LPN-IV CERT.-scope of practice re:PCA pumps

[Chris81]

I have a question re:my scope/responsibilities c PCA pumps. While I'm aware of the restrictions on IV push meds, am I allowed to change out cartridges in these pumps? While not administering the med., I am responsiblel for monitoring and timely delivery of meds. Our facility has no explicit policy that we can find regarding this. I put my nurse manager to the task of checking c DORA/nursing, but that might take awhile. If not permitted, I still think I should be at least able to walk an RN through the process, even if I can't put my hands on the darn thing. Background-30 yrs. LTC, IV-cert. since '92, c advance scope c central lines, etc. Our facility is attatched to an acute care hospital, and while we really try to have admits switch to po admin. prior to transfer, on occasion (this past Sat.) it's just not possible, and very few of our staff are comfortable c these pumps. I'm one of 2 LPN's on staff (18 yrs.) and the only one certified, and would like to facilitate/educate c regard to this matter. Thanks for any help

[hope3456, ASN, RN]

The LPN 'scope of practice' is on the Colorado Board of Nursing website....google it. I did look at it just now and it seems somewhat vague. It doesn't say anything specific about LPN's being able to run PCA's. My interpretation is if you have had training and it is being delegated to you by the RN and she is supervising it, then you would be okay - in theory.

I ran into issues with IV admin by LPN's when I was working in LTC as well, so I understand your frustration. I don't think I ever saw a PCA in LTC before, so it would be understandable that the RN's probably don't know how to run it. Really then, the facility shouldn't have taken the pt. unless they make sure the RN has proper training. It isn't fair that you or the supervising RN should be having to shoulder this issue. I think the 'scope of practice' has a clause for refusing to do something that you don't feel comfortable/been trained to do...hmmmm maybe you should call the BON.