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Hey Shirleyann, what an idea!!! Are you volunteering to call the Board?
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
>>> Shirleyann Davison <davison@wiscasset.net> 3/1/04 6:12:08 PM >>>
Ham:
I think all arte forgetting the Maine State Board of Nursing which sets
standards
in the State of Maine. Does anyone know if they have developed an
advisory
position on this?
ShirleyAnn Davison
Ham Robbins wrote:
> [See the end of this message for instructions on unsubscribing from
this list]
>
> 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.
>
> [See the end of this message for instructions on unsubscribing from
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> > list]
> >
> > 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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> >
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