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Hi Carol,
I am not wed to PDA or PAD, in a life or death fashion. BUT, I would
like to take this question beyond the opinion phase, mine, your's, and
even Don Johnson's. So I ask: where is, and what is, the legal document
that demands all of nursing do this one way or the other, and which
method does it site?
If there is no document, let's all agree that some of us may disagree.
Otherwise this issue could distract us from the important issues of our
time: war, politics, religion, abortion, and gay marriage.
Thanks,
Ham
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
>>> "Davis, Carol A" <Carol.A.Davis@maine.gov> 2/27/04 10:02:18 AM >>>
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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