Can APRNs Take Jobs as an RN?
Advanced practice registered nurses go the extra mile in their education, but should that holdthem back from taking jobs with lesser responsibilities? Also, can an APRN fill in for shifts as anRN on a temporary, asneedsbasis, such as an assignment from a medical staffing agency?The answer is “yes,” but APRNs must recognize that they are acting as an RN in these situations.This assumed role limits their scope of practice and requires them to withhold from making caredecisions or taking care actions that lie outside the authority of a traditional RN. Otherwise, APRNmay violate state laws requiring physician approval and collaboration.To help you learn more about when an ARPN can serve as an RN and how that might affect theirresponsibilities, consider the following information.
RN Roles Require RNLevel Scope of Practice for Permanent Jobs and Temp Assignments From Medical Staffing Agency
When ARPNs take on permanent or temporary roles as an RN in a clinic or hospital setting, theyare filling in shoes for a specific role with specific duties. They are also participating in apreestablished workflow, meaning that the nurse has an expected procedure for administeringcare and following physician orders.Following these duties and expectations is not just about being a good employee, either. State lawonly authorizes RNs to perform certain tasks, and it expects them to defer decisionmakingtophysicians and other authorized personnel. Otherwise, the clinic could face penalties or even apossible malpractice suit.These limitations can be frustrating to ARPNs given their experience and educational levels. Forinstance, a nurse practitioner may be tempted to manage a patient’s care plan if they notice thatthey are being over or undermedicated. Even if they suspect the medication order was a mistake,they must seek an order from a physician to comply with the stated collaborative agreement.Under this arrangement, issues can arise when someone appointed as an RN is asked to take onAPRN duties. The employer must arrange for the enhanced scope of practice to be noted in thecollaborative agreement, otherwise the APRN could be operating undertheradar as far as the law is concerned.
APRNs Should Have Qualifications for RN Role
Some employers or APRNs seeking employment may be tempted to assume that their extraeducation level automatically qualifies them for all roles an RN can take. While an APRN mayhave additional skills training, every role in medicine should be filled with someone who is qualifiedwith the exact knowledge and experience needed for that role.For instance, a clinical nurse specialist who worked in urology may not be a better hire choice fora radiation treatment clinic than a staff nurse who has years of experience in radiation treatmentand the oncology field in general.
APRNs Should Avoid the Temptation to Treat NonPatients
the sake of convenience. While writing an antibiotic prescription for a colleague or family memberwith an obvious infection may seem like a way to save them time and money, APRNs lack theauthority to place these orders and make diagnoses as long as they are mandated to collaboratewith a physician for advanced practice.If you are an APRN or a medical professional looking for jobs in your field, keep these facts inmind if you intend to look for roles as an RN. You can also improve your chances of locating aposition when you work with an APRN staffing company .Meta: See why an APRN can take on medical staffing agency assignments meant for RNs butwhy they should be careful to not go beyond their scope of practice.KWs: medical staffing agency