[NP-Clinical] MA vs LPN -

Wed Aug 15 09:32:30 PDT 2007

In our prison system in Florida, EMT's are sometimes used to work shifts in 
the clinics, infirmaries, etc. as direct care staff. They can start IV's, 
pass meds, triage, and just about everything a nurse can do.

Shelby Havens, ARNP

>From: <Patricia.Thompson at hattiesburgclinic.com>
>Reply-To: NP Clinical <np-clinical at nurse.net>
>To: <np-clinical at nurse.net>
>Subject: RE: [NP-Clinical] MA vs LPN - Date: Wed, 15 Aug 2007 10:21:49 
>-0500
>
>In Mississippi (I believe is the only state not to license MA) the MA can 
>not give injections, so I was surprise to hear that in some states they 
>could. But I feel a LPN/LVN have been taught bedside care, education, 
>dispense medications, and they have the BON to regulate there actions. The 
>BON makes sure they are education on the safety of the patient.  I do not 
>know what the MA is taught or how they are license but the LPN in 
>Mississippi can do any and everything except push medications through an 
>IV. If the MA can start IVs, dispense medications safely work up a patient 
>legally for endoscopies and other procedures then go with the cheaper 
>person. But you really want someone dedicated to working MA or LPN. Anyone 
>can be trained but do they want to work is the question.
>Patricia T CFNP
>
>-----Original Message-----
>From: np-clinical-bounces at nurse.net
>[mailto:np-clinical-bounces at nurse.net]On Behalf Of Barbara C. Phillips
>Sent: Wednesday, August 15, 2007 9:26 AM
>To: 'NP Clinical'
>Subject: [SPAMMSG] - RE: [NP-Clinical] MA vs LPN - Email found in
>subject
>
>
>I agree with Shelby, MA's are great to work with. They have been trained to
>work in outpatient settings.
>
>Nurses as a whole are not trained for clinic/outpatient work.
>
>The best "Nurse" I ever worked with, was initially trained as a
>LPN-equivalent in the Army. She got out, and went to school and became a
>teacher. Somewhere along the line, she came back to health care, but was
>unable to get an LPN license (army records were not avail), but the BON let
>her license as an MA. I first started working with her 7 years ago (and she
>was already experienced in outpt clinics). Last month we celebrated when 
>she
>passed her RN boards. She's off now to a hospital residency program for new
>nurses, and boy do I miss her!  Her vast experience in outpatient work made
>her a joy to work with - I learned a lot from her.
>
>If you are going for an LPN, look for someone who is experienced in working
>in an office/clinic setting.
>
>Good luck!
>
>
>Barbara C. Phillips, NP
>www.NPBusiness.ORG
>
>  -----Original Message-----
>From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
>On Behalf Of Shelby Havens
>Sent: Wednesday, August 15, 2007 4:19 AM
>To: np-clinical at nurse.net
>Subject: Re: [NP-Clinical] MA vs LPN
>
>I have taught as an adjunct in a medical assisting program at a technical
>college for over ten years. Although I am not familiar with the laws that
>govern medical assistant practice in every state, I am fairly certain that
>they cannot do "big portions" of an NP's job.
>
>However, I like the MA model of practice. It is more oriented towards
>outpatient clinics than the LPN role. LPN's learn much more about the
>bedside care of patients who are sick enough to be in the hospital. MA's 
>are
>
>great at taking vital signs, collecting lab specimens, rooming patients,
>writing down the chief complaint, and setting up for procedures. They are
>also trained to function as office managers, and can specialize in billing
>and coding.
>
>My students are all earning associates degrees in medical assisting, so
>their training is longer than an LPN program. Many of my students go on to
>earn their bachelors degree, usually in health care administration or
>business administration. They like to become administrators at nursing 
>homes
>
>or other facilities.
>
>We have two MA's at the county jail where I work. They pass meds to about
>600 inmates. They can give injections, do glucometer checks, draw blood, 
>and
>
>do dressing changes. They can't work in the jail infirmary, where the 
>sicker
>
>patients need catheter care, IV meds, turning and transferring, sterile
>wound care, trach care, etc. That's where skilled NURSING care is needed,
>and medical assistants are not nurses.
>
>Best Regards,
>
>Shelby Havens, ARNP
>
>
> >From: np at c-zone.net
> >Reply-To: NP Clinical <np-clinical at nurse.net>
> >To: "NP Clinical" <np-clinical at nurse.net>
> >Subject: Re: [NP-Clinical] MA vs LPN
> >Date: Tue, 14 Aug 2007 21:23:52 -0700 (PDT)
> >
> >Depending on the State, with standardized procedures, appropriate
> >supervision, etc.... big portions of your job!!
> >LPN/LVN scope of nursing practice seems to have a suprisingly wide
> >range/variance depending upon the State in question.
> >Take a look at your states board for LVNs/LPNs, ie, under FAQ re scope of
> >practice, or some similar tab on their website.
> >
> > > HI-
> > > I am in an endo office and we have suddenly lost 1 of 3 MA's and need
> > > another to replace her. (no notice given....).  We are considering an
> >LPN
> > > rather than an MA..would it be worth the extra $$??  What can the LPN 
>do
> > > that the MA can not?
> > > Thanks in advance for your input!
> > > Lynn W
> >
> >
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> >
>
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