Quote from achot chavi
According to this article, it is mostly in LTC where med aides are used and apparently abused by being asked to perform tasks that are beyond the scope of their practice.
Is this what is really going on? Maybe we have to be as careful with our support staff's ethics as with our own. I would like to imagine that we all would refuse when asked to perform outside of our permitted scope, and that we would be annoyed if pressured to do so.
Couldn't access the article.
We use med aides. They do scheduled meds only.
The nurses do PRNS and AM meds (2a and 6a synthroid meds, for instance).
They don't treat. They don't make independent nursing decisions. They don't, for instance, just give PRNs or cough syrup or maalox, etc...w/o asking us.
They just stand at the cart and pop mounds of pills. For hours.
They do their vitals. We all do, actually. Its not something that's handed off to the aides...which makes total sense to me. Sometimes, an overworked aide will be handed a hall of pt vitals to do. They'll take the bp but guess respirations based on averages. I've seen it. I judge it but then I don't.
When someone's drowning in work, that's when they feel obliged to cut corners. It is best to relieve the aides of this and let the nurses be responsible for their own vitals.
But...I'm a Texan and thank God for med aides. There's no way in heck that any one of us could do a 40+ pt Med Pass while charting/doing paperwork/wound care/feedings/assessments/trach care/managing behavioral problems (we're geri-psych), etc....
I volunteer to play Med Nurse at my facility, on occasion. They are two roles and they're clearly defined. It's a difficult thing to find a balance between them.