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I never said that e-mail would be censored. I indicated that unprofessional
and personal attacks would not be put on the listserve at all, but responses
will go to the sender. Thank you for sending us these specific comments.
We'll discuss and let you know whether we can accomodate these issues.
-----Original Message-----
From: owner-beas-crma@lists.maine.gov
[mailto:owner-beas-crma@lists.maine.gov]On Behalf Of Cindy Ranco
Sent: Thursday, August 25, 2005 1:52 PM
To: beas-crma@lists.maine.gov
Subject: beas-crma Date: Thu, 25 Aug 2005 13:56:30 -0400
Hello Everyone-
I just returned from vacation to start teaching my first re-cert course.
I've read all of the emails, and I have to say that I agree with all of
Betsy's frustrations. I also can't believe that things will now be
censored. Last I checked, we do not live in communist China. From what I
read, there has been unprofessional behavior coming from both sides of this
issue-admittedly from myself as well at times-but the most appropriate
action in my mind from the state would be both addressing the issues of
instructors and firmly reminding everyone to remain professional, not
ignoring concerns and threatening to censor this connection between the
instructors and the powers that be.
With that being said, and with the hopes that I will not be censored, I
would like to add some constructive criticism of the course content and
recommendations for changes that I firmly believe will aid in the goal that,
hopefully, we all share.
1. I do find it unacceptable that I received the course content only three
weeks prior to the course. I tend to be the type of instructor who prefers
to know my curriculum inside and out and I like to be well prepared. On top
of teaching CRMA, I am also the nurse consult and a charge nurse for my
facility, so I had very little time to prepare for this class, and the
CRMA's and residents are directly affected by this. In the future I would
hope that the state will have a little more consideration in this area.
2. The formatting of the exams are awful! Please fix this! The items
really should be grouped in to multiple choice, true/false, etc. Some of
the question run on to two pages, and some of them are grouped so close
together that you can't tell where one question ends and another begins. It
really does look sloppy, and I would have difficulty taking this test just
due to the formatting alone. I opted to retype the exam (using the same
questions, but making it more legible).
3. On the subject of the conversions. I still believe that the way they
are presented do not help the CRMA to comprehend how they are applicable to
their daily job No one needs to know how many drops there are in a ml or
how many grains or drams. Please remove these! CRMA's would be better
served by showing they can use and understand the conversion chart in their
drug book. Rather than just complain, let me give specific ideas on what
question I would like to see on the exam:
Students should UTILIZE tools available to them to do these on the exam
(i.e.: graduated med cup and conversion table in med book)
a. You have been asked to document your client's intake and
output. At breakfast, your client consumes 8 oz of juice. On the I&O form,
you must document in ml. How many ml are there in 8oz?
b. The same client voids a few hours later in an attend. You
weigh the attend, subtract the weight of a dry attend, and get a total urine
output of 6.2 oz. How many ml would this be?
c. The physician orders 1 Tbsp of medication for your resident.
When you receive the medication from the pharmacy, the pharmacy label reads
give 15ml. Is this the same amount? Where would you go to find out this
information?
These are just a few examples of ways to appropriately incorporate
conversions into the curriculum using real life situation which I believe
the CRMA would learn much more from.
4. Please change on the documentation/transcription piece of the curriculum
the following: There is no such thing as Depakote "Spansules 225mg". This
really tripped up my class today. This should be: Depakote Sprinkles 125mg
give two caps po bid.
Overall, I feel the course went well-it's just a lot of the info is
incorrect or not useful (specifically the conversions given). It makes it
hard for the class to flow. The exams DEFINITELY need to be re-formatted,
and until they are, I will continue to retype them for my classes making
sure, of course, that I keep the same questions per the state request,
though I'd love to see a committee to review the test questions as well. I
think a lot of them should be revised.
I hope this info is useful, especially to Peter, Carol, and anyone else
there working on the curriculum.
Thank You
Cynthia Ranco, RN
Casa, Inc.
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