Use of Certified Medication Techs in a Prison - page 2
HELP!!!!!! I am an 18 year veteran RN in a State Prison for male offenders who also have a mental illness or behavioral problem. We are suffering a 25% vacancy and Management has come up with this... Read More
Mar 17, '04Occupation: temp.disabled LPN due 2 MVA Joined: Feb '04; Posts: 29Quote from ceceliajane2003[font=franklin gothic medium]franklin5
why do we waste time, picking font, colors,etc.when they dont come out anyway
i believe techs to pass meds in a very controlled environment. such as prison. they're in a booth with a window pass them like that.
Mar 20, '04Joined: Mar '01; Posts: 1,012; Likes: 36This is legal in Wisconsin. When I worked at the University of Wisconsin Hospital in Madison in the early 80s we had Med Techs passing routine meds on the nursing units. They were Supervised by a licensed Pharmacist. They did not pass prn meds, like narcotics and did not do Insulin or other injectables and of course did not do IV meds. If a patient refused his/her medication or they had any problems they would contact the nurse. The system seemed to work in the hospital, so I don't know why it wouldn't work in the Correctional setting.
Apr 13, '04Occupation: Corrections Nurse Joined: Apr '04; Posts: 173; Likes: 9A very dangerous thing to do. I would not supervise an unlicensed person to pass medications in this environment. It doens't happen in the NYSDOCS. I know it it used in some LTC facilities.
Apr 20, '04Joined: Apr '02; Posts: 214; Likes: 14I Have Worked With Cma's. It Looks Like Companies Will Use Them If We Like It Or Not. I Say We Should Go With The Times And Get The Laws Changed To Make The Companies Who Hire Them Be Responsible Since They Will Not Heed Our Warnings. Then We'll See Who's Crying!!!!
Apr 20, '04Joined: Apr '04; Posts: 1Hi my names Delorus and I am a L.V.N. from California who works in a jail facility. I saw your post and wanted to know how you feel about pharmacy techs pouring medications for L.V.N.'s to pass. I have a big issue with this because some of the medications are not prepackaged and we will have to go by site of the drugs. I know most of the drugs by sight but there is always room for mistakes and I better know what I am pouring into someone's hand!! They said we will have a book that is made up from the pharmacy with name of med, dosage, and a picture of them. We will carry this book on our med cart when passing meds. This is their way of solving a shortage of L.V.N.'s and reducing workload! I feel I am putting my licence on the line. I plan to call the Board of Nursing tomorrow and try to talk with a real person about my concerns. Please write me back. Thanks!:angryfire
Quote from Sashi48In Florida Med-Tech's are not allowed to pass pills (or pour them for that matter). Even our pharmacy tech's, who are a lot more familiar with meds and dosages,are not allowed to pour or prepare pills unless they are under the"direct" supervision of the Pharmacist. Speaking of "direct supervision". I have yet to figure out how that saves employees. If I were to have to 'directly supervise' another employee, that's exactly what I would do. I'd watch each and every pill that was poured and handed to the IM. Now PLESAE!!!!!!!!tell me how that's gonna help if you're short handed already. Maybe "they" think you'll just let the med-tech pour and pass the meds and sign off the appropriate papers while you're busy doing something else? I don't think I'd leave but I certainly would follow the letter of the law."direclly" supervising."sorry I'm busy now supervising the med-tech for whom I am responsible if a mistake is made". It's time for us to put our foots down!!! Just because there's a nursing shortage(and don't get me started on THAT subject) dosen't mean that we have to accpt every lame-brained idea 'they' come up with. Contact your Board of Nursing and get a copy of the Nurse Practice Act in your state. Review it VERY carefully.
Sep 19, '05Joined: Jan '00; Posts: 45; Likes: 5Quote from Delorus MenereDelorus, Sorry I'm a year late but I was just reviewing some of my past posts and saw this..In Florida DOC our pharmacy tech's may prepare meds(as in fill a prescription) only under the direct supervision of the pharmacist. Now our meds may come pre-packaged for the day(since they did away with a pharmacist in each prison). I can assume that these unit dose pre-packaged meds may even be put together by a med-tech under the supervision of a pharmacist(or at least one that takes responsibility for the med-tech). ALL meds MUST BE LABELED as to NAME(generic and trade)& dosage when they come from the pharmacutical company. I couldn't imagine getting pills without identification printed on the bottle and then have to look up a picture of them in a book........that sounds like a pharmacists responsibility......besides with so many generic brands out there, the PDR couldn't possibly picture all of them. As a matter of fact it doesn't.When I pass pills, whether I get them from a bottle or a punch out card, there is a label on it that says it was filled by a pharmacist, and his name is on there. I couldn't imagine standing by watching a pharmacy tech cruise around a "Picture book" and decide what it is. If he/she then handed it to me to give to an inmate, I'd refuse. In this state if you get caught with pills in a cup or bottle or envelope and it's not labeled as to exactly what's in there (Med&dosage) you're in BIG trouble. And the label has to be put on by the pharmacist.Even the nurses are not allowed to put pills in an empty bottle and stick a label on it. That's called dispensing and is not part of our nurse practice act. Life has become soooo confusing about who's allowed to do what anymore but whenever I'm in doubt, I refuse. MY nurse practice act says I must refuse. As far as I'm concerned, and according to the Fl. Nurse practice Act, If I pour them, I must administer them. If you poured them, I'm not giving them..... I'll bet pre-pouring for someone else is against every State's nurse practice act....It is your personaly responsibility to know the boundaries of your scope of practice. Even if your boss tells you to do something, if it goes beyond the scope of your practice(as noted in your state's nurse practice act) you are held responsible. And believe me honey, it's done all the time. "My supervisor said to do it this way." NUH, UH" she says at the hearing, " didn't even know they were doing that".Hi my names Delorus and I am a L.V.N. from California who works in a jail facility. I saw your post and wanted to know how you feel about pharmacy techs pouring medications for L.V.N.'s to pass. I have a big issue with this because some of the medications are not prepackaged and we will have to go by site of the drugs. I know most of the drugs by sight but there is always room for mistakes and I better know what I am pouring into someone's hand!! They said we will have a book that is made up from the pharmacy with name of med, dosage, and a picture of them. We will carry this book on our med cart when passing meds. This is their way of solving a shortage of L.V.N.'s and reducing workload! I feel I am putting my licence on the line. I plan to call the Board of Nursing tomorrow and try to talk with a real person about my concerns. Please write me back. Thanks!:angryfireLast edit by sa48sh on Sep 19, '05 : Reason: spelling