*rant* "Nurse" at office answering questions.

Specialties Ob/Gyn

Published

Hi all.

So I called my FP's office to schedule an appointment for a lump I found in my breast. No big deal, probably a milk duct since I'm a lactating mom, but I wanted it checked out all the same. So I call the office for an appointment. The woman I spoke to was nice enough, and offered an appointment a week from the time I was calling. I questioned if I should be seen sooner or if it was ok to go a week out. So she starts asking questions, kind of assessing the situation. Well, I'm dumb but not stupid, so I ask, "Are you a nurse?" And she says, "Yes, I am, I'm Dr. S's nurse." And then I say, "Are you an RN or an LVN?" And she says,

"I'm neither. I'm a Medical Assistant."

AAAGGGHHH. I replied, "Then you are not a nurse and you shouldn't be trying to assess over the phone." I wasn't trying to be a rude b*tch, but when a MA, who has very limited medical training, is trying to assess a breast lump over the phone, she should not pass herself off as a nurse. I spoke to one of the docs in the clinic, who is a friend, and I told her she needed to speak to this "nurse", because that MA was opening the clinic up to major medical liability if she screwed up and assessed something or someone she wasn't supposed to.

Am I off here? Or am I just being a cranky new mom? I guess I'm just protective of the title "nurse", since that implies a certain skill and knowledge set.

Alison

I think it is almost regular practice for some MAs to call themselves nurses. My cousin just finished MA school. We went to the uniform store together and she was getting a few scrub tops with "Nurse" "Love a Nurse" etc. imprinted all over them. I told her "You're not a nurse!" somewhat playfully so not to hurt her feelings, but I was serious! :imbar Then a couple of days later one of my CNAs was wearing one of the same tops. But that is another topic all together... :coollook:

Have you talked to your cousin about the possible legal ramifications concerning this?

It makes me wonder about what these instructors in these MA courses are telling their students. Has anyone seen the advertisments for Georgia Medical Institute? Without using the word "nurse" at all in their advertisment, they certainly leave the impression that anyone can beome a nurse "in a few short months."

At my facility we have a CNA on one of the units (not mine) that wears the designated color for the RNs, instead of the designated color scrubs for the CNAs. Why her UM allows her to do this is anybody's guess. I think it is misleading to the patients.

It's not about "status quo," it's about not claiming to be something your not. It's also about not deliberately giving misleading impressions.

It is against the law in Texas to represent yourself as a licensed nurse when you are not one. Is that not so in your state? The District Atty. in Texas prosecutes people who pass themselves off as nurses (even LVN';s who say they are RN's).

It is against the law everywhere to pass yourself off as a nurse. All of the clinics have techs, and the docs are bad about saying my nurse, call the office and talk to my nurse. It gripes my @##. I found out the nurse at my old clinic was a girl who kept failing respiratory school until she finally gave up. He taught her to give shots and that was it. He called her nurse, she identified self as his nurse.

When I was a student and visited the BON there was a case against a girl who pretended to be a nurse and she was fined $1000.00 for every day they could prove that she was working as a nurse. Clinics in trouble for hiring her without getting the license. She kept putting them off then would quit and go somewhere else. fined $100,000.00.

One of the CNAs I work with frequently identifies herself as a nurse..."My name is Becky, and I will be your nurse tonight." If someone corrects her, she gets really bent out of shape. Drives me crazy and management doesn't really seem to care...

We have similar problems with firefighters and EMTs that call themselves paramedics..."The paramedics are here, honey...tell the paramedic where it hurts...paramedics were called to a _____." Sorry, but until you have golden sparkles on your left shoulder, you are an EMT. Driving an ambulance or pushing a cot (or being an excellent EMT) doesn't make you a paramedic any more than wearing scrubs and giving injections makes you a nurse...

Specializes in PeriOp, ICU, PICU, NICU.

This isn't the first I have heard. There is a clinic around here that is NOTORIOUS for having it's MA's say, repeat, and confirm that they are nurses! :rolleyes:

You have the knowlege to know the difference but I am willing to bet that there are lots and lots of patients that do not and will believe it. Like I have always said...the public should definetly be more educated as to what is a nurse, what they do etc. Some don't know the extensive things nurses perform. I vote for more advertising for the nursing career and educate the public. :)

Need not say more. REPORT HER! :uhoh3:

:p

Heartswideopen - even RN's can't give advice over the phone. I work as an ER nurse and nursing supervisor and we cannot give advice over the phone.

It has gotten so bad that we can't even do blood pressures for the general public anymore . . .my father-in-law used to come in about once a week, sit at the nurses's station and get his bp checked. Not anymore. Too much liability.

steph

I was an MA for many years and never referred to myself as a nurse. When I worked in a peds office for several years, one of the docs would call me her "nursie-poo" to her patient's, but I always corrected her. I always assume that an office staff member who says they are a nurse is an MA until I see her badge with LPN or RN on it.

I actually had an awesome instructor in MA school that told us in the first semester that we were to never refer to ourselves as nurses. She told us that if we did and gave medical advice and that patient believed we were a nurse and sued because of wrong info or whatever, that we would be held to the standards of a nurse in trial. Not sure if that is true, but never wanted to find out! I wish all schools would tell their students that.

I also think that it is the doctors that hold a big responsibility in making sure their staff MAs don't refer to themselves as nurses and that the docs themselves don't. I always identified myself as Dr. So and So's medical assistant when I called a patient. In peds we actually had a staff nurse that did triage and whenever she was out, the MAs had to return calls. I always made sure they knew that the nurse was out and that I was an MA.

Specializes in Pediatrics, Nursing Education.
MA are allowed to ask questions over the phone. How was she assessing? I though she was asking questions. I work as a Certified Medical Assistant as I am going to school. When patients call and asked to talk to a nurse the receptionist says, "We do not have nurses, we have medical assistants, would you like to talk to one?"

MAs are allowed to triage, which involves asking questions so they can tell the doctor what is going on. But not make major decisions.

They can however give basic medical advise, like "Your U/A came back and indicates that you have a UTI. The doctor is having me call in an Rx for you. It is a good idea to drink a lot of orange juice. Avoid bubble baths and make sure you urinate frequently and not hold it too long." Then when they ask questions about the test result they can say, "Normal range for urine pH is 5.0 to 7.0. Above 7.0 is considered alkaline, and below 5.0 is acid. If a urine specimen is above a pH of 7.0, more than likely it contains a large amount of bacteria, which is why the urine is alkaline. Urinary casts that are formed in the kidneys are destroyed, and urinary casts are important in the diagnosis of a patient' condition. Adjustments can be made to help the body balance out pH levels. A patient with a condition like the above, maybe instructed by their doctor to drink large amounts of orange juice, not only to help flush the bacteria out of the urinary system, but to help balance their pH levels with the orange juice's citric acid.

When homeostasis is out of balance, all cells of the body suffer. Moderate dysfunctions, like bacteria in the urine that causes a pH level rise, can cause illness, like a painful burn upon urination (UTI). Severe dysfunction can lead to death."

Yes, MA's should not refer to themselves as Nurses. I however hope that when I become a nurse I do not gain such a negative attitude about some one that has a lower status than me. I know when I become a nurse I do not want a doctor to say "Oh, what advise can she give? She is only a nurse"

She was asking questions to ASSESS (by her answers) wether or not to get her in earlier or not. It is obvious to me that she was trying to assess over the phone here... and she doesn't have the proper training or skills as an MA to do so. Wrong Wrong Wrong! Report her... before she really hurts someone by "assessing" over the phone or working outside the realm of her practice!! If you want to call yourself a nurse, go to nursing school... otherwise, be honest and proud of who and what you are.

the CNA's who treated me at the hospital i was just in (a pedeatric hospital since i have been going there since i was little) would say hi i am X and i am here to take your vitals. didnt say what they were, but did not represent themselves as what they were not.

I completely understand everyone's point of view, but I have been on the other side of it. I've been a MA for 8 yrs and currently going to school for RN. I work at a FP x 4yrs and the Dr is constantly calling us NURSES. Even after I constantly correct her. I am always telling the patients, "No, I'm not a nurse, I'm a medical assistant. But I'm going to school to be a nurse." When I first started working there the front office staff would always come back to me saying that a patient was on the phone with questions. I would tell to take a message for the dr and I'd get dirty looks and huffs and puffs. So after awhile I just okay, what line are they on and I would take a message myself.

I feel so incredibly uncomfortable, I am not trained for that. Well not yet anyway. I don't try to triage or assess the pt, I just honestly tell the patient I don't know and that I will ask the dr and call them back. And you know what really gets me, is that the Dr I work for was once a RN herself!! Is that crazy or what? She just completely forgot the difference btwn an RN and MA.

Sorry for the long post :)

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

She probably did not forget. From the doctor's perspective, it sounds some how "better" to have "nurses" working for you than Medical Assistants. I bet on it. She is breaking the law, whether she is aware of it or not.

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AM I off here? Or am I just being a cranky new mom? I guess I'm just protective of the title "nurse", since that implies a certain skill and knowledge set.

Alison

No. You are not out of line here. You have hit upon one of my pet peeves. I have worked in several clinics, where dr.s referred to their MA's as "my nurse".

I also have had MA's tell me they should be paid the same as me (RN), because they do the same job. When I give them a typical nursing problem regarding meds and they always give me an incorrect answer, I tell them to come back and ask for the same salary as me, when they can give me the correct answer.:angryfire

I can't count the number of times, I have had to go back and correct information, which was incorrect, that was given to pt.s by MA's.

I have also started to document these incidents and notify their supervisors of these incidents.

MAs are allowed to triage, which involves asking questions so they can tell the doctor what is going on. But not make major decisions.

___

MA's are not allowed to triage. If your statement was true, then MA's would be allowed to work in ER's as Triages Nurses. The last time I checked, there were no MA's in my local ER working in Triage.

As a MA, you can can get information from the patient regarding their medical problem, and pass that info onto your doctor, but if you are the one deciding how soon a patient gets seen, then you are in violation of the Nurse Practice Act.

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