I never said you had to stand in and monitor for 30 mins. First, we were giving more then just PO meds, often times my patients were on more then just PO meds. My point was, if I go in and give some morphine push and 2 minutes later my patient has a reaction of any sort. The Nurse of the patient is going to have to answer for that patient. What are they going to say. "Well I never saw what the student gave or if they pushed it over the right time frame, no one saw, the student was in there alone." or even with PO meds, usually multiple PO meds "Well I am not sure what all the student gave, the CI verified something in the med room and then the student went in and handled it themselves, I never checked anything, well Doctor they weren't supervised so I guess we can't be positive of the exact events."
It doesn't seem safe nor legal to me because the student is not licensed and because of this it is of my opinion and the opinion of our local school and hospitals that someone licensed should be present during the administration of medication.
BTW Heparin was just an example of a medication that came to mind. It could be anything. I also don't recall people saying it was ONLY in their 4th semester they were giving meds alone. It went from being able to give meds alone during the 2 years of the program, to only PO meds, to only routine meds. I guess my hospital is different, my patients didn't only have PO meds, or only routine meds as they were usually in the hospital for a couple days for something acute. Often times they were on new meds and the students were doing all the patient care and meds (IVP once we got in third semester and TPN and Blood and so on then too) because it was supposed to resemble real world. The Co-Nurse would be a fly on the wall in the room to observe.
With that, I am leaving for vacation in 6 hrs so I am out. No one has to agree with my opinions (well actually it looks like a lot of places run the same way for the same reason) but regardless, that's OK. I have my lic. now and I will fully ensure I do everything to protect it. That includes watching any medication given by a student that is working with me in the future.