Letting CNA pass your meds, bad idea? - page 19

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   MurseNeutron
    a cma is certified medication assistant, right? sounds like your doing your job... the question was about cna's, which have no training in medication assistance.

    if your problem is with the nurses sounds like you need to suck it up and do the math. perhaps a little grammar too
  2. by   twotrees2
    Quote from MONTGOMERY
    in responce to everyone about cna's passing meds.i don't believe that cnas should, but you all down cma. i have been an cma for a year and a cna for 9 years. i watch everything i do. i also help the nurse so that they can chart, or do treatments,talk to family members. i free up their time. i work the 10-6 shift, this is what i do, i do the glucometer checks, i do the i/o sheets, i put the feedings in their rooms, i check for dc'd meds, ido the humidifier bottles and tubing once a week time and date. i put the nebulizer tubing in the patients room once a week. i do count while the nurses are giving report, i do not so insulin shots, or check them. i do give narc. i have a sheet for myself and the nurse i am working with, at the end of the shift i give a copy to the nurse. i also do treatments and i sign the books i also help with the end of month. i don't check doc. orders. i am responsible enough to know that if you give a blood pressure pill to check the blood pressure and if it is low i put on the mar held and why. i doc. everything. i am there to help the nurse.and then you ask well what does the nurse do. at my place of work not a thing. talk on the cellphone, or talk about how tired they are , or how much one patient get on their nerves. no i did't go through a 12 month course, but a did do 4 months, and i did try nurseing school but the math was a bugger bear.so please understand i am very cautious when it comes to meds, maybe its the people that you work with , you may not feel comfortable with, but the nurses i work with , want to work with me . thanks
    sounds great! where do yo live? our med techs - so we are told can do NOTHING but pass meds- that leaves us in much of a bind if they cant do blood sugars, treatments etc we need to get to that floor besides ours and do that stuff. no complaints if the put them WITH a nurse on a very busy wing so she can get all the other stuff done while they pass meds but not feasible when used for a body on the staffing baord.,
  3. by   donastaci
    Before I went to nursing school I worked at an assisted living facility and the only licenced nurse was the DON. The CNA's did all the hands on patient care as well as pass medication. For twenty patients there were two CNA's doing pt care and one CNA passing meds, doing glums and giving insulin shots sub-Q. I took one medication test that was mainly on medical abbreviations before I could pass meds. The CNA's were not passing meds for the nurse it was part of their job description. Not illegal in this state. SC
  4. by   cdmadere

    Wow
    CNA's passing meds...you are kidding, right?
    I don't remember reading that I could delegate that, while reading my state board papers...wow Maybe Lousiana is more picky than the rest of country...
    NOT.
    NO, I would NEVER let ANYONE pass meds for me that my name is signed off on...let alone someone who is not licensed to do so.
    I worked TOO HARD for my license, and that is jeopardizing the patient's safety, and also taking advantage of the CNA.
  5. by   pagandeva2000
    This is an unfortunate reality, that there will be facilities that will certify CNAs to pour meds. I think that we have to make the choice as nurses if we want to risk ourselves by staying there.
  6. by   pagandeva2000
    Quote from MONTGOMERY
    in responce to everyone about cna's passing meds.i don't believe that cnas should, but you all down cma. i have been an cma for a year and a cna for 9 years. i watch everything i do. i also help the nurse so that they can chart, or do treatments,talk to family members. i free up their time. i work the 10-6 shift, this is what i do, i do the glucometer checks, i do the i/o sheets, i put the feedings in their rooms, i check for dc'd meds, ido the humidifier bottles and tubing once a week time and date. i put the nebulizer tubing in the patients room once a week. i do count while the nurses are giving report, i do not so insulin shots, or check them. i do give narc. i have a sheet for myself and the nurse i am working with, at the end of the shift i give a copy to the nurse. i also do treatments and i sign the books i also help with the end of month. i don't check doc. orders. i am responsible enough to know that if you give a blood pressure pill to check the blood pressure and if it is low i put on the mar held and why. i doc. everything. i am there to help the nurse.and then you ask well what does the nurse do. at my place of work not a thing. talk on the cellphone, or talk about how tired they are , or how much one patient get on their nerves. no i did't go through a 12 month course, but a did do 4 months, and i did try nurseing school but the math was a bugger bear.so please understand i am very cautious when it comes to meds, maybe its the people that you work with , you may not feel comfortable with, but the nurses i work with , want to work with me . thanks
    What happens if you make a mistake? Are you taking the heat or is it the nurse? I admire the fact that you seem dedicated. But the thing we are speaking of is that if the CNA or CMA (whatever the title is) makes an error, in most cases, the NURSE takes the heat for it. If you had a certification that would make you utimately responsible for what mistakes you make that is one thing. Say for example that you did not lift a person in the room next to you and the other aide did...would you want to be blamed and you were nowhere in sight? I'd think not. However, the nurse may have to face the state if YOU make an error, whether she was present or not (and let's face it...in most cases, the nurse is NOT glued to your hip). If this is what the facility requires, and you are as responsible as you are saying, then you are an asset to that nurse...however, to every one aide that may be great, there are many others that are questionable at best. Once you have completed nursing school and went through the whole nine yards of that blood, sweat and tears, then, you may better understand what we are saying. Heck, nurses get blamed if CNAs break a limb and don't say anything. I have seen it happen. When I was an aide, there was a severely contracted patient who is difficult to dress. Three shifts later, it was discovered that the woman's ankle was broken, and was disgused with a sock. Each nurse on all three shifts had to answer to the state. Did the nurse wash her? Nope! But, she had to answer to it. This is what we are saying...the accountability. Whose is it?? In most cases, it is the NURSE.
  7. by   Tech11HowMayIhelpyou
    I work in an ER as a Tech II ( IV's,Bloods,Foleys,Splints Etc..) In my experience as a Tech have I been asked to adminster meds before.. yes. Have I done it, absolutely not. I have no Idea what medication they are handing me and I am certainly not going to push it. As Mentioned several times in this thread, Do people forget about their license ? I previously worked in an acute psychiatric unit where my nurse manager Handed me a medicine cup of pudding and said it had trazadone in it and to give it to so and so. I just simply responded "I don't feel comfortable doing that let me find a Nurse that could help out" Not only is this a TOTAL disreguard for patient safety it is putting your Tech/CNA in an awful position. I thank God that I have enough common sense to be able to tell.. the nurse and Yes even My manager NO. What is scary that it is fairly easy to become an assistant and if I was newer and less familar with the healthcare industry... I would have probably done Whatever the nurse told me to do. Because if the nurse was telling me to do it... It had to be done... Right ? She wouldn't tell me to do something that was wrong... Right ? And Ultimately Remember CYA .... CYA Baby.. Because if something goes wrong.. You Are Responsible.
  8. by   sunnyjohn
    My eyes!
  9. by   nurse_clown
    [FONT="Comic Sans MS"]well that brings up an interesting question where I work. I work in a Long Term Care Unit at a seniors village. In LTC, I'm an RN and I pass my own meds. No problem there. I don't expect anyone else to do it for me. And it's not really that hard because we receive "strip packages". Of course we have to make sure they're all there and do the five rights.

    But also at this village, we have what is called "supportive housing". Personal support workers go into the apartments and help the residents in there with washing, cleaning, cooking etc. They also hand out meds. I've never really considered it and I'm not sure how the PSW's can monitor someone's meds. Any thoughts on that?
  10. by   scoobydee
    As nurses we keep delegating our tasks. What will we have left to do to justify we are needed??
  11. by   Franny2332
    ...and *where* is this practice of allowing CNAs to pass meds legal?

    ""Never attempt to teach a pig to sing. It wastes your time and annoys the
    pig.""
    RHeinlein
  12. by   hopebewild
    I only read the first couple of pages in this thread so somebody might have already asked this question i dont know. Is it all right in the state of IL as a nurse to put meds in applesauce and then ask a cna to feed them to a patient? This didnt happen to me but to another cna i work with. I told her she should have said hell no but i really dont know what the policies are.


    Also, in Wisconsin, my mom, who had never done anything health related before in her life, took a job in a group home. She did two weeks of training and then was basically a cna but she also passed meds! The nurses measured them out and put them in cups with a patients name on them but she actually passed them when there was no nurse present! Tell me that that is not legal!
  13. by   MONTGOMERY
    I Really Understand What You Are Saying, Cna's Should Not Pass Meds, I Am A Medication Aide, And Inrespone To The Lady About Stateing I Need To Suck It Up, Believe Me I Do Everynight, I Work Hard While The Nurse Talk On The Phone And Do Nothing. I Love My Job, And I Will Do My Job, If I Make A Misstake That Is On Me Not The Nurse. I Do Tell The Truth. But I Don't Think That It Is Fair For A Nurse, To Get Paid For 8 Hours To Do Nothing ,when It Is Her Job To Make Sure That The People Are Being Taken Care Of. I Tell My Nurse Everything I Do, I Sign Off On Everything I Do, Plus I Have A Shift Report I Make A Copy And Give To The Nurse Of Every Routine Med I Give And Every Prn Given. I Work The 10-6 Shift And So I Can Make That Kind Of Report Due To A Small Med Pass Of 4 Halls. So Thank You All For Your Input, I Know Now That My Respect For Nurses Hasn't Changed. Get Rid Of The Bad And Start With The New.

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