Title: Big Mac: The Nurse Delegation Program Can Be a Mouthful, but Its Digestible
1Big Mac The Nurse Delegation Program Can Be a
Mouthful, but Its Digestible
- Anne Penney, Ed.D., Executive Director
- Sandra Moncrief, B.S.N.,R.N., Director of
Nursing
- Selena Sanford, M.Ed., Director of Residential
Services
- Sharlene McDaniel, M.S., Director of Quality
Assurance/Performance Improvement
- East Alabama Mental Health-Mental Retardation
Center
2Agency Philosophy
- EAMH-MRC is a comprehensive mental health center
- Implementation of this philosophy
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4Administrative Support for NDP
- Necessity of NDP
- Nurse Delegation Act
- Staff response
5Why Nurse Delegation?
- Delegation is not a new concept
- Many other states participate in Nurse Delegation
6Delegation vs. Certification
- Defining Certification
- The act of training someone to complete a task
- Defining Delegation
- The act of assigning an action but withholding
the direct responsibility of the assigned task
- By delegating to a MAC worker, the nurse allows
that person to work under his/her license
7Certification Training Levels
- MATT Certification
- MAS Certification
- MAC Certification
8Required Classroom Components
- Designated classroom
- MAC I 12 hours
- MAC II 12 hours
9EAMH-MRCs MAC I Training
- MAC I lecture 12 hours
- Content determined by DMH/ABON cannot alter
- Taught by MATT or MAS nurse
10EAMH-MRCs MAC II Training
- MAC II classroom clinical 8 hours
- Hands-on, practical training
- Can be specific to agencys needs
- Taught by MATT or MAS nurse
- MAC II on-site 4 hours
- Specific to MACs assigned program
- MAC demonstrates skills learned in classroom
- Proficiency check
11Implementation of the Big MAC Training
- He aint right
- Grandma Floyd
- You work over there where they killed that
fella, dont cha?
12 Training Documentation
- Attendance log
- Sample certificates
- Delegation to unlicensed personnel
- Suspension or revocation of delegation
- Quarterly review
13Compliance Reporting Requirements
14Integration of QA/PI Systems
- No duplicate systems
- Shared responsibilities
- MACs, Nurses, QA/PI staff, HR staff, Program
Directors, RSD, etc. are all involved
15Reporting Categories
- Medication given, wrong dosage
- Medication given, wrong medication
- Medication given, wrong time
- Medication not available
- Medication not given
16Results of NDP Implementation
17Reporting to Outside Agencies
- Department of Mental Retardation
- Department of Mental Illness
- Department of Substance Abuse
- Reporting to Board of Nursing
18Practical Implications
- Medication administration in day/residential
settings
- Staff assignment
- Medication on time
- Peer checks
- Controlled substances count
- Informing consumers families of NDP
- Positive effects for programs, consumers,
staff
- Improves QA/PI for programs
- Improves safety quality of care for consumers
- Improves staff accountability and morale
- Increases opportunities for positive staff
feedback
19Any Questions?