Hi All! :spin:I am new here and I have been lurking around the boards.
I want to be an RN but will be going the LPN route at the Maricopa Skill Center first. (Still not sure if this is the best route but the one I am heading) I wanted to know if anyone would mind sharing there experience as an LPN at a LTC or hospital here in Arizona. What is your typical day like? What do you like or dislike about your job? Is the pay good? Was being LPN as far as you wanted to go? Any particular facilities better than the other as far as LPN are concerned? Also any feedback about the MSC would be greatly appreciated.
By the State Board here in Arizona the LPN does not "assess". They "gather data". They are also not able to be responsible for the plan of care. I am stating what the Board says. The LPN can do a head to toe physical assessment but does not assess in the manner in which the Board looks at the word - incorporating all data (labs, radiology, physical assessment, meds, history and DCP). Also - by State Board...the RN is to do and document the initial physical assessment on the newly admitted patient. For those of you who are doing it as an LPN I would take a moment and call one of the people down at the Board and confirm you are not practicing outside of your scope.
As far as IV medications...If the LPN has taken the additional IV medication course they can then hang (to peripheral & midlines) pre-mixed IV medications (IVPBs, IV fluids w meds in them). They can't hang anything to central lines (PICCs or any other central lines), no TPN, lipids, cytoxic drugs , K riders, heparin wt based adjustments, blood products or anything that takes close RN monitoring. As stated by someone else....they can't do IV push medications either. You can get all this information on the Board webiste www.azbn.gov
. Click on the resources tab then click on advisory opinions. There is one on Supervision of the LPN by the Professional Nurse (board language for RN) and one on Intravenous Therapy by the LPN.
Last edit by AZ Nurse on Dec 4, '07