Jump to content

CMA oversight

School   (616 Views | 6 Replies)

MrNurse(x2) has 28 years experience as a ADN and specializes in IMC, school nursing.

3 Followers; 1 Article; 10,118 Profile Views; 2,532 Posts

Hi, hope all here had a marvelous summer. I am coming to my awesome coworkers here for yet more of your invaluable advice. We are getting a CMA to cover our office in the afternoons and are trying to figure out her limited scope. Our plan is to be available by video chat for any involved injuries or cases requiring meds, as our protocols involve assessment. We have one afternoon Ritalin at this point, which Md. law says is covered for a CMA to pass. She will have her own computer access and will be differentiated when emailing parents and we are asking her to document when the nurse has been consulted. Our entire documentation gets emailed to parents, so they can "see" the entire visit. So far, those are the issues we have come up with, I am asking for other issues we may not have foreseen from these wise nurses here.

Share this post


Link to post
Share on other sites

ruby_jane has 10 years experience as a BSN, RN and specializes in ICU/community health/school nursing.

4 Followers; 2,742 Posts; 11,332 Profile Views

What else can she do per MD law? I am assuming things with orders, but she has no nursing judgment, so how often should she be calling?

My day has been full of stomach ache , headache, stuffy noses. We have protocols that put parameters on assessment, but most of it's nursing judgment.

 

Share this post


Link to post
Share on other sites

JenTheSchoolRN is a BSN, RN and specializes in School nursing.

2,620 Posts; 24,219 Profile Views

Do you have students with diabetes? I ask because perimeters after written in my state for school include school nurse judgement upon assessment to adjust insulin dosing up to 20%. This is not something a CMA can do, so would need RN assessment more often than not as most students with diabetes are ever just straight forward (see my other post). 

As ruby_ jane said I feel like every visit is assessment, assessment, assessment. I assume you will right some assessment guidelines? (i.e. student c/o stomachache, afebrile proceed to do xyz?)

Share this post


Link to post
Share on other sites

MrNurse(x2) has 28 years experience as a ADN and specializes in IMC, school nursing.

3 Followers; 1 Article; 2,532 Posts; 10,118 Profile Views

The video consult should not be cumbersome, we normally have 2 or 3 visits in the afternoon. We also have a state provided manual for when the nurse is off campus. This covers us when not available. 

Share this post


Link to post
Share on other sites

LikeTheDeadSea has 6 years experience as a BSN, RN and specializes in School Nursing.

1 Follower; 550 Posts; 5,075 Profile Views

Is the school providing the equipment for the video consult?  If not, I'd be pushing for that.

Share this post


Link to post
Share on other sites

ruby_jane has 10 years experience as a BSN, RN and specializes in ICU/community health/school nursing.

4 Followers; 2,742 Posts; 11,332 Profile Views

1 hour ago, MrNurse(x2) said:

The video consult should not be cumbersome, we normally have 2 or 3 visits in the afternoon. We also have a state provided manual for when the nurse is off campus. This covers us when not available. 

Good! Something in place. When I am out and do not have a sub I can, by state law and district procedure, delegate medication tasks to the campus designee (the secretary). But when I'm out unless it's minor, she calls the parent every time. Which is fine. No problem at all with that.

Share this post


Link to post
Share on other sites

MrNurse(x2) has 28 years experience as a ADN and specializes in IMC, school nursing.

3 Followers; 1 Article; 2,532 Posts; 10,118 Profile Views

On 8/28/2019 at 10:01 AM, LikeTheDeadSea said:

Is the school providing the equipment for the video consult?  If not, I'd be pushing for that.

I buy my own meds, I don't think they have the resources. Skype will be sufficient. The parents were made aware and I had no concerns voiced at back to school night.

Share this post


Link to post
Share on other sites

Amethya has 5 years experience and specializes in Cardiology, School Nursing, General.

1,808 Posts; 12,692 Profile Views

What should be limited is assessing. Basic first aid, typical treatments. (i.e, Headaches= laydown, check temp.) To call the parents for any injury and if they come visit. I'm not sure what's the protocol there, but for my last job, I had to call all the parents for every visit, so that may be a thing. 

Diabetes training, CPR training and Basic First Aid, ,AED, Epipen... etc.

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.