Med Passers at Nursing Homes 8HR course and giving out NARCS ... - page 2
Greatly appreciated opinions on this thought. Nursing Homes, Assisted Living Facilities ...etc. Having a 8 Hrs Course to CNA's for Passing medication to residents. Why does anyone think this is a... Read More
Jan 4, '13I am a new grad and throughout school I worked as a med tech in an assisted living for memory care. And yes the course is only 8 hours of boring stuff I didn't pay attention to. However we have a nurse to over see all of the medication administration. We have bubble packs for each pill everyday. I feel these are idiot proof. We do administer insulin and prn medications. However most of my coworkers do not have medical training of any kind. Just the other day a med passer gave antacid instead of milk of magnesia because she thought they were the same thing. I mean all you have to do is read the MAR and the bottle. And another one didnt record the blood pressure before she gave metoprolol so did she take the BP and just give the pill?? I wrote her up and she was mad at me cause she forgot to write it down. I know I would feel uncomfortable if my mother lived there you never know what they are giving. The nurse we have is very hands on and is always educating staff on how to give meds. And you have to be to run this type of facility. There is protocol in place that after so many med errors you get fired though. So many of the techs work hard not get any errors.
Jan 5, '13I used to be horrified by the thought of a non-nurse giving out meds. I'm starting to think now, that in LTC/Rehab environments it might not be such a bad idea. Still in two minds!Last edit by JDZ344 on May 14, '14
Feb 3, '13When I worked in a nursing home, we had MNAs (Medication Nursing Assistants). This is essentially what you are talking about; CNAs that can pass meds after a brief course and test out. First of all, MNAs are a godsend, and especially in SNF/Nursing Home setting (beyond Assisted Living) they are incredibly safe.
Food for thought: Any mistake an MNA can make, an LPN/RN/ARNP/MD can make. Med errors are universal, and even with the background and education to prevent them they continue to occur. It is unfair to assume that MNAs will inevitably make med errors because they don't understand what a beta-blocker is.
As far as dispensing narcotics -- Yes, they can dispense them. No, they can't hand out PRNs as they feel. Anything that requires an assessment (i.e., pain meds and BP meds) has to be ok'ed by the RN before being administered. Most MNAs are very good about checking with you first. If you need a BP checked before administering Metoprolol, just write it in the freaking MAR so the MNA/LPN/RN knows to.
Working with an MNA, I am free from the incredibly elaborate and tedious med pass - I can focus on assessments, dressing changes, etc. Before every shift, I would still thumb through the MAR, just to be aware of what is going out during the day.
My two cents.