Quote from maggymae
i am an RN student and for an assignment we must post 2 questions and have someone respond. my husband is an ADON in a long term care facility and he read an article that stated our state is going to pass a law to have med pass aides pass meds in LTC facilities. i just wanted to know if anybody has heard anything about this in their state and what your opinion is? they are doing this to cut back on the work load of nurses. do you think this is a good way to solve the nursing shortage? thanks, maggymae
I was a CNA in Oklahoma back in 1994. At that time, anyone who worked in a LTC and had their CNA could go to Oklahoma City and take the 2 day med course to become "certified" to pass meds. Once you went back to your LTC facility you were placed with other CMA's (certified Medication aides) and you went with them for 2 months on rounds. All meds that were pill form were in bubble packs,sent from pharmacy this way, with times, med information, and times to be given on each packet. Narcotics were kept in lock up and given to med aides by LPNs when it was to be given to patients. Meds in liquid form were kept in a bottle with the patients picture on the front and again amounts and info was on bottle....there was also a med chart that contained a page for each patient, their meds, and treatments and so on. Once these were done you signed off on them, by placing your initials in a little box on person med sheet.
Each shift, 7-3, 3-11,11-7 had CMAs, normally we had 2 per shift. Each was in charge of 3 wings, we had a 6 wing building, and each wing had its own cart of meds. Each shift change began and ended with a med count. LPN in charge of that shift would come in and count Narcotics and would have to sign off on outgoing CMA's med count. It had to have 3 signatures, LPN in charge of Incoming shift, CMA leaving shift and CMA entering shift.
CMA's (certified Medication aides) also went on a 2 month prep with LPN's who were the only nurses on staff except for, n our case, 1 RN who was the director. The LPNs taught the CMA's how to give B12 injections, check blood glucose levels and give insulin when needed, how to take blood pressures, how to do sterile dressing changes, how to start Foley's.
CMA's (certified Medication aides) also charted in medical charts once they had performed any type of injection of B12 or insulin, dressing changes, or Foley insertion.
How do I know this? Because I did this myself. Now, that I am in RN school I think that it is NOT NOT NOT NOT NOT in the best interest of the patient, client or whatever you prefer to call the people in your care. I PERSONALLY feel THIS IS FOOLISH to believe that after 2 days of classwork anyone could be anywhere NEAR capable of giving out meds. or performing the duties CMA's are allowed to perform.
I have a few friends who still are in this capacity as CMAs in LTC facilities.