pct debate

tiger · Mar 14, 2003

i've heard that you would also hang for the lpn. even though they are liscensed. how ridiculous is this? everyone should be responsible for their own scope of practice. the rn cannot know everything that a cna or lpn does and should not be held responsible. cosigning is the same stupidity. how did these regulations come to pass?????

sanakruz, ADN · Mar 14, 2003

Well I doubt you would hang for a med error- unless gross negligence caused great bodily harm- and then it would certainly be a jury that decided your fate;the BON would go after the actual perp and i wouldnt worry- Just curious tiger; Are you licensed?

sanakruz, ADN · Mar 14, 2003

And I believe the regs come to pass because MANAGERS and CONSULTANTS look at hospitals and nursing homes as businesses and apply profit making business tactics to the problem of nursing shortages.

I was told by some yahoo years ago that he was going to challenge the NCLEX because"How hard could it be?" This guy ran a "carehome" for profoundly DD consumers (I hate that term btw) and he could never keep any staff- He really believed that it was all about custodial stuff and pills by rote. Many dweebs on this planet have 0 clue as to what a nurse does. TOO many dweebs.

caroladybelle, BSN, RN · Mar 14, 2003

I challenged the math test for my Nursing program (to get of taking one more class - had already taken trig and calculus for my other degree) - some fool at work had to ask, "Why would a nurse need math?".

Some of the public are truly clueless

mona b RN, BSN, RN · Mar 14, 2003

Here's one I have never heard of, Clinical Service Associate.

Must be a Med asst. or equiv., ability to perform injections pref'd.

This was posted in the Sunday classifieds for a major hospital.

Just thought I'd add my two cents.

mona b;)

Brownms46 · Mar 14, 2003

Ok let's go back to the MA. BON:

A licensed practical nurse bears full responsibility for the quality of health care s/he provides to patients or health care consumers.

Now this is from the Fl. BON:

The professional nurse and the practical nurse shall be responsible and accountable for making decisions that are based upon the individual's educational preparation and experience in nursing.

Then you have Texas which doesn't have a nurse practice act for LPNs.

And S. C. which say that the administration of medication is the responsibility of the license nurse giving them.

So here is what I beleive all of this says:

If the LPN is practicing within her scope of practice, as stated under the BON in a state she/he is in, then the RN could not be held accountable for their mistakes. That LPN is held accountable for her/his knownledge level or scope of practice.

Now it that LPN is practicing outside of their scope of practice, and does something to harm a pt. than the RN/MD that is supervising her/him is held accountable as that LPN is under their supervision. In other words...if you allow an LPN to do something you know is not in their scope of practice you're liable.

I maybe wrong...but this is how I see it.

Brownms46 · Mar 14, 2003

Originally posted by 3rdShiftGuy
Makes me want to give up charge, give up using pcts and go back to total care nursing. Because there's always that vague part of the practice: "risk". If I'm going to hang myself, let it be me who does it. LOL

I totally agree with you! If I'm going to be at fault for something I want it to be for something I did! I can control my actions, but I can't control the actions of others. Especially for someone I didn't hire, or assign to the place I'm working. Most license nurses have NO idea about the training or knowledge level of the person their working with. So how can you know ....let's say if someone is floated to your unit, exactly what their skills or knowledge base is?? Makes it all the more scary!

sanakruz, ADN · Mar 14, 2003

You nailed it brownie!