Letting CNA pass your meds, bad idea? - page 12

I fill the cups and check for all interactions and whatnot, but anyone have any negative experiences or can think of any possible neg exp with this? Thanks... Read More

  1. by   MVH119
    And how exactly does the paracetamol tablet change from your putting it in a pot and telling the HCA to give it to Mr Smith?.
    It is perfectly safe to do so.
    As long as you can read a drug chart and your HCA can SEE and HEAR you are perfectly safe.
  2. by   MVH119
    It now occurs to me that the HCA is miles away from an untrained aide.
    HCA's in the UK do everything including taking bloods, putting in Venflons, taking obs and doing BM's
    Perhaps you mean the untrained.
  3. by   DusktilDawn
    Quote from MVH119
    And how exactly does the paracetamol tablet change from your putting it in a pot and telling the HCA to give it to Mr Smith?.
    It is perfectly safe to do so.
    As long as you can read a drug chart and your HCA can SEE and HEAR you are perfectly safe.
    And if they mistake Mr. Jones for Mr. Smith? What if there is more than one Mr. Smith? What if they don't verify the patient because they "know" the patient? What if it isn't paracetamol that is given to the wrong patient?

    Sorry I don't see this kind of practice as being safe.
  4. by   DusktilDawn
    Quote from MVH119
    It now occurs to me that the HCA is miles away from an untrained aide.
    HCA's in the UK do everything including taking bloods, putting in Venflons, taking obs and doing BM's
    Perhaps you mean the untrained.
    Whether an aide receives formal training or is trained by their employer, the bottom line is that they have been trained to do a job.

    The issue isn't about training, it's about lack of education. Are you telling me medication administration is part of an HCA's training in the UK? If not, than I suggest you review your Standards of Practice.
    Last edit by DusktilDawn on Oct 27, '06
  5. by   Nurse`Chief~Chickie
    Quote from MVH119
    It now occurs to me that the HCA is miles away from an untrained aide.
    HCA's in the UK do everything including taking bloods, putting in Venflons, taking obs and doing BM's
    Perhaps you mean the untrained.

    Evidently your standards of practice are VASTLY different than ours, we are educated in pharmacology and body systems so that we may act appropriately in administering meds. 'Training' to hand a person a pill because you qualify as auditory and sighted is still not in the scope of practice as anyone who is not a nurse.
  6. by   MVH119
    And I suggest you are slightly less snotty.
    All the HCA"S of my exprience can not only read but see as well. They are no more likely to confuse Mr Smith with Mr Jones than I am.
    It is pefectly legal to delegate this task if you are confident that your delegatee is competent.
    I'm confident of that.The notes might bear my name but when the day comes that I cannot let a trusted HCA give a paracetamol tablet in my name then that is the day I quit nursing.
  7. by   Nurse`Chief~Chickie
    Quote from MVH119
    And I suggest you are slightly less snotty.
    All the HCA"S of my exprience can not only read but see as well. They are no more likely to confuse Mr Smith with Mr Jones than I am.
    It is pefectly legal to delegate this task if you are confident that your delegatee is competent.
    I'm confident of that.The notes might bear my name but when the day comes that I cannot let a trusted HCA give a paracetamol tablet in my name then that is the day I quit nursing.

    We/or I , since you didn't specify, are no more snotty than your very haughty replies that we are idiots in the US because we have more stringent rules and are held much more accountable for signing a legal document that we did something that we didn't do ourselves. It is not something that we do here. Our rules are much stricter. We are the ones responsible. Bottom line. It is not okay to delegate that function of our job. No matter to whomever we may trust. Period.
  8. by   MVH119
    Well our legal code of conduct allows the delegation of some tasks "as long as the practioner is satisied as to the competence of the delagatee".
    I am so satisfied, I do not suggest that the HCA dispenses and checks the drug, that is my job. Once I have done that I see no problem with the HCA giving the drug to the patient. What can go amiss?
  9. by   Marie_LPN, RN
    Quote from goingnuts
    ABT is a pill and we are talking about pills so that is where that came from. For the record I understand your concern. And for the record I have no intention of ever telling the BON or anyone else what I sometimes have to do in the name of time and making sure the nursing home makes lots of money. I didn't know LVN's had a bad rap. They must also have a big mouth.
    Well, that was pretty uncalled for.

    WTMIL.:trout:
  10. by   MVH119
    Whatever
  11. by   txspadequeenRN
    Big Mouth.... LOL so what??? You know there is post after post on here about LVN's and how they are not qualified to do this job or that job... So much talk about replacing us with RN's because we are not competent in practice and our patients are at risk cause we dont have the level of training needed to be safe.... I have been arguing and fighting this ever since I have been a member of all-nurses... then here you come a LVN , just out right and upfront about doing wrong and being incompetent..... Who cares if the nursing home makes money.. you should be more concerned with doing justice to your patients. I cant believe you still have a job . Everybody knows ABT's are over RX'd nobody is disputing that .. we are talking about BP meds and the fact you dont find it important enough to take a simple BP.. did you ever think you may have to hold that med. But you never answered my question .Do you lie and just write down a fake BP or do you just leave that little space blank....hummmm


    [/:spin: ABT is a pill and we are talking about pills so that is where that came from. For the record I understand your concern. And for the record I have no intention of ever telling the BON or anyone else what I sometimes have to do in the name of time and making sure the nursing home makes lots of money. I didn't know LVN's had a bad rap. They must also have a big mouth.[/quote]
    Last edit by txspadequeenRN on Oct 27, '06
  12. by   txspadequeenRN
    Here in the US this is not a task that can be legally delegated .

    Quote from MVH119
    And I suggest you are slightly less snotty.
    All the HCA"S of my exprience can not only read but see as well. They are no more likely to confuse Mr Smith with Mr Jones than I am.
    It is pefectly legal to delegate this task if you are confident that your delegatee is competent.
    I'm confident of that.The notes might bear my name but when the day comes that I cannot let a trusted HCA give a paracetamol tablet in my name then that is the day I quit nursing.
    Last edit by txspadequeenRN on Oct 27, '06
  13. by   txspadequeenRN
    Ok now I have to ask... Are you a nurse? And would you feel just as comfortable letting your tech give morphine or some other narc ???

    Quote from MVH119
    Well our legal code of conduct allows the delegation of some tasks "as long as the practioner is satisied as to the competence of the delagatee".
    I am so satisfied, I do not suggest that the HCA dispenses and checks the drug, that is my job. Once I have done that I see no problem with the HCA giving the drug to the patient. What can go amiss?
    Last edit by txspadequeenRN on Oct 27, '06

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