Oncology Nursing Society Position on Identification of Registered Nurses in the Workplace

Changes in healthcare delivery have resulted in the increased use of unlicensed assistive personnel in healthcare settings throughout the continuum of care. While this shift is occurring, the Unites States is preparing to face the greatest shortage of RNs in the history of healthcare. Although members of some healthcare teams who have less academic preparation and competencies are providing patient care, some healthcare organizations and facilities have prohibited RNs from displaying professional and/or academic credentials as part of their identification. The practice minimizes public and consumer awareness of the substitution of RNs with less-skilled individuals in direct care settings. Concealing the qualifications of care providers from consumers is deceitful and unethical. The Joint Commission on Accreditation of Healthcare Organizations ([JCAHO], 2006) stated that “patients [should] receive adequate information about the person(s) responsible for the delivery of care, treatment, and services.”

• Healthcare consumers have a right to be informed of the qualifications of those providing care.
• RNs should wear insignia that identify themselves as RNs at all times during the provision of patient care.
• Advanced practice nurses should identify themselves as such (e.g., clinical nurse specialist, nurse practitioner).
• RNs should verbally inform healthcare consumers of the specifics of their roles in providing care.
• Healthcare facilities should not prohibit personnel from wearing insignia that identify credentials.
• Healthcare consumers should be informed of caregivers’ demonstrated specialized knowledge in oncology nursing through identification of the credentials OCN^®, AOCN^®, AOCNS, and AOCNP, earned by RNs through Oncology Nursing Certification Corporation examinations.
• In the event that a facility prohibits or discourages identification of staff credentials, staff members and consumers should submit written protest to facility administrators, the state's nursing association, the state's board of nursing, and JCAHO or other appropriate regulatory agencies.
• Every RN should advocate that his or her state nurse practice act mandates identification of professional title and credentials.

Joint Commission on Accreditation of Healthcare Organizations. (2006). Comprehensive accreditation manual for hospitals: The official handbook. Retrieved July 12, 2006, from http://www.jcrinc.com/subscribers/perspectives.asp?durki=6065&site=10&return=2815#SP

Approved by the ONS Board of Directors 1997; revised 06/00, 06/02, 10/05, 09/06.