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beas-crma Fw: sub-cutaneous injections

From: Kathleen Bernard (voodoosgirl@midmaine.com)
Date: Fri Dec 10 2004 - 23:59:27 EST

----- Original Message -----
From: Kathleen Bernard
To: Beas-crma@lists.st.me.us
Sent: Friday, December 10, 2004 7:50 AM
Subject: sub-cutaneous injections

Hi Everyone,
I would like to get your feedback on a recent dilemma. I cover 6 group homes under the assisted living regs, PNMI and BDS. One home is a level IV assisted living home but serves adults with mental illness. We have CRMA's, one LPN that coordinates appointments and works M-F days.

We needed home health to provide evening SC lovenox which they did but Medicaid denied their payments. The Medicaid folks feel that CRMA's can administer this SC medication because the assisted living regs state SC insulin is ok so the assumption is that SC anything is ok.

Is anyone aware of CRMA's giving anything but bee sting and insulin injections? The CRMA course seems specific, as do the regulations....bee sting and insulin with instruction from an RN and not part of the CRMA course itself.

Through the many levels of conversations about this subject Peter Mauro's name was mentioned. It is unclear to me at this point what details were presented to him.

Thanks for any help and guidance.
Kathleen Bernard RN,BC
Community Health and Counseling/Bangor
947-0366 x452
the email is my home, I don't have work email

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