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Kathleen,
I am not sure where you are going with this question. If you feel
uncomfortable teaching a CRMA to give this Medication, then don't do it. This is not
a delegation issue it is a "Coordination and Oversight" issue. There are
certainly more serious side effects to Epinephrine and Insulin than you indicate,
seizures, status epilepticus, cardiac arrest, renal failure, etc. to name a
few . What does it matter who gives the injection of Levonox? If the most
severe of side effects are going to occur it is going to occur regardless of
who gives the injection. Are the PSS's in the home taught to observe and
report for the signs and symptoms of hemorrhage? Are the CRMA's? What is the
benefit of having the RN give the injection if s/he is not there 24/7 to
assess the resident? If they were there 24/7 what more could they do than call
911 for assistance? The same that a CRMA would do if the oversight and
coordination from the RN were there. Also I have to ask, should the CRMA's not be
allowed to give Coumadin or Plavix because they could cause hemorrhage?
Don
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