Actually, I checked out OR's BON site and OR is not as strict. The training is actually 40 hours; must be a CNA for 6 months. They don't have to have any pharm or A&P and the routes they can do are PO, PR, J and G tubes, transdermal, and topical. They are not allowed to do injectables or NG tubes. They can also start/stop G and J tube feedings and do the flushes. They can also do blood sugar finger sticks. They can only administer PRNs after a licensed nurses assesses for need.
I worked in one facility that required that nurses do tube meds and suppositories, but I think most facilities allow CMAs to do what the state allows them to do. The site does not say for sure if they work under the nurse's license, but it seems to imply that med aides are responsible for their own errors should one occur. So far, the ones I've worked with seem competent and thorough:I remember one occasion where I was doing an admit and after I put the MARs into the med book, the CMA came up to me and told me the new admit had asked for a pain pill. The CMA had asked the floor nurse what the pt. got for pain and the nurse told her Vicodin and the order was actually for Percocet. Not a disastrous error, but the CMA was upset that the nurse told her the wrong drug. Once I told her that it was not a serious error, as nicely as I could, I told her to always always ALWAYS check her own orders and never take somebody else's word for it, because in the end it is the person pushing the pill who takes responsibility, NOT the individual who told her verbally what the drug was. I guess my whole point for mentioning this is that nurses also make these types of errors and the CMA did what any responsible nurse would do...as soon as she caught it, she reported it. I've seen other examples of this kind of professionalism in other CMAs, but I do have to admit that I find it disturbing that my state doesn't require any pharm education before allowing somebody to become a CMA.