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Should medication aides exist?



Should medication aides exist?
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No. 30
Old Jun 24, 2008, 10:43 AM

Default Re: Should medication aides exist?
Medications should only be given out by a licensed professional.
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No. 31
Old Jun 24, 2008, 11:12 AM

Default Re: Should medication aides exist?
This has been educational for me, especially as I am preparing to teach my first Med Aide class--but don't get too upset just yet....

Here in VA, Med Aides may not work in a SNF ever. Those that work in ALF's have a 68 hour training course. I am teaching a group of individuals (sponsers) who will be providing residental in home care to one mentally retarded adult each. They also take CPR, first aid, and many, many others. This course, like for those in adult day care centers and group homes, is 32 hours.

Having just taken the trainer course, I can say that I hated the idea of Med Aides in any group setting.....until I found out that the options were NOT "med aide vs a nurse", but "med aide vs a person with ZERO training"!!! That is why the VA BON took this on, so there would be at least some training involved, however limited.

Until the long term care lobby is controlled, they will take the fastest and cheapest route out there. I'd love to know how other BON's address this issue...
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No. 32
from Jessy_RN
Old Jun 24, 2008, 11:57 AM

Default Re: Should medication aides exist?
Originally Posted by txspadequeen921 View Post
If the nurse refuses to work with the med aide then they get the med pass. They are not going to hire a nurse in place of a med aide just because the unhappy nurse wants them too. They are penny pinching. Most LTC nurses are grateful just to have a med aide period the thought of a nurse passing pills...why that would be like walking on streets of gold. Ever pass medications to 30 to 40 residents, do treatments on 10 patients, do all your skilled charting on 15 people and provide hospice care to 5 dying patients while being short 2 CNA's...then you will be grate full for a CMA....
I mean no disrespect, but in my humble opinion, you have been conditioned into feeling/believing this way. No one should have to work under those conditions. If there is not enough staff to provide safe and adequate care, then they should not be in business. I choose to believe they would find the adequately trained staff if they wanted to.
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No. 33
Old Jul 07, 2008, 01:41 PM

Default Re: Should medication aides exist?
I really have to agree. And, another question, why is it that these LTC patients don't deserve the higher level of safety during medication administration that is provided by a licensed nurse? It's inexcusable. I have a good friend who manages an Alzheimer's unit. She is constantly writing up her med-techs: leaving meds on the bedside or table unadministered, signing for meds that aren't in the building, unlocked cart... No matter how much inservice is provided, the understanding of a licensed nurse is not obtained. Good topic. Thanks.
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No. 34
Old Jul 08, 2008, 03:15 PM

Default Re: Should medication aides exist?
Originally Posted by Jessy_RN View Post
I mean no disrespect, but in my humble opinion, you have been conditioned into feeling/believing this way. No one should have to work under those conditions. If there is not enough staff to provide safe and adequate care, then they should not be in business. I choose to believe they would find the adequately trained staff if they wanted to.
Ouch. I have to disagree. It isn't conditioning- it is reality. It is so easy to define what should be... and most all of us agree- but...
Millions of LTC residents are given medication by med aides. Millions of ALF residents are given meds by med aids-or untrained persons.
True- it isn't a perfect situation, but no one has presented any solution, except to say "refuse" or "hire more nurses".
I don't know any nurse who would work as a med aid- it is horrendous.
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No. 35
from aloevera
Old Jul 08, 2008, 04:19 PM

Default Re: Should medication aides exist?
I have never worked with a med-aide...but I don't think that it would be practical at all....I would not feel comfortable one bit....I have LPN's passing meds in my facility and it works out great !!!

Added tid-bit----how about CMT's??? I went to have an IVP done and two different "techs" at the hospital tried to put an IV in...no luck and I have great veins....Finally, I demanded that they find an RN or I would do it myself !!!! After waiting 20 min. for them to find one, she came and zipped it right in...I thought I was in a car garage getting repairs with all the
"certified medical technicians" around and NO NURSES !!!!

What is that all about????
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No. 36
Old Jul 08, 2008, 04:28 PM

Default Re: Should medication aides exist?
Originally Posted by aloevera View Post

What is that all about????

Money.
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No. 37
from BradleyRN
Old Jul 08, 2008, 05:04 PM
Updated Jul 08, 2008 at 09:33 PM by BradleyRN

Default Re: Should medication aides exist?
Originally Posted by Nurse4years View Post
Millions of LTC residents are given medication by med aides. Millions of ALF residents are given meds by med aids-or untrained persons. True- it isn't a perfect situation....
It isnt a perfect situation to say the least. ALF residents are suppose to be A&Ox3, so for them to have a medication aide is acceptable, because this is the alternative to them still being at home. LTC residents, many of which are on more than 10 different meds, are victims of greed, period! The solution is the same one we use here in Tn. We have NURSES performing nursing skills, and not a 4 week trained individual. Maybe give them 2 more weeks of training and they can do the assessments too, and all of us nurses can just go on home! If you have read the med aide threads, then you have heard of the med aide giving digoxin to a pt with a pulse of 50, and when told by the nurse that she would start giving her own cardiac meds from then on, the med aide responded, "what does digoxin have to do with the heart?". You dont have to wait til med aides kill a bunch of people to be on the right side. As a nurse, you have a vested interest in protecting your skills. If they can prove that our job can be done with little training, then maybe they are paying us too much as well. The medication aide is a position created by those who have no regard for patients or nurses, not out of need, but out of greed!
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No. 38
Old Jul 08, 2008, 09:14 PM

Default Re: Should medication aides exist?
True- it is all about greed. But that is what capitalism is all about, isn't it?
So, what is the answer?
If states outlawed all med techs tomorrow- there would be no medications passed in thousands of LTC, ALF, RCF, etc. Until the system has produced enough nurses, what to do? Totally untrained staff giving meds in group homes- including tube meds.
I have seen mistakes by CMTs, LPNs, RNs, NPs, Docs... It happens. But, I have performed the LTC med passes, and would not do it full time.
Any ideas as to what the future might hold? How we could improve conditions during this "nursing shortage"?
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No. 39
from aloevera
Old Jul 08, 2008, 09:40 PM

Default Re: Should medication aides exist?
I don't think that there would be such a drastic shortage if our pay would equal or work.....if we were paid more money then many, many nurses that are not working as nurses would return....I forget how many, I read, an astronimical amount, of nurses that are either working in other fields (for more money) or not working at all.....what a pity....

Yes, I agree, it is all about the drug companies and all other major corp. making money and not giving a hoot about us worker bees....
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