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Hi all.
Kathleen,
I have read the regs and chapter 6 of the BON regs. I find it peculiar that
although the regs specifically state Insulin and Bee Sting Kits that a
number of instructors refer to epi pens as an injection that CRMA's can give. Epi
pens are not stated in the regs., only Bee Sting Kits.
7.1.2 No injectable medications may be administered by an
unlicensed person, with the exception of bee sting kits and insulin.
7.1.3 Before using a bee sting kit, unlicensed persons must be
trained by a registered professional nurse in regard to safe and proper use.
Documentation of training shall be included in the employee record.
note that there is no mention of epi pens in this reg, but nurses teach
CRMA's to administer them.
7.16 Whenever a Registered Nurse teaches or provides in-service
training to unlicensed personnel on medical issues, treatments and/or medical
equipment not specifically outlined in these Regulations, there must be
documentation in the employee file.
The above regulation implies to me that the RN can provide in service
training to unlicensed persons that is not stated specifically in these regulations
inclusive of the administration of other SC injections. Going along with
the BON chapter 6, if the resident/client/consumer is stable on the medication
and the CRMA(s) have proven competency in administering SC insulin why should
they not be allowed to administer other medications SC? Levonox is
available in pre filled syringes to take the guess work out of the amount to be
administered and is probably safer than administering Insulin. An SC injection is
an SC injection regardless of what the medication is. If the CRMA is taught
to do one, I see no difference in another just because it is a different
medication being injected.
I also understand that if, as RN's we are not comfortable with teaching the
CRMA to do this, we do not have to. We as RN's , when working in Home
Health, teach family members to do more complicated procedures and administer more
dangerous meds and these family members, for the most part, have not training
whatsoever previous to our instruction. I think that CRMA's, with the new
Standardized Curriculum are better able to give an SC injection than ever
before.
We need to give the CRMA's the credit they deserve for the knowledge that we
have imparted on them throughout our teaching and use our own judgement in
what we teach them after they are trained as CRMA's.
I also feel that instead of dunning the regulators that we should work with
them in a constructive manner as opposed to always throwing dig at them. It
never ceases to amaze me that we cannot ever seem to ask questions or reply
to questions from others without dunning the regulators for trying to keep the
services provided under them safe and affordable.
Don
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