From Carol.A.Davis at maine.gov Mon Oct 27 10:44:48 2008 From: Carol.A.Davis at maine.gov (Davis, Carol A) Date: Mon, 27 Oct 2008 10:44:48 -0400 Subject: [dlrs-nursingfacilities] CNA-M Message-ID: Date 4/5-6/95 The Board of Nursing determined to allow utilization of CNA-Ms in other than a nursing home under the following circumstances: 1. The site is physically attached to the nursing home and permits immediate access to the licensed nurse at all times. 2. A licensed nurse must be on site in the complex at all times. Regulation 9.C. Sharing staffing Sharing of nursing staff is permitted between the nursing facility and other levels of assisted living on the same premises as long as there is a clear documented audit trail and staff in the nursing facility remains adequate to meet the needs of residents. All sharing of staffing must be approved in writing by the Department. There may be sharing of nursing staff between the nursing facility and another non-nursing facility, whether it is physically attached or in proximity to the nursing facility without written approval by the Department. The non nursing facility must provide its own separate activities, but may share housekeeping, laundry, dietary, maintenance staff, and account for these hours. Other factors to keep in mind: 1. A CNA-M can not be assigned the task of administering any sterile procedure or medication 2. A CNA-M can not be assigned the task of debridement or duoderm application. 3. A CNA-M may be taught to apply a simple dressing (eg. Bandaids, 4x4 gauze dressings etc.) 4. 8/2-3/2000 the Board of Nursing determined that nebulizer treatments will not be included in the CNA-M curriculum. 5. Oxygen may not be initiated on a patient by a CNA-M, only after the licensed nurse delegates the task to assist the nurse. 6. A CNA-M can not be assigned to administer chemotherapy 7. A CNA-M can not administer medications by nasogastric and gastrostomy tube 8. The CNA-M may administer an oral anticoagulant to a patient on a maintenance dose if there are facility policies and a licensed nurse physically present to provide on site supervision. 9. The CNA-M may transcribe physician orders onto the Medication Administration Record as assigned clerical aspects by the licensed nurse but the nurse must review for appropriateness and accuracy sign prior to implementation. 10. The CNA-M is not responsible for any drug calculations or conversions, the licensed nurse is responsible for specifying the amount of a drug (5 tabs, 1 tsp etc.) 11. A CNA-M may participate in the narcotic count only if the second person involved in the count is a licensed nurse. 12. A CNA-M may be delegated to perform the task of finger stick blood sugar monitoring and providing the information to the licensed nurse. 13. A CNA-M may apply prescription and non prescription cremes, ointments, and lotions to intact skin, small cuts and abrasions after an assessment by the licensed nurse. 14. A CNA-M may administer a PRN schedule II narcotic or any PRN medication, only after an assessment of the patient by a licensed nurse. Please refer to www.maine.gov/boardofnursing Under practice questions for the CNA Carol A. Davis HSC Division of Licensing & Regulatory Services 41 Anthony Avenue Augusta, Maine 04333 Phone: 207-287-9261 1-800-791-4080 -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/dlrs-nursingfacilities/attachments/20081027/f2e3522a/attachment.html