Totally an excuse not to hire nurses...they cost too much to many facilities, or in the case of assisted living, nursing homes, etc. you can't find too many nurses around here willing to do it (after you go geri's around here, you can never go back...I have been denied jobs for over 2 years because they call me "oh..a rest home nurse"..chaps my hide bad!!!!!!!!)!
I work in assisted living, and CNA's or unlicensed caregivers administer medications via assignment/delegation by an RN. Scared the heck out of me at first...but luckily I work with a CNA staff I have known for 2 years and they know what they are doing or they ask me! Actually they catch more pharmacy errors and even..gasp..nursing errors than any of us LN's...so they have my respect. Plus most of my CNA's have been in the business, even that facility, for over 5 years! AND they really do ask if they are unsure...even if they think it is a stupid question..they ask!!!!! (bless their hearts!!!
The thing that scares me is swing shift! They are basically all new, most never touched more than a tylenol (and of course never touched "acetaminophen"..UHG!) for themselves! They go through a 1 day training course by one RN, then 1 week of observed med pass..then off they go. I saw three faces today I didn't know..none of them licensed! Oh boy...that doesn't sit right with me being one of three RN's in that whole place! I can't help what other shift caregivers do, but held responsible anyway!
BUT, they are not allowed to do CBG's, injections, or complex dressings...but they can admin O2 (strict rules though..I teach that class personally..and I make it fun to learn
and since I am very EMS at heart...I teach via funny true stories..they don't tend to forget those!!! Ohhh those gals can spin volumes and carry on debates about hypoxic drive that would have some nurses VERY suprised!).
I am not sold on the idea though...a med aide would be much better! But since I work in assisted living and not a nursing home, the rules I guess differ...where you can find the rules...sheesh, good luck...been trying for 2 years to find them (even e-mailed and wrote my SBN several times..no response..it is like they don't want to go there!).
Oh yeah...Oregon btw...