Nurse-C

I hadn't even thought about OSHA.

I work in a 65 bed hospital, on occasion when a male pt. becomes combative maintenance is called into assist with security & including helping contain pt's for medical procedures, like drawing lab, changing a foley, once a spinal tap,injections anyway these men have been no telling where doing their job in dirty areas, besides they are untrained non medical people what if they hurt a pt. during a struggle or get hurt themself. Is this a violation? I don't see why the men from x-ray, lab, resp, and other male nurses can't be called instead. Once I thought one of the maintenance men was going to pass out himself and one even commented that he personally felt traumatized himself .Thanks

www.arkansas.gov/dhs/aging/assistedlivingchoices.html This will direct you to OLTC ( Office of long Term Care )then you can go to providers then to regulations for level 1 & 2. Thanks for your relpy reg 702.1.1.1, 702.1.1.5

Just wondering how many nurses know about the assisted living laws in Arkansas, they are pretty much the same in all states but this is about Arkansas. CNA's "assist" with medications, take Dr's orders and post to a MAR, make decisions about which narcotics/ meds to give in a PRN situation, assess residents for change of condition send them to ER. Draw up insulins and administer without it being checked by another person as long as the resident is touching the bottle and syringe it's assisting they are taking the CNA's word that everything is correct. State Board of Nursing say it's legal by the word "Assisting".CNA's are not required to know what the medications are for, the side effects etc. There are 2 levels of Assisted living in Arkansas 1 & 2. Level 2 an RN has to be on call with no required number of hs. in the building and the residents meet criterial to be in a nursing home. I couldn't believe it myself till I was told then went to the OLTC site and read the regulations. On level 2 it does state LPN can be used for medication administration but in most places according to stats I've seen, CNA are assisting due to cost. CNA are doing the job we had to go to school for get a licenses and being accountable for our actions. Med errors, I don't even want to think about it.