Re: who's license do med techs work under? Originally Posted by FlyingScot
No, I know you aren't arguing. I'm just trying to dispel this pervasive myth that people are working under our licenses. As far as this scenario I'm making an assumption that the med techs have been through some sort of training on the administration of medications. Let's face it, this is something anybody with half a brain could do. If they are following the facility's policies and procedures there is absolutely no issue and no need to worry about losing your license if a mistake is made. It is the nurses job to know, for a fact, that the person doing the job is trained and functioning within their SOP no matter what their duties are. That is our "supervision". I would think that the particular meds you are concerned about would not be medications a UAP would be giving with the exception of oral Dig (which BTW I was never taught to check the pulse for oral Dig just the IV form). These kind of meds do require a nursing assessment but regularly scheduled normal meds (Zocor, etc) really don't.
the reason why i ask is that a friend of mine is an new CNA by a 8 week training course who took a two week med-tech class and now is referred to as a "med nurse" in a nursing home. she gives coumadin, nitro, darvocet, digoxin, morphine, etc, etc, etc......... the other CNA's report the vitals to her and she makes a judgement on them. she doesn't know to check a PT/INR, or a BP before nitro, etc... she said it is just her and one other LPN in the building and that she cannot give injections for IM's or insulins, etc but she does everything else including PEG meds....
i think that in itself is dangerous and i dunno how intense two weeks of med-tech training really is. my pharm course was one whole semester plus all the supervised two yrs of clinicals in nursing school. she was kinda just let loose and i know the nursing homes i did my clinicals at also had med-techs with similar duties.
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