I have been working at this orthopedic clinic in our city for approx 15 months. I have discovered while working here that most of the staff are not certified or licensed;meaning most of the staff are not certified or licensed. These staff are referred to as “nurses” . They order medications,tests,labs thru EMR. They are trained how to place these orders thru the EMR. They are working “out of their scope of practice”. Does anyone know where I can go to report these fraudalent acts and other work place violations?
Are they calling themselves nurses, or who is using that term? Are they just putting orders into the patients EMR, or are they giving the meds and performing tasks which require a license to give?
We have standing orders and per protocol orders, so the order is actually ordered by the physician for all patients that fit that category, and the tech is just transferring that order into the specific patient’s EMR.
I would make sure you actually have a scope of practice issue going on before you went too far with this. If you do, then talking with the DOH Board of Nursing would be a good place to start. While you are doing that, probably a good idea to be looking for a new job, because right or wrong, they will find a reason to terminate you. (Yes, there are no retaliation laws out there, but it is amazing how quickly they can find legitimate deficiencies in your charting when they really want to look, and after a few verbal warnings, a written warning or two, then a suspension, they will be able to terminate you for cause, not related to you reporting this … all within a couple of weeks.)
Good luck. Let us know what you find out.
There are no standing orders or protocol. The doctor types message thru triage or in patient encounter-the staff then actually place medication order or diagnostic procedure thru EMR and send to pharmacy or hospital. They refered to everyone there as she is so and so’s nurse. They are listed like that in directory. I am looking for a new job. It is very scary working here.
Also need to add that some of the staff do not have any certifications or license at all-such as CMA,CNA,LPN, or RN. These staff are sending prescriptions and diagnostic test orders to pharmacies and hospitals.
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