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Even though the regs are specific about insulin and bee sting, we have
allowed the epi to not only cover bee stings but other issues requiring that
med. Also, at the end of section 7 there is a section which was designed
from the BON in their chapter 6 on coordination and oversight, to take care
of other issues that might come up that would allow RNs to teach unlicensed
personnel. DHHS/BEAS does not dictate that all RNs do this teaching, but if
they feel that the person is competent to learn and competent to carry
through, then they can. Also, DHHS/MaineCare is not going to double pay the
services of homehealth when there is a portion built into the rate for Nurse
services. Those facilities that want to train CRMAs to do some of those
procedures, can, those who want to hire a nurse and pay them out of the
daily rate to do some of those other services can do that. As licensing
moves towards being merge red into one unit, perhaps some of this can and
will be looked at. Carol and I have looked at all inquiries that providers
have had and we deal with over 800 freestanding facilities, to help
alleviate some of these issues.
-----Original Message-----
From: owner-beas-crma@lists.state.me.us
[mailto:owner-beas-crma@lists.state.me.us]On Behalf Of Darlene
Sent: Monday, December 13, 2004 10:40 AM
To: 'Kathleen Bernard'; Beas-crma@lists.state.me.us
Subject: RE: beas-crma Fw: sub-cutaneous injections
Kathleen, I also read the regs as specific to allowing CRMA's to administer
sc insulin and bee sting kits after RN instruction. Anything further in my
opinion, is asking too much from our CRMA's. What does Peter say about this
matter?
Darlene Grass RN
Granite Hill Estates
-----Original Message-----
From: owner-beas-crma@lists.state.me.us
[mailto:owner-beas-crma@lists.state.me.us]On Behalf Of Kathleen Bernard
Sent: Friday, December 10, 2004 11:59 PM
To: Beas-crma@lists.state.me.us
Subject: beas-crma Fw: sub-cutaneous injections
----- Original Message -----
From: Kathleen Bernard <mailto:voodoosgirl@midmaine.com>
To: Beas-crma@lists.st.me.us <mailto: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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