Quote from feisty_lpn
there are so many patient safety issues and legal issues in regards to a nurse's license. for instance, a patient is accidentally overdosed by a cma. since they are not licensed (certified is not the same as licensed) and under the direction of an lpn/rn, would that nurse be responsible as well?
this was apparently a concern to many others as well when the law was being proposed. the ohio nursing law clearly indicates that a medication aide is responsible for her own actions and the issue of responsibility for the potential mistakes of medication aides was taken into account when the law was written:
section 4723.38 (a) of the ohio law clearly states: "a registered nurse, or licensed practical nurse
acting at the direction of a registered nurse, who delegates medication administration to a medication aide who holds a current, valid medication aide certificate issued under this chapter is not liable in damages to any person or government entity in a civil action for injury, death, or loss to person or property that allegedly arises from an action or omission of the medication aide in performing the medication administration
, if the delegating nurse delegates the medication administration in accordance with this chapter and the rules adopted under this chapter
." part b states: "(b) a person employed by a nursing home or residential care facility that uses medication aides pursuant to section 4723.63 or 4723.64 of the revised code who reports in good faith a medication error at the nursing home or residential care facility is not subject to disciplinary action by the board of nursing or any other government entity regulating that person's professional practice and is not liable in damages to any person or government entity in a civil action
for injury, death, or loss to person or property that allegedly results from reporting the medication error."
to me, that says that if a medication aide takes their own initiative to give a prn pain medication without checking with you first, and an incident results because of it, she hangs all on her own.
you know, being a charge nurse in ltc carries great responsibility. it is a supervision position. those who don't want to take the reins of power and be in charge, be a leader, shouldn't be taking nursing home jobs anyway. what is so unfortunate is that nursing school doesn't prepare anyone, lpns or rns, for the kind of situations ltc charge nurses have to face on a daily basis. it's generally learned by the "sink or swim" method. if you want to make the bigger bucks, you have to take the heat of being in a position of leadership. sorry if that isn't what you thought nursing was going to be about.