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beas-crma Clinical Pass question

From: Mauro, Peter (Peter.Mauro@maine.gov)
Date: Thu Nov 18 2004 - 15:33:24 EST


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I have had a few questions about clinical instructors requiring students do
additional scenarios before they pass them on the clinical portion. This is
the answer that I have given and now I want to share it with the entire list
serve. Remember the clinical RN cannot require a student do more than the
curriculum requires. The clinical RN, especially, cannot flunk a student if
they require anything beyond the curriculum.
Please incorporate this into your classrooms and make sure that the clinical
instructors get this information when the student gives them the clinical
med pass forms.
The wording on the bottom of the checklist says" Participants may not have
the opportunity to practice these skills during the Clinical component of
the CRMA course. Therefore, discussion, observation, or demonstration of
these skills by facility personnel is appropriate".
What this means to the Department is: If a student does not have an
opportunity to Order/Reorder meds, Receive/Count meds, or Record, Count and
sign for controlled substances or other areas, then a discussion,
observation, or demonstration by facility personnel is appropriate.
Here is what a "scenario" should be: During the med pass, there is no chance
to order and reorder medications, and/or receive/count meds. Because the
student would not necessarily know how the facility operates, the Clinical
RN would then have a discussion and perhaps show the student that facility's
method of ordering/re ordering meds. He/she may show the student where the
certain books/sheets for re order are located and then maybe a discussion of
how the facility receives the meds, who does the count, and so forth.
Here is another "scenario". During the clinical pass, there is no chance for
a Schedule II to be given. Clinical RN could ask the student, what would you
do if you indeed had to give a Schedule II. This opens a discussion between
the nurse and the student as to what the student would do.
Another: During the pass, no one refused a med. The clinical nurse may ask
the student what he/she would have done if the resident had refused the med.

Certainly the clinical RN can ask the student questions about procedures or
about any information they would have learned in class as it relates to the
med pass. Again, clinical instructors must be careful to not require
additional written scenarios that go beyond the standardized curriculum.

Thank you
Peter Mauro, Jr., Director
Assisted Living Licensing Services
Bureau of Elder and Adult Services
Department of Human Services
State House Station 11
Augusta, Maine 04333

Telephone number: 287-9254 1-800-791-4080

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