One of my tasks as an LPN at my facility is to oversee the medication aides at an Adult Daycare which is at an off site location from mine. Once a month (go figure) I'm required to visit their center to make sure they are passing medications correctly.
Well, the State was at their facility doing their inspection and they questioned the med aides giving PRN meds without a nurse on site. They said my license was on the line and that I need to create a policy and a competency test over PRN meds.
Does your facility have such a thing? If not, do you have any advice as to what I should include in this policy or competency test?
I'm not so sure I like the idea of having this responsibility...
Thanks for all your help!
Jun 6, '08
i'm sure this varies from bon to bon, but i'm getting ready to take a course to certify me to teach medication administration to non-nurses (it's for a home-based program for mr adults, not for any facility or group setting.) my class is two days long; the one for the "civilians" is four full days.
here in va, the syllabus clearly states that a medication aide may not give meds in a nursing home, call scripts into the pharmacy, or give im injections [remarkably, insulin is okay!!]
but to expect you to develop this program is outrageous!! let your don do her job..including doing the monthly visits herself. she and the owners' or administrators are the ones making money off this--let them risk their licenses!!:angryfire
Last edit by BlueRidgeHomeRN on Jun 6, '08
: Reason: grammar
Jun 7, '08
Quote from Psqrd
Forgive my ignorance...I'm a new grad.
My question is who determines the patient needed the PRN med?..I thought an assessment of the patient needed to take place and as aids that is not within their scope and therefore illegal.
I have never worked in a LTC but my Grandmother lives in one and it would bother me to think that PRN medications were being dispensed to her without an RN doing an assessment.
I don't know, sounds dangerous.
As a LPN in NYS I can give PRNs. Most of my PRN orders are written with parameters....i.e. for anxiety or for pain/temp. Most PRNs do not require a RN assessment if written correctly by the MD with good parameters.
But I do agree that if you don't have the proper training, giving a PRN in some cases could be dangerous if you don't have the ablility to look further than what is presenting to you.
BTW are there states where LPNs cannot administer PRNs? Also, how long is the med tech training?
To the OP, I'm ditto the rest who are worried about you taking on the responsiblity of the med techs under you. Those that decide to use them should be taking on that liablity.
Last edit by kcochrane on Jun 7, '08
: Reason: grammer errors