MARGARITA IS A CMA/AAMA. She worked in several physician offices as a medical assistant. She returned to college to earn a bachelor’s degree in health administration. Margarita was promoted to a management position in a 10-provider practice. After 10 years working in the field, the local college recruited her to become a faculty member in their medical assisting program. The program was accredited, and it was a chance to have a more flexible life style. The change in employment also allowed Margarita to become more involved in her grandchildren’s lives. Her daughter worked two jobs to keep things going, so Margarita was able to help her daughter in many ways with the grandkids. One way was to take the grandkids to the pediatrician. Both children needed physical exams for sports at school, so Margarita made an appointment. She had taken the children several times, and the office had an authorization from her daughter to allow Margarita to be their caretaker while at the pediatrician’s office. Margarita was greeted by a member of the pediatrician’s staff. The staff member said “Hi, I am Ann-Marie and I am Dr. Smith’s nurse.” Margarita was a bit confused with that introduction because she recognized the staff member as one of her medical assisting students from the previous semester. She asked Ann-Marie about why she was identifying herself as a nurse. Ann-Marie’s response was it was just easier to say that to parents and children because “everyone knows what a nurse does.” Margarita reminded Ann-Marie that she was an instructor in Ann-Marie’s program and that it was not appropriate or legal for Ann-Marie to identify herself as a nurse. Ann-Marie shrugged her shoulders, put all three of them in an exam room and left. Another staff member came in the exam room, identifying herself as a medical assistant and began preparing for the pediatrician’s visit. Margarita decided not to say anything more. However, as she was leaving the office, she overheard Ann-Marie greeting a patient and again identifying herself as a nu