CMA MULTIPLE SHIFTS AND INCENTIVES!

DESCRIPTION

General Summary: The Certified Medication Aide assists with the administration of medications under the direct supervision of a registered nurse or licensed vocational/practical nurse. Assists licensed nursing staff routine nursing skills (properly trained for) and management of medication ordering duties and activities of daily living. This position requires a current Certified Medication Aide permit/endorsement from the state in which the medication aide is providing services.

Essential Functions:

• Preparation, administration, and charting of medications.
• Administer and document regularly prescribed medications which the medication aide is permitted to administer only after personally preparing (setting up) those medications to be administered.
• Must document in accordance with the Procedure Manual of the facility.
• Stay with residents until medication is taken.
• Observe for and report to the facility's charge nurse reactions and side effects of any medication administered to residents.
• Administer oxygen per nasal canula or with non-sealing force mask oxygen on emergency when no licensed nursing staff is on duty.
• Administer PRN medication after authorization in each instance by the facility's licensed nurse or the resident's treating physician.
• Must document in the nurses' notes symptoms indicated for the need of the medication and the time the symptoms occurred. Must document in the nurses' notes that the facility's licensed nurse or treating physician was contacted, symptoms were described, permission was granted to administer the medication, and the time of contact. (Permission to grant the administration of medication shall be on an individual basis and shall be given prior to the time symptoms occurred.)
• Administration of the authorized PRN medication must be correctly documented, including time, medication, reason and results.
• The facility's licensed nurse giving permission for the administration of PRN medication shall co-sign the nurses' notes on the next turn of duty, or if on duty in the facility, by the end of that shift.
• Taking and recording vital signs. Shall take and record vital signs prior to administration of medications which could affect or change vital signs.
• Observe residents for changes. Observations that are to be reported to charge nurse include:
• Signs of illness: Temperature, Vomiting, or diarrhea. Listlessness or lethargy. Headache or dizziness. Poor color
• Changes in general condition: Sudden or frequent mood swings. Slurring of speech (sudden onset). Change in physical abilities. Changes in bowel or bladder habits. Complaints of pain or discomfort. Change in appetite - difficulty in chewing or swallowing. Visual or hearing problems. Unusual discharges or bleeding. Falls, cuts or abrasions. Pressure areas, open areas. Edema. Aggressive or combative behavior. Signs of insulin shock or diabetes coma. Anything out of the ordinary. Accidents and incidents.
• Helps feed and render direct patient care as necessary:
• Help get residents into and out of bed/wheelchairs. Transfers will be done with two people as instructed. Turn residents as needed every two hours. Assist residents as needed during mealtimes and with extra hydration. Assist residents with bathing, dressing, hair care, toileting as needed.
• Maintains safe and sanitary work stations and equipment. Gloves will be used for wound care and when dealing with blood and body fluids. Observe all safety and infection control procedures and policies. Use of rubber gloves, non permeable gowns and face shields as required.
• Encourages independence, attendance at activities, restorative programs and rehabilitation.
• Attends in-service training and education session, as assigned.
• Observes all safety and infection control procedures and policies. Gloves will be used for wound care and when dealing with blood and body fluids. Use of rubber gloves, non-permeable gowns and face shields as required.
• Keeps all resident information confidential in accordance with policies and H.I.P.A.A. regulations.

Limitations:

• Practices or acts prohibited by non-licensed personnel (Certified Medication Aides) after completing state approved training program in medication administration are:
• May not administer medications by injection routes:
• Intramuscular, intravenous, subcutaneous – (under skin), lymphodermolysis – (into tissue).
• May not administer medications used for intermittent positive pressure breathing (IPPB treatments) or other methods involving medication inhalation treatments.
• May not administer the initial dose of a medication that has not been previously administered to the resident.
• May not administer medication doses that involve any calculation of dosage strength and/or alteration of the originally dispensed dose, except the measure of a prescribed amount of liquid medication and the crushing of medications.
• May not crush medications unless the initial prior authorization is obtained from the facility's licensed nurse. The licensed nurse shall document initially the authorization for the medication aide to crush medications on the appropriate medication record from which medications are administered.
• May not administer medications by way of nasogastric tube.
• May not receive or assume responsibility for reducing to writing, verbal or telephone orders from the physician.
• May not order resident's medications from a pharmacy….Medication Aides are routinely the responsible party for re-ordering of medications from the pharmacy
• May not administer any medications that involve the treatment of the skin requiring aseptic techniques. Medication aide must function in accordance with accepted pharmaceutical and nursing practices.

Educational Requirements:

• Current Certified Medication Aide permit or endorsement
• Current Certified Nurse Aide certification
• Graduate of approved medication course
• One year of experience as a Certified Medication Aide preferred
• Ability to understand and follow instructions in English, communicate effectively and perform simple arithmetic. Ability to document care given.

Physical Requirements

• Standing
• Stooping
• Bending
• Stretching
• Squatting
• May be exposed to blood and body fluids which may contain HIV and/or HBV. Must be able to transport residents via wheelchair, Geri chair or shower chair; pushing up to 150 pounds unassisted
• Must be able to transfer, lift, turn and position a resident weighing up to 125 pounds unassisted, or with the assistance of one for a resident weighing over 125 pounds
• Must be able to stoop, bend, stretch, squat, stand and walk for up to 90% of the work day
• May be subjected to offensive odors and combative behavior. Must be able to reach up to a level of six feet
• Must be able to push a dietary cart up to 40 pounds unassisted
• Must be able to lift and carry up to 20 pounds frequently and 50 pounds occasionally
• There is exposure to bodily functions and infectious waste, diseases, odors, viruses and other situations associated with healthcare. Viruses involved include but are not limited to HIV, AIDS, and Hepatitis B.

LOCATION

2700 N Hickory St, Claremore, OK 74017, USA