Is anyone aware that one of the ADs over a region of HCS is not a nurse? According to my state's RN licensure last only an RN or a Licensed PHYSICIAN may supervise RNs. How is Humana getting away with this?
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Thank you for the information last poster. In my opinion, if you are managing a team of nurses, leader should be a nurse as well.
Supervision is defined as “the provision of guidance by a qualified nurse for the accomplishment of a nursing task with periodic observation and evaluation of the performance of the task including validation that the nursing task has been performed according to established standards of practice.” See 201 KAR 20:400.
Per Ky Board of Nursing- if the AD is providing guidance or evaluating the performance of nursing tasks, standards or nursing practice, then that would be a violation of the law.
Who is responsible and accountable for delegation of nursing tasks?
Only a licensed nurse can delegate.
In accordance with KRS 314.021(2), nurses are held responsible and accountable for their decisions regarding the supervision and delegation of nursing acts to unlicensed personnel who provide nursing assistance, based upon the nurse's educational preparation and current clinical competence in nursing.
Supervision is defined as “the provision of guidance by a qualified nurse for the accomplishment of a nursing task with periodic observation and evaluation of the performance of the task including validation that the nursing task has been performed according to established standards of practice.” See 201 KAR 20:400.
Per Ky Board of Nursing Law- If the AD is supervising, providing guidance to Rns or evaluating nursing tasks or standards or practice, that is a clear violation of the law.
Who may supervise the practice of nursing? Section 4723.01(B), ORC, states that the supervision and evaluation of nursing practice is within the RN scope of practice. Rule 4723-4-06(O), OAC, further states that only a RN may supervise and evaluate the practice of nursing by other RNs or LPNs
Per OHIO Board of Nursing Law- If the AD is supervising & evaluating practice of Nursing
that would be a violation of the law.
1kqp+1jo5fMPV, but we aren’t in an ICU. The role of the nurse as a care manager doesn’t need to be managed by an RN. We have to follow cms rules and regulations. And, honestly, are you REALLY using all your years of special training in your job where you have specific assessments and care plans and questions to ask? How often do you REALLY need to ask your manager a nursing question??
Fresh out of school years ago, I with my BSN, was trained by an LPN. Some states say that's not allowed. However I can promise you this. I learned more from that LPN than I learned in nursing school. I still remember and respect everything she taught me. Stop looking at the degrees and look at the person. If you have fault with someone other than an RN being your manager/leader. it sounds personal. That being said, if that manager/leader is not managing or leading, that is another story.
You all do realize we farm out >50% of our UM reviews to nurses living in Asia while requiring our nurses in the US to maintain state licensure. That’s not fair either but saves a truckload of $$$
(Yawn). This conversation is boring. No one said nurses aren’t important. They says nurses weren’t special, meaning deserving of different treatment in A professional organization. You know who else has years of training and continuing Ed requirements? Accountants, social workers, actuaries, hr, pharmacist, etc.
This is a business. BB isn’t a doctor but he manages a team of Dr’s. Get over yourself.
Hey, guess what? So do pharmacy folks, social workers and a lot of other professions at Humana-
Nothing special about nurses? Why do they have to go thru years of clinical training, earn licensure, maintain it, complete continuing education to practice nursing? Nothing special?
The issue is manager vs supervisor
Nursing licensure laws in most states specify that only nurses and physicians can supervise nurses. Humana obviously has either no respect for those licensure laws or have some caveat to circumvent. Good question for leaders.
Nothing special about nurses? Why do they have to go thru years of clinical training, earn licensure, maintain it, complete continuing education to practice nursing? Nothing special? So I guess you think it's ok to have the janitor care for you instead of a nurse? Disgusting attitude, totally disrespectful. No wonder our nurses are leaving the profession and Humana. Sad. Bet you would feel very differently if you were in ICU, needed a nurse and there were none!
1myz+1jo5fMPV If we are being honest here, you sound like whiny brat who thinks they are more special that everyone else. Yes, you have a set of skills and a unique experiences that you bring to the job. Guess what? I bet your boss does too. And it’s insulting that a non nurse manages nurses? Wtf? Grow up. Nothing about nurses are all that distinct or different from anyone else. In other words, you are not elite, quit acting that way.
It's totally insulting to nurses to have a non nurse, one who has no clue what nurses do or are about, managing nurses in any capacity. But I see the HUMANA HR bots and sycophants are real busy gaslighting and attacking any dissenting points of view. Typical.
If you read the job descriptions, as the poster said, there is a difference between management and supervision. You will see in many departments different degrees or licenses the manager’s hold. They’re not “getting away” with anything.
Bitter much? As a professional you shouldn't need supervision. There is a vast difference between clinical supervision and Manager.