i work for a ddso that has approx 130 group homes. direct care aides pass all of the medications. in nys there is a bill being considered to repeal the exempt clause that allows this to happen. we will then need to hire about 720 nurses to cover 24hrs/day in each group home to pass meds. although i agree that only licensed personnel should be doing this it will be extremely difficult to hire all those nurses with the nursing shortage. i was wondering what happens at other omrdd/ddso group homes. i also would like your opinion on repealing the exempt clause.
your living is determined not so much by what life brings to you...as by the attitude you bring to life.
john homer mills
Dec 12, '03
I am a nurse in Ontario, who also works as a (DSW)front-line worker in a group home.
Even though the rate of pay is much less for a worker, I enjoy it very much.
I am wondering if there are any nurses or DSW on here from New Brunswick? I may be moving there in a couple of years and would like to know what type of work is available there as far as nursing and DSW go.
Last edit by shyann on Dec 12, '03
Dec 20, '04
Here in WY, we use our frontline staff to "access" medications "with" the client.
"Accessing With" being the key words. This implies that the client is medicating him/herself, with the help of another. A very thin line, yes, but I believe that is how we get away with it.
I came out of being trained mostly in a hospital setting into this situation. Very different. I also learned a very important lesson not so long ago. Just because I'm use to how nurses apply their knowledge of medications and all that includes, doesn't mean that everyone else has that knowledge.
Simple point: Counting meds with a coworker, she was the one visualizing and counting, I was the one documenting. Instead of checking the "label" for the name of the medications and dose, she was going by what the pills looked like. Yes, count was off because the phenobarbital looked exactly like accolate. I didn't (like a dumb you know what), question it. In the hospital, my coworker (who would have been a nurse), would not have gone by what she saw, but by the label.
I'm sure that the training that our frontline staff gets is not at all like it should be. As some have already stated, it probably has more to do with money than anything. I just thank God that I learned a lesson now, one that was not costly to myself or a client.
Last edit by jleski on Dec 20, '04
: Reason: I realize that the initial posting is from "03" but hey!