient, not the one with the vent/swanz etc. She is supposed to be my backup and I am hers. Yet, I can and do back her, bet she never can back me up. She refuses to do catheters, IV's, give methotrexate (RN only). Leaves these things to me. The docs need to make a decision.
  10. by   NurseLoveJoy88
    Quote from azhiker96
    I'm a PACU nurse and recovering patients is my top priority. However, I have also restocked blanket warmers, cleaned stretchers, restocked work stations, emptied foleys/drains for other nurses, and other "tech" duties when we were short on techs. I think it's about being a team player, helping out so that our unit runs as smoothly as possible. There are other nurses who do as I do. There are also some who sit and surf the internet or read a book rather than help out. I've noticed, those of us who do help others are a little slower to help those who don't. Karma works.
    You're an excellent nurse. I will be a new grad soon and this is the way I see myself being as well. Even as a student I don't mind emptying trash cans for pts., helping techs do " tech" duty for patients that are not under my care, and etc.

    There is no I and team !
  11. by   CrunchRN
    Inexcuseable!

    The office flow for the day is the priority and she needs to get her big lazy behind out of that chair or hit the street.

    I say this as an RN who spent a decade as an office nurse in Ob/Gyn.
  12. by   caliotter3
    You are not out of line in your expectations. That nurse needs to get in touch with reality. I am sure that you could find an RN who would love to have an office job and who would do what is expected of her/him. Your office does not need dead weight.
  13. by   SchoolNurseBSN
    Shoot, I am an RN at a middle school. Sometimes, you see me sitting up front covering for the secretary! No big deal as long as it does not interfere with my resposibilities as the nurse! Yes, if it became a problem......then, I would speak up!

    AND......... a big part of my job is heights, weights, and blood pressures. Well within my scope as an RN. I have never felt these tasks were "beneath" me.

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