Replaced by Certified Medication Aide! - page 2

by ladyjanelpn

11,474 Visits | 54 Comments

Yes, fellow LPNs, its happening here in Northeast Ohio! Trained and oriented CMA and was then given extreme partime hours(as were the other LPNs) while CMA gets 40hrs and benefits! And of course, they are paid less per hour. The... Read More


  1. 0
    Quote from NurseGuyBri
    It is scary, but if implemented appropriately, CMA's can be beneficial in ALF's. A for SNF/NF's, not sure I'd want to go that route. I do know in other states they have CNA II's and CNA IV's which can do treatments/ meds. Can be a little scary.

    I have seen a facility in another state with CMA's have a "tree" setup. RN supervising 120 beds, 2 LPN's managing 60 on each side, and then 4 CMA's on each side. Basically, the 4 CMA's were passing pills, the LPN's got more bedside care and time to focus on patient reviews and care, and the RN supervied. It worked VERY well, and cost the facility minimally more. (i.e. much improved care but mild increase in total salary pay). Tthe CMA's took the spot of the LPN's passing meds to free the LPN's up to do other stuff. They actually really liked it, and it worked.

    I'm not saying this is the norm, but this facility rocked it!
    That does sound pretty awesome.
  2. 5
    Quote from lindarn
    This is going to continue, until we, as nurses, RNs and LPN/LVNs, go public with this. Teachers aren't being replaced with unlicensed teaching assistants, are they? Why not? Because teachers are almost universally unionzed, with strong, and politically powerful unions.
    I think you're right, lindarn. This won't stop with a CMA replacing an LPN, it will continue to ripple across all levels of the nursing workplace. Anything to save a few pennies until they compile enough safety statistics to realize it won't be cost effective in the long run. It's difficult to see how things have changed for the worse in the nursing field since I first started in it.
    HazelLPN, netglow, IowaKaren, and 2 others like this.
  3. 2
    @lindarn

    I was with you until you said that the CMAs were "nothing more than HS dropouts".
    The public needs to be notified. I don't even think that most people know the job title of who's giving them a shot or medication, nor the amount of education or understanding that some of the healthcare staff has. If patients were better informed, then a lot of this would stop because patients would start complaining or refusing care.
    anotherone and lindarn like this.
  4. 0
    Quote from Mijourney
    Hmm... So I guess that those of us licensed as RNs will be paying higher malpractice rates in these scenarios? We'll need the additional coverage if we become responsible for supervising both LPNs and CMAs that perform various type of medication administrations. Not sure if I want to work in that type of facility.
    I doubt it. I'm not supervised by an RN and I don't need to be. My scope of practice has expanded as an RPN that I can do a lot similar to an RN. I cannot look after an unstable client, but this leaves the area very open to whom I can take care of

    That being said, PSWs have been giving meds in Ontario for years as UCP (Unregulated Care Providers). They have their own insurance for malpractice provided by the employer and are trained by RPN/RNs. I've seen many that were a great assets to the team because they took the time to learn, and rocked it!

    I was a UCP giving meds when I graduated because I was waiting on my exam results and a temp license took too long to get. Even with 2.5 years of college, I struggled pronouncing some meds - though I knew what they were for, and if I didn't, I looked them up. Heck, today I still have trouble with pronouncing newer meds.
  5. 3
    Let me just add this - In my state, VA, there is a significantly higher amount of education that 20 hours for CMA.. And yes, they dont belong in all areas. As far as giving the job away with our permission, there's not much choice, unionized or not. Since LTC MCD/MCR rates have deteriorated so much, the facilities cannot afford to pay in a lot of scenarios. This drives the need for cheaper services up- It's not the nurses giving it away, it's the healthcare system as a whole. I'm not going to get into this whold big discussion, but trust me, I am a DON and I see first hand what money comes in and goes out- Nursing homes are not money bags like it would seem they are, they're poor. They have their place, just as other healthcare facilities, but soon they won't exist if we keep taking money out of them and away from the nurses that ARE great. Yeah, when I was an LPN i'd rather have a CMA give the pill so I can spend more time monitoring it.. Sure. It's not for all settings... There is so much more to write on this but I'll stop here because typing on an iPad is not easy, LOL.. I hope the point gets across..
    Hygiene Queen, SE_BSN_RN, and AZMOMO2 like this.
  6. 7
    I am a CMA. Let me enlighten you all on how I got my certificate!

    I took my transcript to the BON, with a form that stated my name and address. I brought them a $40 money order; they mailed me the paper, no questions asked.

    That was it! I took pharmacology as a requirement for nursing school. The course was intended for us to learn the names and actions of medications...Not so much about how to administer them, or when to hold them, etc.

    Not just that, but my guilty conscience weighed on me. Whose job would I be stealing, if I decided to go to management and tell them I got my med tech certificate?

    I say this OVER and OVER on these boards...You nurses need to do something about your professional image! EVERYONE wears scrubs, from dietary to the secretary. Even people who have never been near an OR in their life wear green scrubs. I knew a front-desk medical assistant who routinely wore OR scrubs and told guys at the bar she was a nurse...Lol.

    Granted, uniforms are usually color-coded... but the public doesn't really care enough to find out what each color stands for. There's gotta be something that can be done to differentiate nurses from non-nurses... Until something is done, corporations will exploit the public's ignorance regarding who is qualified to provide care and who isn't by using "Med Techs" and other inflated job titles to protect their bottom lines.

    Thoughts?
    Anne36, AheleneLPN, gummi bear, and 4 others like this.
  7. 4
    All the studies I have read indicate that medication aides make FEWER med errors than nurses do. They just pass pills. Tney don't assess, they don't teach, they don't plan or evaluate. They pass pills. If medication aides were allowed in my state would I hire them? You bet I would. It would give the nurses more time to do what only NURSES can do.
    AheleneLPN, LTCNS, AngelicDarkness, and 1 other like this.
  8. 0
    I am pretty sure in Tennessee you have to work for the facility for one year full time as a tech first and have a clear criminal history.
  9. 4
    Hallo Fellow RN! 4 Years we struggled to finish this course and struggling hard with the NCLEX and now we allow our important responsibilty to Be taken by CMA? What can we do something about this? I am still here in Germany yet reading about these Updates it is very sickening. I hope I have moved you with my question?
    chevyv, netglow, lindarn, and 1 other like this.
  10. 8
    It's the watering down of patient care being given by educated nurses, bit by bit. The public doesn't care who hands them their meds, as long as they can also bring them a warm blanket and a turkey sandwich. Licensed nurses are going to find it increasingly difficult to find jobs except in select areas.
    Mijourney, chevyv, Altra, and 5 others like this.


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