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beas-crma Injections

From: ConsultingRN@aol.com
Date: Thu Jun 02 2005 - 08:11:13 EDT


Good morning,

My name is Linda Reed and I am an RN consultant for several assisted living
facilities in the Lewiston area. I am in the midst of trying to resolve a
dilemma that I hope someone can help with. I understand that in the past, some of
you may have had some discussion with the board of nursing in regards to
training and supervising direct care workers &/or CRMAs in regards to performing
nursing tasks.

Currently, I consult (training only) for an agency who serves an individual
who needs daily anticoagulant injections. Maine care will no longer pay for
home health and wants the staff to give the injection. (Thus, the agency would
like me to train the staff.) Licensing has stated that the agency can request a
waiver from the regulation that a CRMA may not administer injections except
bee sting kits and insulin (after additional training). Everyone at the lice
nsing level seems OK with all of this????? I seem to be the only one who is
apprehensive. Licensing suggests that there are several facilities who are currently
doing these types of injections.

My question is, has anyone been in this situation? How was it handled? Did
the State Board of nursing address this issue? If so, what was their
recommendation?  I appreciate any feedback you have.

Linda Reed, RN

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