Practicing Out of Scope

klone said:

Do you mean for a non-vigorous infant, like as part of NRP ?

Klone,

No, for any infant that has MEc at rupture. They do no visulization of the cords. they dry ans stimulate before checking to see if there is any mec in the airway, at all. I have only ever been taught that NICU or RN/RT at delivery so that if the kid needs help they have it. If the kid doesn't come out screaming, you don't promote it until cords have been visualized. They had no idea what I was talking about. The nurse herself said that with her last mec delivery, she was worried beyond belief about what was coming out of the mother becasue she had no clue what to even expect due to the consistency of the mec. With particulate mec, she passed a delee down to clear it and get it out of the way so the baby could breathe.

Unless you are talking about delivery staffing, then yes. LOL I always understood NRP guidelines to be that ther is one person at delivery whose sole responsibility is the infant and is trained in NRP.

Esme12 said:

I would bet that the absence of CRNA's have much more to do with anesthesia putting the halt on having them than the OBGyn. But the nurses are responsible for knowing their nurse practice acts of their states and are responsible for knowing what they can and cannot do...the onus is on them.

My question is where is their manager? Where is the director? Where is their clinical specialist? Where is risk management for not stepping in with proper policy and procedure?

It boggles my mind.

Sorry, yes, I meant to type "MDA" and it came out "OB."

Quote

I am currently on assignment with a travel company at a facility located in Az. If any Az nurses can chime in here I wold appreciate it.

I want to make a complaint about nurses (more than one) practicing out of their scope. However, I'm not sure how to make a complaint about how the unit is run. Because it is not just one nurse, it is the entire unit. They are doing it knowing that the doctors should be the ones that should be preforming the task and none of them stand up for themselves. When I did, the Doc basically said they were taking me to administration becasue I refused to do the task that is completely their responsibility. I have already spoken to my company about it, but more needs to be done so that it does not occur any longer.

Is there any consulting perosn or group I can speak to first to determine how to best handle this? I have never been in a situation where there was blatant disregard for stand of practice.

What are they doing? Call AZ BON or email them. They do take complaints seriously. I left the state last year and did work at a facility that state board came to inservice