Proposed Bill"Certified Geriatric Specialists" CNA passing meds and doing tx

  1. Dear friends,
    I was just reading some bills that might be passed.
    One is being proposed for 2004.
    SB492/HB189 "Certified Geriatric Specialists" allowing CNA's to complete training then being able to administer meds and treatment to residents and would also be counted as licensed nurses for the purpose of minimum nursing criteria in NH's.
    what is your opinion on this bill?
    Would you want CNA's passing meds? in your NH?
    Do nursing treatments?
    Cna's how do you feel about this new propsed bill?
    Let's talk about this bill?
    Thanks.
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  2. 24 Comments

  3. by   Noney
    Unsafe, If they want to do the duty they need to nursing school.


    Noney
  4. by   purplemania
    I think the rationale has something to do with the fact that the clients are "residents" (in a home environment versus acute care). If they were in a private home who would administer meds? But I agree, this is too spooky for me and I would not want my loved one being "nursed" by a non-licensed person.
  5. by   CoffeeRTC
    Don't some states have medication aids already in LTC? As far as meeting minimum nursing levels in LTC..at my facility the problem is getting enough CNAs not nurses (well sometimes nurses). I think they need to increase the level of CNA minimum requirements, not make them do other tasks like meds and treatments. Just having a few more minutes to spend with residents means the difference of getting teeth brushed or adequate foot care.. just my 2 cents.
  6. by   Dave ARNP
    If it would improve the training of "un-licensed personel" then I'm all for it.

    Anyone working in healthcare needs as much training as they can get.

    Just my two pennies.

    -Dave
  7. by   Marie_LPN, RN
    Maybe some sort of med administration course, but I as a CNA am not too crazy about passing meds since i'm not licensed.
  8. by   caroladybelle
    Are they going to be held liable for their actions or will it be the RN/LPN to take the fall?

    I think we know the answer to that one, and no, I don't think that CNAs giving meds is a good idea.
  9. by   MEL101

    I agree...who's responsible if the pt has a unhealthy "reaction" from a med
    being administered by a CNA....the RN, facility, MD???
    Its not worth losing my license over! Who's the idiot that submitted this bill?
  10. by   unknown99

    Not a good thing. Not a good thing at all!!!
    Nurse assistants are a very big part of the nursing team, but, it takes more than a class to know the meds!!!
    I think it is a great big mistake waiting to happen. I personally would not want to be responsible for patients that someone else was giving medicine to while I'm respnsible for them.
  11. by   iiwdn
    Where does the liability lie?
    I can appreciate CNA's desirous of more training, possibility of a bridge to RN/LPN and the possibiblity of more money-- and I think the liability is too great.
    The bottom line must $$ for the state. LTCFs will be able to accomplish more with less wages than that of RN/LPN.
    Seems like it creates more questions and problems th-- all for the sake of MONEY.
  12. by   VickyRN
    BAAAD Idea!
    Simply the politicos and facility admin "answer" to the nursing shortage that I warned about in an earlier post. I said they were going to try to take people off the street and train them in a few weeks to do OUR jobs and use the "nursing crisis" as the reason. They DON'T want to fix the REAL problem.
  13. by   ktwlpn
    Quote from iiwdn
    Where does the liability lie?
    .
    With the charge nurses,I am sure.... :uhoh21:
  14. by   barb4575
    I have worked in three states that do allow medication aides. At first, I was against it, but once I saw how effective they were by actually reading the MAR to pass meds- unlike some of their licensed counterparts, I changed my opinion. The danger is that there is so much polypharmacy with the elderly in LTC especially and their knowledge is limited. The RN must monitor this closely along with the monthly visits from the Pharmacist/Pharm D...which I prefer due to their commitment to education. As always, it depends on the aide and the supervisory capabilities of the RN and DON.

    Good thread Marti!

    Thanks,

    Barbara

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