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I would like to say that PSA may be quicker and appear to reduce medication
errors but in reality this practice reduces the amount of time the
medication certified person has to reflect upon their administration and
practice procedure.When the person signs after administration, they are
indicating they have poured, passed, administered, and are sure they have
done their best practice. There will most certainly be less errors, as the
person whether they have administered or not, will have signed they have
completed the process. Because of the large numbers of medications in a
facility, time constraints, and a desire to keep the amount of staff to a
minimum for business purposes, we sometimes find ways that are not always
best practice. We have got to continually try to examine what may be other
alternatives than to compromise what is best practice.
-----Original Message-----
From: dpoulton@eaaa.org [mailto:dpoulton@eaaa.org]
Sent: Thursday, February 26, 2004 7:13 PM
To: Ham Robbins
Cc: beas-crma@lists.state.me.us; leapoh@tds.net
Subject: Re: beas-crma Med Administration Techniques
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>
How nice to have this dialog with providers out there....
Having been involved in the medication administration practice from a
regulatory standpoint (20 years ago and over a 10 year period), and then
in developing our own agency curriculum, we have never accepted signing
off medication administration until after one has observed the individual
actually taking the medication - To sign off earlier makes the statement
that the process is complete, and there is always the moment when a
provider (CRMA) is interrupted, the resident is not available, or some
other disruption to the process can occur, and the record would then
indicate that a medication has been administered, when perhaps it has
not....
It is interesting to learn that others do the process differently.
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>
> Hi Darryl,
> My agency's policies, Goodwill Industries, also calls for the PSA
> method. It has been the method of choice in every hospital and nursing
> home I have been associated with in the past 20 years. While the check
> list calls for the PAS method, there is a statement in the 40 hr CRMA
> book that documentation of the med admin should follow agency practices.
> I use that as the relief to teach PSA. I don't have my book with me
> tonight at home, but I will site the page for you soon.
>
> PSA PSA PSA
>
> Ham Robbins
>
> Ham Robbins, RN/Paramedic
> Goodwill Industries of Northern New England
> 243 Leighton Road
> Augusta, Maine 04330
> (207) 626-0170 ex 262
> FAX (207) 622-3517
>>>> "Darryl" <leapoh@tds.net> 02/26/04 4:27 PM >>>
>
> Hi everybody,
>
> I am looking for some feedback..... I have always taught the Pour, Sign,
> Administer technique method of medication delivery (in my approved 24
> CRMA class). I honestly believe this method provides the lowest med
> error rate.
>
> The 40 course and the Bridge/Refresher teach the Pour, Pass, Document
> technique, as does the Skills checklist.
>
> 1) My approved curriculum has the PSA method but is used in conjunction
> with the skills checklists. To me the most important thing is knowledge,
> clean and accurate technique, and complete and objective documentation,
> not necessarily a slight difference in technique.
>
> 2) Many people have been trained in the PSA technique and have very
> comfortable with it. To make them change for the Bridge/refresher may
> increase the liklihood of errors for them.
>
> Are any of you running into this out there? How are you handling it?
>
> Do others agree in the PSA method as a preferred technique?
>
> Thanks in advance for the feedback..... Darryl Wood, RN @ LEAP, Inc.
> leapoh@tds.net
>
>
>
>
>
>
>
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