Letting CNA pass your meds, bad idea? - page 23

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   BrnEyedGirl
    Quote from shawna_alexis
    I know what a tma is guess i wasnt thinking when i wrote this sorry about the misunderstanding i'm not a dummy. I've never made a mistake administering meds ever
    All right,..I'll bite,.. what is a tma????
  2. by   twotrees2
    Quote from shawna_alexis
    I know what a tma is, i don't know why i posted it like that wasnt thinking I guess. I know what i'm doing and have never made a mistake while passing meds
    well hang on to your hat cause you will one day - we all do hang in there kiddo.
  3. by   nurse4theplanet
    Quote from shawna_alexis
    I know what a tma is, i don't know why i posted it like that wasnt thinking I guess. I know what i'm doing and have never made a mistake while passing meds
    I don't think your dumb...I was just poking fun. And I'm sure you can see the concern of others to understand what your title is. I am curious myself...what does TMA stand for?
  4. by   shawna_alexis
    a tma is a trained medication administer. I'm pretty sure thats what it stands for. It's been awhile since i got it, but i'm sure thats what it is.
  5. by   Lacie
    Quote from shawna_alexis
    a tma is a trained medication administer. I'm pretty sure thats what it stands for. It's been awhile since i got it, but i'm sure thats what it is.
    Not to be ignorant but, if I was performing a position I would want to know exactly what my position not alone the "liability" that it encompasses. No one is saying your are dumb but it seems you are not exactly clear of "what" your position is yet you are giving medication? Please if anything be sure of what your liability is and of what exactly your position is to encompass? For your own protection much less your clients.
  6. by   shawna_alexis
    I am a youth worker at a group home. All the staff there administers meds to the clients. We have paperwork that has to be done, we also have to count the meds to be sure none are missing, or there was any mistakes. I have yet to make a mistake because I double check everything. WE have to sign after each med we administer, and so do the clients. I know what I'm doing. I know what a TMA does.:trout:
  7. by   UM Review RN
    Quote from shawna_alexis
    I am a youth worker at a group home. All the staff there administers meds to the clients. We have paperwork that has to be done, we also have to count the meds to be sure none are missing, or there was any mistakes. I have yet to make a mistake because I double check everything. WE have to sign after each med we administer, and so do the clients. I know what I'm doing. I know what a TMA does.:trout:

    For the benefit of you who do not live in Florida, I believe Shawna works with MR adults and in order to be able to pass meds at a group home (usually about 8-16 people) her duties would include personal care, laundry, transporting, giving medications, feeding, and housework for all these clients. She did have to complete a training course in order to be able to do so; some places also have behavioral training classes, because some of these clients have issues and get violent.

    These places are understaffed, underpaid, and "invisible" even to the healthcare system-at-large.

    Shawna, I'm sure you do a great job, and you have a very difficult one at that.

    These nurse's aides do not have to be CNAs and are generally supervised by an LPN from an office location.

    They do pass prescribed medications as well as give prn's for constipation.

    Folks, this is legal in Florida, and if a nurse wants to work in a group home setting, this is the only deal offered. Otherwise, these clients would not get care at all.


    The supervising LPN or RN is legally the responsible party, but frankly, this is a patient population that is at the bottom of the healthcare heap, so no one would do anything if there was a mistake anyway.
  8. by   rn/writer
    Thanks, Angie, for your explanation.

    Now it's time to shift the focus from a single individual back to the overall topic.

    Along with several others, I am amazed that this thread is still receiving so much attention.
    Last edit by rn/writer on Dec 11, '06
  9. by   takotako
    I have not heard about TMA. But if I were you, I'll find out what are your scope of practice. Some employer especially group home are doing things what we call "under the table". It's for your own sake, because you will be accountable for what you are doing. It's good for you though, to have the knowledge to do that. Since we took some credits and has to pass pharmacology exams. Anyway, goodluck.
  10. by   rodge
    hahaha
  11. by   ACESfan87
    Wow this is pretty crazy. At the hospital i do my rotations at (im a student) they arent allowed to touch any of the meds.
  12. by   Marie_LPN, RN
    Quote from rn/writer
    Thanks, Angie, for your explanation.

    Now it's time to shift the focus from a single individual back to the overall topic.

    Along with several others, I am amazed that this thread is still receiving so much attention.

    The fact that it's a sticky, i.e. at the top of the forum list, might have something to do with it.
  13. by   shawna_alexis
    I actually work in a group home for troubled teenagers through lutheran social services. These kids have a wide variety of issues, and it's sad that they are here, it's because of bad parenting. Most of these kids are great kids, and i don't think they need to be onn meds in the first place.

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