Letter to the Editor

Cross-training in Missouri Misrepresented in CLD Discussion Group I work in the Kansas City, Missouri area. I have been involved in four programs. In two of the programs, RNs and technologists had identical roles. There were no differences in their duties. In Missouri, technologists are allowed to administer medications under the direct supervision of a physician. In a third program, the lab was staffed by technologists only. There were no RNs on staff. In the fourth program, there are both RNs and technologists. The RNs circulate and administer medications, the technologists scrub and monitor. There can be any combination of personnel on call as long as there is one RN and one technologist. I think Missouri may have been a little misrepresented in the survey. Two of the largest programs in Kansas City are totally cross-trained with no differential made between techs and nurses. Vicki

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