pct debate - page 4

Has anyone heard of PCT *patient care technicians* ? PCT 1 is a CNA PCT 2 can do blood sugars, catheters, etc PCT 3 can start iv's etc I live near Chattanooga and I work as a PCT..in another... Read More

  1. by   Vsummer1
    Originally posted by lpnga
    i just said I hate to take meds.........i only give meds to certain pts that i know their meds and side affects
    I repeat:
    Do you KNOW the pharmacokinetics of it???
  2. by   lpnga
    2-4 hours for half of dosage to leave body and it is metabolized by the liver.....
  3. by   Brownms46
    I found some links here, and felt they might be helpful:

    This is from the Dept of Health in Washington state, as pertains to N. A., and delegation:

    http://www.leg.wa.gov/wac/index.cfm?...on=246-841-405
    http://www.leg.wa.gov/wac/index.cfm?...on=246-840-910

    http://www.leg.wa.gov/wac/index.cfm?...on=246-840-930

    http://www.leg.wa.gov/wac/index.cfm?...on=246-840-900

    The following is from Mass:

    http://www.state.ma.us/reg/boards/rn/cmr/24403.htm#3.05

    From what I'm reading, if you delegate a task to an unlicensed person, you are held responsible for what that person did.
    Last edit by Brownms46 on Mar 13, '03
  4. by   SandyB
    I worked as an N.A. in southern Calif and saw N.A.'s who were trained passing meds in ALF's....this was a few years ago but I doubt if anything has changed...I can't imagine a hospital having trained PCT's to do IV starts but....guess it could happen....
  5. by   Vsummer1
    Originally posted by lpnga
    2-4 hours for half of dosage to leave body and it is metabolized by the liver.....
    that is a great start! and........ think physiology...
    Last edit by Vsummer1 on Mar 13, '03
  6. by   Vsummer1
    Okay, so you know how long the half life is. Can you tell me what systems it involves? Think about your ABC's. What other meds could have an effect on that? The excretion, the metabolism... start with those hints and tell me about pharmacokinetics -- you know, possible drug interactions, and the s/s of its effect, both therapeutic and contraindicated. What should you look for?
  7. by   tiger
    Last edit by tiger on Mar 13, '03
  8. by   sbic56
    Originally posted by Vsummer1
    I repeat:
    Do you KNOW the pharmacokinetics of it???

    I dare anyone to say they know the pharmacokinetics of every drug they give...
  9. by   tiger
    val--why the need to be so nasty? can't this be a friendly debate. it was before you showed up. and no, i haven't participated. only observed. it seems you are just looking to put someone else down instead of talk about things.
  10. by   tiger
    sorry for a kind of a double post--i didn't think the first one took.
  11. by   Tweety
    Originally posted by Brownms46
    I found some links here, and felt they might be helpful:

    This is from the Dept of Health in Washington state, as pertains to N. A., and delegation:

    http://www.leg.wa.gov/wac/index.cfm?...on=246-841-405
    http://www.leg.wa.gov/wac/index.cfm?...on=246-840-910

    http://www.leg.wa.gov/wac/index.cfm?...on=246-840-930

    http://www.leg.wa.gov/wac/index.cfm?...on=246-840-900

    The following is from Mass:

    http://www.state.ma.us/reg/boards/rn/cmr/24403.htm#3.05

    From what I'm reading, if you delegate a task to an unlicensed person, you are held responsible for what that person did.
    I'm in kind of a hurry. So I only skimmed the links you provided. What was asked was if the unlicensed person causes harm.

    Say I have an assignment. I've assessed my patients and I decide patient A needs a bed bath as part of his "plan of care". I delagate the bath to a PCT and leave the room. The PCT during the bath drops the patient out of bed and the patient breaks a hip.

    Since I delagated the bath to the PCT am I liable/responsible for the broken hip.

    From what I've read, no. I've assessed the patient using that blasted nursing process, I've appropriately delagated a task with the unlicensed person's job description. Why would I be responsible for the harm.

    Doesn't mean that I'm not still responsible for the patient's care, plan of care, nursing process, etc.

    In Florida all patients are under an "RN level of care", but if an RN assigned the patient to an LPN and that LPN makes a med error am I responsible?
  12. by   hogan4736
    3rdshifter...

    nice post...



    NO ONE is above questioning...
    always question anything that seems questionable...

    check out this thread:

    http://allnurses.com/forums/showthre...234#post379234
    Last edit by hogan4736 on Mar 13, '03
  13. by   CATHYW
    [QUOTE]Originally posted by nurse-lou
    I work in a 387 bed facility in PA. We use PCA's. They do ADL type stuff and some are trained to be Unit Secretaries. They do NOT pass meds or start IV's. I don't know that I'd want them to do that stuff. [/QUOTE

    In my hospital, things are very much the same. I Know that there are some very competent folks who do the job, but there is NO way that I would want them to start IV's or pass meds. That is ridiculous, and dangerous beyond thought!

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