The state of Indiana has passed a new scope of practice for QMAs. Under the new guidelines; a QMA can administer G-Tube meds, do glucochecks for BS, and some more critical dressing changes.
In the facilities I go to- we are leaving it up to the facility to determine if they want to widen the scope of practice in each individual building. And- I think the nurse supervising the QMA should also have the option to say yeah or nay.
Do other states allow Qs to do more skilled practices like these? I am afraid that this will cause an increase in Qs on the floor because they are cheaper and easier to hire than a licensed nurse because they want to "be a nurse". I have worked with some very good competant Qs but I always have to remind myself that they are just a CNA that has had the medication class. I am certified to teach QMAs but am still leary about broadening what they can do. Would you allow a QMA working under your license to administer G-Tube meds and tell you what a residents blood sugar is so you can administer the insulin?