A few months ago, I accepted a position with a ALF that had an Alzheimer's unit as well, to be trained as a medication assistant. I have 7 years experience as a CHHA and have a certif for gerontoloty caregiving trained specialist, so that combine with being in nursing school
, I thought the position would be a great experience. I left within a month.
The first day I was being trained by the CMA who was a really nice young man who had 4 months experience TOTAL as a caregiver, who was then trained by the facility to be the CMA. Prior to working at this place, he was a truck driver. My first red flag. Half way throught the a.m. meds the nursing supervisor (RN) informs me that she doesn't know why administration hired me as a medication assistant b/c they have too many of them already on staff... so I go into caregiving.
The next thing I see is the med assistants giving patients their medications crushed in a FULL glass of ensure, right after eating breakfast. Now most Alzheimer patients do not eat all that well and getting an individual to drink a full glass of ensure is near impossible. So most days the patients were noncomplient simply b/c of poor administration of meds. I kept telling the CMA about it, but "that's how it's done" was the only reply I kept getting. I went to the RN directly and made sure she knew about the situation.
The final straw happened with the State came in and sited this place for something like 50+/- violations. I walked into the administration and gave notice. Before I left at the end of shift, the RN comes over to me and says, did I hear what the night CMA did? She goes on to tell me..the patient wasn't able to sleep so the caregiver called the CMA and asked if there's something on order. CMA give Ambien; without putting the pt in bed. About 30 minutes later the patient is sitting in a chair falling asleep and the caregiver becomes concern b/c they can't wake this individual up. So they call the CMA. The CMA comes to the unit, and can't figure out what's wrong.... and .... are you ready....... calls 911! Paramedics come, assess, looks at the medication record and says... You just gave this pt Ambien 45 minutes ago.! Put them in bed!
My answer, based on my only experience, pt are being put in jeopardy b/c of costs.
Good thing they didn't need another CMA on site. LOL