Big Mac: The Nurse Delegation Program Can Be a Mouthful, but Its Digestible - PowerPoint PPT Presentation

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Big Mac: The Nurse Delegation Program Can Be a Mouthful, but Its Digestible

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Big Mac: The Nurse Delegation Program Can Be a Mouthful, but It's Digestible ... Implementation of the 'Big MAC' Training 'He ain't right' Grandma Floyd ' ... – PowerPoint PPT presentation

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Title: Big Mac: The Nurse Delegation Program Can Be a Mouthful, but Its Digestible


1
Big 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

2
Agency Philosophy
  • EAMH-MRC is a comprehensive mental health center
  • Implementation of this philosophy

3
(No Transcript)
4
Administrative Support for NDP
  • Necessity of NDP
  • Nurse Delegation Act
  • Staff response

5
Why Nurse Delegation?
  • Delegation is not a new concept
  • Many other states participate in Nurse Delegation

6
Delegation 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

7
Certification Training Levels
  • MATT Certification
  • MAS Certification
  • MAC Certification

8
Required Classroom Components
  • Designated classroom
  • MAC I 12 hours
  • MAC II 12 hours

9
EAMH-MRCs MAC I Training
  • MAC I lecture 12 hours
  • Content determined by DMH/ABON cannot alter
  • Taught by MATT or MAS nurse

10
EAMH-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

11
Implementation 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

13
Compliance Reporting Requirements
14
Integration of QA/PI Systems
  • No duplicate systems
  • Shared responsibilities
  • MACs, Nurses, QA/PI staff, HR staff, Program
    Directors, RSD, etc. are all involved

15
Reporting Categories
  • Medication given, wrong dosage
  • Medication given, wrong medication
  • Medication given, wrong time
  • Medication not available
  • Medication not given

16
Results of NDP Implementation
17
Reporting to Outside Agencies
  • Department of Mental Retardation
  • Department of Mental Illness
  • Department of Substance Abuse
  • Reporting to Board of Nursing

18
Practical 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

19
Any Questions?
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