Quote from classicdame
worth a call to your BON but I believe you would be held to a higher standard of care due to your RN license, regardless of your job description. This means that you would be expected to PERFORM like an RN, while being PAID like an LVN
Yes and no....
You would be expected to know the things that an RN knows and react accordingly, even if they're not within the scope of an LVN, but you cannot be made to do the work of an RN at LVN wages.
For example, if a CNA takes vitals and notes a low pulse ox, their only responsibility, as a CNA, is to report to the RN that the patient's vitals are not WNL. But if an LVN or RN takes vitals while working as a CNA and notes the same thing, the nurse is expected to use her "nursing skills/knowledge" to do things like raise the head of the bed, start supplemental oxygen, call the physician, etc.
In my state, LPNs cannot do IVs and blood transfusions... if, while working as an LPN, you see a patient having a transfusion reaction or if you see crystals forming in their IV line, as an RN you would be expected to know that you must immediately STOP that infusion and clamp it off as low on the line as possible, and therefore you would be expected to do so, even though it may not be within an LPN's scope of practice.
Does that make sense?