“From now on, I will follow the law.”
‘Abide by the law’, which means keeping and following the law, is a very natural duty of the people, but now it has become a powerful ‘weapon’ presented by nurses. On the 17th, the Korean Nursing Association condemned the exercise of the veto (right to request reconsideration) of the enactment of the Nursing Act by President Seok-Yeol Yoon, and protested that it would fight with’law-abiding’.
The law-abiding struggle put forward by the Nursing Association is to reject the ‘doctor’s illegal instructions’ that nurses have followed. Kim Yeong-gyeong, president of the Korean Nursing Association, said at a press conference that day, “Starting today, nurses can take proxy prescriptions, proxy surgeries, proxy records, blood collection, ultrasound and electrocardiogram tests, arterial blood collection, anticancer drug preparation, L-tubes (nasal cords) and T-tubes ( airway cords ) . We will reject illegal orders from doctors regarding exchanges, tracheal intubation, suturing, and entering surgical numbers.”
Based on the medical law, who is the subject of these tasks?
First of all, ‘doctor’ can perform all these tasks directly. In particular, prescriptions, surgery, arterial blood collection, L- tube (nasal cord) and T- tube (airway cord) exchange, tracheal intubation, and suturing, among others, can be performed by ‘doctors only’ according to the Medical Act. However, for these tasks, which are unique to doctors, nurses have been secretly taking charge of these tasks, centering on tertiary general hospitals.
A list of illegal tasks distributed to each medical institution by the Korean Nursing Association on the 18th. /Table = Korean Nursing Association
In this way, the existence that replaces the doctor’s own work is called PA ( Physician Assistant ). In the United States, medical personnel are recognized by law, but in Korea, there is no PA for medical personnel . Therefore, it is illegal to serve as a PA in a domestic hospital , but it is estimated that there are already more than 10,000 ‘ PA ‘ in Korea. A (female , 51 ), who has been working at a tertiary general hospital in Seoul for 30 years, said, “Surgery to cut and suture organs in the operating room is led by surgeons (mainly specialists), but the skin incision was made near the end of the operation . When it comes to suturing, a resident is usually in charge, but since there was a shortage of resident doctors, it has become common for the surgeon to entrust the suturing to the ‘ PA ‘.”
Other positions that nurses have taken on in hospitals include not only doctors, but also clinical pathologists, healthcare information managers, and radiologists. Nurses take charge of ultrasound examination (radiologist/clinical pathologist), vein blood collection and electrocardiogram (clinical pathologist), and anticancer drug preparation (pharmacist) to record the operation process by time slot and input the operation fee (health care information manager). Even now, it is common in university hospitals.
For example, a nurse prepares an anticancer drug when a cancer patient visits the hospital after the pharmacist who makes the anticancer drug (injection) has left work. Mr. A said, “Cancer patients came, but we can’t send them back because there is no pharmacist who dispenses anticancer drugs.” should be created,” he said.
Replacing the L- tube (nasal cord) is up to the doctor. The L- tube is a device that supplies nutrients to the stomach using the nasal bridge for patients who cannot eat. According to the nurses, the L- tube often comes off during mealtime , and there are also frequent cases where the doctor in charge requests that the tube overlap with mealtime, “I’m eating, so put it on instead.” Mr. A points out that proxy prescriptions are too common. He said, “Basically, before administering anticancer drugs, I prescribe medicine to wash the patient’s body, but due to the lack of residents, residents are sleepy and forget to prescribe the medicine and often do not put it in.” “he said.
The Korean Nursing Association said on the evening of the 17th that it had sent an official letter to each hospital asking them to actively participate in returning their driver’s licenses. An official from the Nursing Association said, “If the heads of nurse-related departments, such as the nursing bureau of each hospital, receive an official letter from the Nursing Association and go through the approval process, it will take more time before the guidelines are passed down to the current nurses카지노사이트.” It will start in earnest from the beginning of next week.”
Regarding this, nurse A also said, “If the Nursing Association requests me to return my license, I will gladly respond.” I haven’t decided what to do. I’m going to take a break for the time being.”
On the 18th, the Nursing Association distributed a list of doctor tasks that nurses should refuse to medical institutions nationwide. In addition, it is a strategy to separately operate and manage an on-site inspection team by setting up an illegal medical treatment report center within the association. In addition, the association issued a statement on the same day and encouraged members to actively participate in the compliance struggle, saying, “Please strongly reject various illegal work orders that occur in the medical field.”