The RCN and 30 Pieces of Silver

When Lenin  is moved, he speaks-

‘To carry out your role as an HCA safely, you must be properly trained and supervised’ – by whom?, Freddy or Freda Foreign Nurse, whose qualifications are checked by a blind goalkeeper called the NMC.

‘Your employer has a duty to make sure you are appropriately trained’; to what level, to stay afloat in a bath, or to swim the English  Channel? … ‘and that you are assessed as competent for your role’, again, by whom?

‘They must provide an induction for you so that you have the knowledge, skills and understanding to do your role in a compassionate and caring way, wherever you work’. Nice soundbite, but compassion can not be taught.

‘Each UK country has its own guidance and standards for induction’, which are rarely followed.

‘Our online learning resource First Steps for HCAs is a perfect supplement to your induction programme and can help you to build on your knowledge and understanding on a range of important issues’. Perfect? Really? The RCN is God-Like?

Become an HCA! It’s like the song by the Village People!

Young man there’s a place for you, down at the RCN!
Young man, there’s a place you can go.
I said, young man, when you’re short on your dough.
You can stay there, and I’m sure you will find
Many ways to have a good time.

It’s fun to stay at the RCN!
at only £4.10 a month!
It’s fun to stay at the RCN!
at only £4.10 a month!
at only £4.10 a month!

‘There are no specific national requirements for becoming an HCA’. (i.e psychopaths please apply!)

‘You simply need to apply for a job as one’ ;get someone to fill out the form!, or get your Polish recruitment agency to do it for you.

‘Once you have been accepted’ (100% will be!), ‘your employer will provide the training you need’ ; really?, how much will the debt-ridden arseholes of private equity care provision spend on training?

‘You should consider getting work experience before you apply so you’ll know what it’s like to work in health care’; i.e. get a job mucking out horses!.

‘Your training will vary depending on where you work’. Too true! – from buggar all to buggar even less!, depending on the impoverishment of the debt-ridden arseholes you work for!.

‘That’s because the knowledge and skills needed to work in a GP surgery, for example, are different from those required to work in a residential home or in a mental health setting. Astounding deduction, Sherlock!.

‘Some employers have internal training departments’ – really, where you born on Planet Zog? – ‘while others use further education colleges or offer apprenticeships’ (who?).

The real crux – after the bullshit comes the bottom line – the money-talk.

A range of health care support roles, like health care assistant and assistant practitioner, are eligible for our health practitioner membership category. If you provide health or social care in any setting, under the guidance and supervision of a registered nurse, midwife or health visitor and are not on a professional register (such as NMC or HCPC) you could be eligible to join the RCN. (My dears, you will be!, none turned away, always room at the RCN stable!).

Join the RCN from just £4.10 a month and become part of the UK’s largest nursing union. (Union?, by what definition?).

It’s fun to stay at the RCN!
at only £4.10 a month!
It’s fun to stay at the RCN!
at only £4.10 a month!
at only £4.10 a month!
It’s fun to stay at the RCN!

The rest of you Clowns keep paying full subs to those who are selling you to the knackers’ yard! Does any student nurse, or qualified nurse, this side of the cuckoo’s nest, believe it is not simply about the survival of the RCN as a parasitical entity?

Compare and contrast.

The Medical Board  of California:

Under the law, “technical supportive services” are simple, routine medical tasks and procedures that may be safely performed by a medical assistant who has limited training and who functions under the supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner, or nurse midwife. “Supervision” is defined to require the licensed physician, podiatrist, physician assistant, nurse practitioner, or nurse midwife to be physically present in the treatment facility during the performance of those procedures.

simple, routine medical tasks –

Are medical assistants allowed to start or disconnect IV’s or administer injections or medication into IV’s?
No. Medical assistants may not place the needle or start and disconnect the infusion tube of an IV. These procedures are considered invasive, and therefore, not within the medical assistant’s scope of practice. Medical assistants are not allowed to administer medications or injections into the IV line. (Title 16 CCR 1366(b)(1))

Are medical assistants allowed to insert urine catheters?
No. Insertion of a urine catheter is considered an invasive procedure and therefore, not within the medical assistant’s scope of practice.

Are medical assistants allowed to administer flu shots and other vaccines?
yes. After receiving the appropriate training, medical assistants are allowed to administer vaccinations in a clinic or physician’s office settings. The dosage must be verified and the supervising practitioner must be on the premises as required in section 2069 of the Business and Professions Code, except as provided in subdivision (a) of that section.

Prior to performing technical supportive services, a medical assistant shall receive training by either (1) a licensed physician and surgeon, podiatrist, physician assistant, nurse practitioner, or nurse midwife or (2) an instructor in an approved school program to assure the medical assistant’s competence in performing a service at the appropriate standard of care.

A medical assistant who has completed the minimum training prescribed by regulation may administer medication by intradermal, subcutaneous, or intramuscular injections, perform skin tests, and other technical supportive services upon the specific authorization and supervision of a licensed physician and surgeon, podiatrist, physician assistant, nurse practitioner, or nurse midwife.

To administer medications by intramuscular, subcutaneous and intradermal injections, to perform skin tests, or to perform venipuncture or skin puncture for the purposes of withdrawing blood, a medical assistant shall complete the minimum training prescribed in the regulations. Training shall be for the duration required by the medical assistant to demonstrate to the supervising physician, podiatrist, or instructor, as referenced in 16 CCR Section 1366.3 (a)(2), proficiency in the procedures to be performed as authorized by section 2069 or 2070 of the code, where applicable, but shall include no less than:

10 clock hours of training in administering injections and performing skin tests, and/or
10 clock hours of training in venipuncture and skin puncture for the purpose of withdrawing blood, and
Satisfactory performance by the trainee of at least 10 each of intramuscular, subcutaneous, and intradermal injections and 10 skin tests, and/or at least 10 venipuncture and 10 skin punctures.
For those only administering medicine by inhalation, 10 clock hours of training in administering medical by inhalation.
Training in (a) through (d) above, shall include instruction and demonstration in:
pertinent anatomy and physiology appropriate to the procedures;
choice of equipment;
proper technique including sterile technique;
hazards and complications;
patient care following treatment or tests;
emergency procedures; and
California law and regulations for medical assistants

In every instance, prior to administration of medicine by a medical assistant, a licensed physician or podiatrist, or another appropriate licensed person shall verify the correct medication and dosage. The supervising physician or podiatrist must authorize any technical supportive services performed by the medical assistant and that supervising physician or podiatrist must be physically present in the treatment facility when procedures are performed, except as provided in section 2069(a) of the code.

Other technical supportive services which a medical assistant may perform have been established by regulation and include: applying and removing bandages and dressings, removing sutures, performing ear lavage, preparing patients for examinations, and shaving and disinfecting treatment sites. A medical assistant may also hand patients properly-labeled and pre-packaged prescriptions drugs (excluding controlled substances) that have been ordered by a licensed physician, podiatrist, physician assistant, nurse practitioner, or nurse midwife. The properly-labeled and pre-packaged prescription drug must have the patient’s name affixed to the package, and the physician, podiatrist, physician assistant, nurse practitioner, or nurse midwife must verify it is the correct medication and dosage for that specific patient and provide the appropriate patient consultation regarding use of the drug prior to the medical assistant handing medication to a patient. The regulations governing medical assistants can be found in Title 16, California Code of Regulations, sections 1366-1366.4. Medical assistants who have completed the minimum training prescribed by regulation may draw blood.
Medical assistants are not allowed to perform such invasive procedures as:
placing the needle or starting and disconnecting the infusion tube of an IV.
administering medications or injections into the IV line.
charting the pupillary responses.

“Specific authorization” means a specific written order prepared by the supervising physician, podiatrist, physician assistant, nurse practitioner, or nurse midwife authorizing the procedures to be performed on a patient, which shall be placed in the patient’s medical record; or a standing order prepared by the supervising physician, podiatrist, physician assistant, nurse practitioner, or nurse midwife authorizing the procedures to be performed, the duration of which shall be consistent with accepted medical practice. A notation of the standing order shall be placed in the patient’s medical record.

In summary, medical assistants are not licensed, and it is not legal to use them to replace highly trained, licensed professionals. The medical assistant is present to assist and perform basic supportive services in the physician’s office.
Those duties must be appropriate with the medical assistant’s required training.

The thoroughness of California regulations governing the training of ‘enhanced’ care assistants stands in sharp contrast with the business-friendly approach supported by the RCN in the UK.

The scope of what such care assistants will be allowed to do in the UK will follow the California model.

The aim is to produce people who will more cheaply do what a nurse once did.

lenin nightingale

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3 thoughts on “The RCN and 30 Pieces of Silver

  1. Once again Lenin your spot on.
    Training Bugger all or Bugger less is about right if they get that much. The NMC as we all know are a load of f**ktards who try to act ignorant of the law covering abuse.
    The NMC say their remit is “TO PROTECT THE PUBLIC” how is this possible with any Thomasina, Richarda & Henrietta sent from the job centre being accepted as long as they can fill in the application form. Many are not able to do that!
    The RCN will do anything for money from new members, just keep it rolling in boys and girls!
    We desperately need a new regulatory body to replace the NMC as soon as possible before the present box of tricks decimates the UK nursing profession completely. A new regulatory body cant come quick enough

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