The Medication Aide Certified bill recently passed the legislature, much to my disappointment. The MAC must have 2 years experience as a CNA and pass a 100 hour classroom/clinical training course before certification. Check it out on the legislative online site (or call them and have them send you a copy). It will be incorporated into the nurse practice act. There is a professional fee involved and registration with the DOPL, I believe. The facility that uses them has requirements as well. The patients must be stable and the meds must be established as routine. And the MAC practices under the supervision of an RN. Which means her mistake is your
mistake - she is not the one who is licensed, that would be you. She is not the one who would be sued into ruination - that would also be you (and your facility.)
I am a little confused as to why you think passing meds is not part of the "art" of nursing? It takes assessment skills as well as knowledge to be able to safely administer medications. These are abilities that a nurse has, but in my humble opinion, a MAC does not. I understand the pressures of getting meds out within the 2 hour window, but is it really safe to put a MAC under that same pressure and that same two hour window? I think it exponentially increases the risk for medication error to have someone with 50 hours of didactic and 50 hours of hands-on training assume the duties of a nurse.
Is it really the art of nursing that you want to support, or is it the bottom line cost of an RN/LPN versus a MAC? I believe cost is why most LTC facilities supported the bill. And the legislature passed it because the practice is going on anyway, and they wanted to provide continuity of training, and place this type of nursing practice under the auspices of the Utah nurse practice act.
I would not place my mother in a facility that utilizes MACs to pass medications. I wouldn't even place my least favorite brother-in-law there. Well, maaaaaaybeeeee.... Aw shucks, nope, I couldn't even do it to him.