Wedon't allow smoking so medical marijuana wouldn't be allowed unless it was baked in a brownie and then there would be the question of how to write the order. I can just picture the DPH tagging us because the resident only ate half abrownie.
It was allowed in one nursing home where I've worked. The resident was A & O and could smoke independently, although his MM and paraphernalia were kept in the med cart and signed out each time he went outside. Funny how many staff members could be found out there with him on breaks---not smoking ganja themselves, just basking in the aroma.
Naturally, his use of marijuana had to be approved by the DHS and meticulously careplanned. (That would've been interesting from the standpoint of a surveyor.) It CAN be done; it's just not simple.
My residents are not allowed to go out to smoke alone---ever. And staff members are not allowed to go with the resident. If they don't have a family member or friend who can take them out, they don't smoke...anything. We are not going to change our smoking policy to accommodate marijuana.
Personally I have nothing against medical marijuana. I had chemo therapy years ago. My doctor suggested I find some marijuana to use if the nausea got really bad since it works better than any legal drug. I had 2 kids at home under the age of two so going through the day high wouldn't have been a good thing!
I do think, however, that since we are a medical facility, we should ban smoking all together.