Hi I'm an RN who no longer works in Healthcare. My 20 year old daughter just got her first job as a CNA in an LTC/Rehab center (she's doing her pre-reqs now for BSN program next fall). Here is my question, at a different LTC that she had applied to she shadowed a CNA (not med tech) for the day. When she got home she said the CNA passed all the meds and hung bags of what to my daughter looked like IV meds but I'm not sure she'd know... To me this seems totally out of scope of practice for a CNA and rather freaked me out (but I only ever worked in hosptials). So the question is, how does she handle this if she is asked to do this in her first 'real' job? Is this common? Is my reaction unreasonable? I'm figuring forewarned is forearmed so any other advice for her would also be welcome. Thanks!
you cannot get a cma certificate without holding a valid cna cert. (in my area anyway)
the iv bag may have been a tube feeding bag which can be hung by cmas with extra training
i don't think your daughter will be asked to pass meds
one caveat or word to the wise, don't go spreading stories unless you
have all your facts straight, because that will get you in trouble
if, however, my daughter was a cna, asked to pass meds
i would instruct her to resign from such an employer
Last edit by systoly on Oct 9, '13
Since you say you're daughter is new to healthcare I'm going to guess that what she's calling "IVs" was actually bottles of tube feed formula. No LTC facility I know of would let unlicensed aides hang IV meds.
"Medication aides" are legal in some states. Thankfully, not in mine. Some will try to tell you med aides are used to "free up" the nurse and that they actually make fewer med errors. But the truth is, it's all about money. CMAs are cheaper than LPNs. Ask a CMA what a calcium channel blocker is, or about the difference between lasix and aldactone and their effect on potassium, and I'll bet all you get is a blank stare.
Such aides have a role in assisted living or adult foster care. But the acuity of skilled nursing is such that medication administration should be restricted to licensed nurses. I feel that any SNF that allows med aides has, by doing so, degraded the level of care they provide to that of an assisted living facility. I think to present themselves to the public as a "skilled nursing" facility when they allow unlicensed personal to pass meds is disingenuous.
Last edit by BrandonLPN on Oct 9, '13