Is anyone else uncomfortable with this? - page 6

I know I should be thankful when a CMT is on my floor and passes my meds for me, but it makes me somewhat uncomfortable and I feel the need to pass the meds myself. I'm just not sure that a CMT will... Read More

  1. by   KaroSnowQueen
    I have preciously worked in areas where we had QMAs (Qualified Mediation Aides) to pass meds. Most of these girls were very smart, had went to a class to learn to pass meds and been checked off and passed a state test. They were able to pass routine meds in LTC without me standing over them. However, they were required to come ask my permission to give any PRNs. They also knew when and how to check b/p and pulse before certain meds.
    I never had any problem with any of them. They made my life a lot easier.
  2. by   Ophelia78
    My knee-jerk reaction is to say there is no way I would want someone with such a small amount of training to pass my meds under my license. I would wish that more RN staffing and support would be a better solution to meeting the nursing needs of our patients. Perhaps using LPN's to pass meds in the hospital setting seems a better solution than an unlicensed assistive personnel.

    Of course, to play devil's advocate, isn't this similar to the reaction many physicians have when it comes to advanced practice RN's having prescriptive authority and admitting privileges?
  3. by   sarajasmine
    See my post under non-nurses calling themselves a nurse.
    I'm not saying she or he is calling themselves a nurse but, I think the patient's just assume the person who is passing meds are a nurse! Of course, occasionally nurses make mistakes but, hopefully you are aware of your CMT's training and hope they will ask for your advice before giving a med they have a question about. Then, the concern is am I liable for the CMT?
  4. by   oldstudent nurse
    I've been an Oral Medication Tech for 15 years, a CNA for 15 before that. Under the supervision of you, in my state, simply means that you have checked the meds and have faith in me. We are only used in long term care and the meds are sent by the pharm, are in cassetes or bubble packs. A lot of controls are in place to prevent errors, and I sign my own med errors. In order to be a med tech here, one has to work at a facility for at least a year an have a recomendation from the DON and the Administrator. I've oriented LPNs to my job that have never touched a res in their lives, let alone a med cart. So who is the better med nurse? By this time, I've known the res's for years, and am well aware when some thing is amiss with them. sorry so long

































































  5. by   scoobylover
    I am a cma in ohio in one of the pilot program facilities i have been passing meds for 3 mths and i am still not comfortable doing it i am constantly looking up drugs!! I do not give first time dosage, at our facility i do not give prns or coumadin,accuchecks g-tubes and if i make a med error i get wrote up the nurses do not. It took awhile for the nurses to get use to it but we are all ajusting pretty well. I pass for 4 halls so this does help the nurses with there charting and able to do proper treatments on people.
    Hope this helps some of you email me if you have any questions about it.
    Thanks
    Crystal
  6. by   RN BSN 2009
    you get wrote up for a med error? thought it was just an incident report...
  7. by   BBBB
    I didn't even know it was legal in any state to pass meds without a license! Very scary. Also if it's "under direct supervision", why don't RN's do it themselves if legally they are supposed to stand there? Where do you work that has the $$ to pay TWO people to pass meds? I say fire CMT's and give you the difference on your paycheck.
  8. by   PANurseRN1
    Quote from cmatobe
    No one is teaching us to do this. We are following procedure the same as the nurses do, in regard to passing meds. We have the same accountability as the nurses, the same rules and regulations. We are to never, NEVER give a med. without an order - actually, we have a whole list of "never"s, same as the nurses. And as long as we pass meds. according to the rules and regulations we have, all will be well.
    You do not have the same accountability...sorry. You have no license to lose. Your career cannot be destroyed for life. You cannot be sued and have your assets taken if you make a mistake, because you have someone to fall back on...the nurse who you report to.
  9. by   PANurseRN1
    Quote from oldstudent nurse
    I've been an Oral Medication Tech for 15 years, a CNA for 15 before that. Under the supervision of you, in my state, simply means that you have checked the meds and have faith in me. We are only used in long term care and the meds are sent by the pharm, are in cassetes or bubble packs. A lot of controls are in place to prevent errors, and I sign my own med errors. In order to be a med tech here, one has to work at a facility for at least a year an have a recomendation from the DON and the Administrator. I've oriented LPNs to my job that have never touched a res in their lives, let alone a med cart. So who is the better med nurse? By this time, I've known the res's for years, and am well aware when some thing is amiss with them. sorry so long
































































    This is just so wrong. A non-nurse has no business orienting an LPN. The LPN should be oriented by another LPN or an RN. This is just another example of how nursing is being slowly diluted until it will one day be done by mostly unlicensed personnel.

    This just makes me see red.

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