understand better.

Question Description

I’m working on a health & medical discussion question and need support to help me understand better.

respond to this 2 peers’ discussion prompts

ALL citations and references needs to be APA 7th edition format. (50-100 words each)



As an employee we should abide by the employee handbook, know our rights and responsibilities. Posters are placed all over breakrooms on minimum wages and other state laws nobody take notice of sometimes. St. Martha Hospital have several violations that even the higher management manipulating the system to staff negligence  and personal intentions, each and everyone violated the employee responsibilities.

In the In the scenario “The Slackers 1” Tom and Bobby the male nurses. Mock patients for their physical appearance, preserving patient dignity and respect must adhere at all times. Healthcare providers are role models to others and should set a good example to other staff. Compassion is a moral value expected of all caregivers and those who lack compassion have a weakness in their moral character (Pozgar, 2016). Delegating responsibilities to caregivers who does not comply with scope of practice is endangering patient’s lives is a clear violation of the caregiver pledge by delaying medications and rendering the proper care. As well as the nursing assistant duty to report concerns for patient safety which is also stated in the caregiver’s pledge. If the scenarios can be properly reported, this will minimize or perhaps put an end on  the problem with the proper disposition of the human resources for the unprofessional behavior of the two male nurses. 


Pozgar (2016) lists “Comply with State and Federal Regulations” as a responsibility for employees, especially those that are bound by licenses and certifications that outline a scope of practice or allowed responsibilities (p. 382). It is absolutely imperative that nursing staff work within the bounds of their scope of practice. Not only to protect the safety of patients, but to maintain integrity within the profession. 

In California, Registered Nurses (RN) are regulated and licensed by the California Board of Registered Nursing. The Nursing Practice Act sets forth the scope of practice and responsibilities for RNs. Licensed Vocational Nurses (LVN) are regulated and licensed by the California Board of Vocational Nursing and Psychiatric Technicians. Certified Nurse Assistants (CNA) are unlicensed health aids. They are regulated and certified through the California Department of Public Health. They are generally only allowed to perform basic patient care services to provide comfort and hygiene – repositioning, bathing, etc. (See links below for more detailed information)

In the slackers Part 1 Tom and Bobby violate their scope of practice and responsibility as RNs by giving CNAs their login information to document “estimated” vital signs and give medications. They are not only compromising patient safety; they are delegating work that is beyond the “scope” of responsibility for a CNA. Only nursing staff who are licensed to administer medication should be doing so. CNAs are allowed to take vital signs, but it must be under the supervision of a licensed professional (RN or LVN). They should not be providing care and assessments without supervision. RNs can and should delegate appropriate duties to LVNs and CNAs, but it must be within the of scope and ability of the nursing staff they are delegating to. Because Tom and Bobby hold a higher licensure, they would also be responsible for any harm done by the CNAs. Employees should always speak up when asked to do something that is beyond their licensure, legal responsibility or comfort level.