What specific duties does a Licensed nurses Aide do?

I think it depends on the state BON's scope of practice for nurse's aids. In Texas, I'm pretty sure they aren't legally allowed to give medications. If it IS allowed in your state, then it would be a delegated practice, and therefore you (as the RN) would be responsible for what they do. If they mess up, it's on you as much as them.

Yes I'm a CNA med tech. I worked in assisted living for awhile, I had to pour and administer medications including narcodics. I also had to do the acu-checks and administer insulin. I took a class that was only a couple days long and a test. I didn't mind passing meds when the nurses were in charge of checking the MAR's and taking off the Dr. orders. It was when the aides started taking off orders and checking the MAR's that scared the crap out of me. I found so many med errors!!! Then when we had to adminster insulin, I was done!!! Too much responsibility and not enough training. I am not a nurse and I don't think that aides should be doing this.

One can be a certified nurse assistant, or a certified med tech, or both. If someone is a certified med tech, it is usually meaning that the person "supervises" the resident in taking their own medication. (in assisted living, a residential facility for people with mental illness, that type of thing). It is a bit of a grey area when one gets into administering meds and are unlicensed. If you are the RN in the building and you are directing the unlicensed personel to "supervise" the resident in taking their own meds (that an RN or LPN has pre-poured, and the RN and/or LPN has done and signed the MAR) then you are responsible under your license of the outcome. If you are directing unlicensed personel to administer meds to residents, that could (COULD) fall under "not in their scope of practice" and COULD get you into hot water with an undesireable outcome. (and I would be assessing and such then directing if that is within the state guidelines). I would look at the scope of practice of med techs in your state. It does vary. And if it is not clear, then it could fall under the heading of "facility based". However, it is clear that whatever you direct an UAP to do, within their scope, is on you as the licensed person in house. So I would think that would be some pretty heavy supervising.