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Medication aides taking nursing jobs?



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Jan 06, 2006 06:29 PM

Medication aides taking nursing jobs?


Hi! I have been an RN for 15 years. I am currently living in NC, and in Summer 2006 nursing homes in our state will be able to use "medication aides" (CNA with an additional 24 hours of training) to give medications - all but injectables. Won't this eliminate a lot of LPN/RN LTC positions. All to save the facilities $$$$. Anyone out there familiar with this?


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29 Comments
No. 1
from doodlemom
Old Jan 07, 2006, 08:01 AM

Default Re: Medication aides taking nursing jobs?
Originally Posted by infoseeker
Hi! I have been an RN for 15 years. I am currently living in NC, and in Summer 2006 nursing homes in our state will be able to use "medication aides" (CNA with an additional 24 hours of training) to give medications - all but injectables. Won't this eliminate a lot of LPN/RN LTC positions. All to save the facilities $$$$. Anyone out there familiar with this?
Unfortunately this has become standard practice in most states. Here, the SNF's are staffed with LVNs as the charge nurses and med aides are giving out the meds. The RN's are usually the DON, ADON, MDS nurse - and sometimes charge. I've seen some LVN's as ADON's. I think there are a lot more med errors. I'm sure this is a result of the lobbying efforts of the big nursing home corporations because it helps their bottom line. I used to live in NC and was wondering when they would go this route.
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No. 2
Old Jan 07, 2006, 08:08 AM

Default Re: Medication aides taking nursing jobs?
(CNA with an additional 24 hours of training) to give medications - all but injectables. Won't this eliminate a lot of LPN/RN LTC positions.
At least to get rid of LPN positions, since you have to have RNs there.

24 hours of training. That is just completely ridiculous, dangerous, and a lawsuit waiting to happen.
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No. 3
from Katnip
Old Jan 07, 2006, 08:32 AM

Default Re: Medication aides taking nursing jobs?
I hope I die before I have to end up in a nursing home if this is the trend. I can't imagine how they're going to lower the standards 30 years from now.
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No. 4
Old Jan 07, 2006, 08:52 AM

Default Re: Medication aides taking nursing jobs?
Originally Posted by cyberkat
I hope I die before I have to end up in a nursing home if this is the trend. I can't imagine how they're going to lower the standards 30 years from now.
I agree. And like someone else said on one of the other MA threads, notice that this practice is used on one of the most vulnerable populations?
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No. 5
Old Jan 07, 2006, 09:47 AM

Default Re: Medication aides taking nursing jobs?
This "upward skill track" has been going on since nursing started and will continue. Remember, there was a time when nurses couldn't even take blood pressures. Now, with just a little extra training, RN's can first assist. As RN's do more and more "MD type" skills, the vacumn will be filled by LVN's. I'm not surprised that LVN's are now running units and serving as charge. Now, CNA's, with just a little extra training, will fill the void as LVN's "up track".
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No. 6
from VickyRN
Old Jan 07, 2006, 09:53 AM

Default Re: Medication aides taking nursing jobs?
Originally Posted by infoseeker
Hi! I have been an RN for 15 years. I am currently living in NC, and in Summer 2006 nursing homes in our state will be able to use "medication aides" (CNA with an additional 24 hours of training) to give medications - all but injectables. Won't this eliminate a lot of LPN/RN LTC positions. All to save the facilities $$$$. Anyone out there familiar with this?
Yes, very much so Please refer to the following:

http://allnurses.com/forums/f165/med...des-96392.html
http://www.ncpama.org/index.htm
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No. 7
from fluffwad
Old Jan 07, 2006, 11:16 AM

Default Re: Medication aides taking nursing jobs?
Originally Posted by SFCardiacRN
This "upward skill track" has been going on since nursing started and will continue. Remember, there was a time when nurses couldn't even take blood pressures. Now, with just a little extra training, RN's can first assist. As RN's do more and more "MD type" skills, the vacumn will be filled by LVN's. I'm not surprised that LVN's are now running units and serving as charge. Now, CNA's, with just a little extra training, will fill the void as LVN's "up track".

I agree.......................but I've known nurses ( RN & LPN) who just passes pills mindlessly, no consideration for side effects, no evaluation of the overall patient condition. The floor nurses in our NH spend 40-50% of their shifts on the med cart. If that time was freed up they could spend a lot more time on things like falls prevention, wound care, skin assessment and decub prevention, etc, etc, etc.
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No. 8
Old Jan 07, 2006, 11:26 AM

Default Re: Medication aides taking nursing jobs?
We will always be plagued by nurses who do no critical thinking. They simply follow orders with blinders on. There are a couple in my unit. Very dangerous people. I've even seen an RN hook nasal cannula up to wall suction! It is not the license or the degree that makes a good nurse.
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No. 9
Old Jan 07, 2006, 11:37 AM

Default Re: Medication aides taking nursing jobs?
I've even seen an RN hook nasal cannula up to wall suction!
Good grief.
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