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- Aug 10, '11 by lilacloverCopy and pasted directly from the Alberta LPN competency profile :
A Licensed Practical Nurse will:
S-2-2 Demonstrate knowledge and ability to provide full health assessment of the
client including, but not limited to: (See Competency Band B)
admission of client to clinic
determine reason for visit
collect assessment data
prepare client for physician examination
collect and send specimens
follow clinic protocol and routines
document and report findings
If you would like to read the whole profile here it is:
- Aug 10, '11 by Hospice Nurse LPNQuote from nozyrozy40Wow...I think you might be putting your license in jeopardy here. First, LPN's can't "assess". They can gather information, but assessments need to be done by an RN. New admits need to have quite a bit of paperwork done by an RN for Medicare reimbursement.
Second....it sounds like you've had little to no orientation/training. I would be out pounding the pavement looking for another job. I know they're not easy come by, but this doesn't sound safe.
The OP works in LTC. In my state, an LPN does the initial assessment in an LTC setting. Reason being, after 5 pm there are no RN's in the building. Just can't make the poor pt wait until the next day for an initial assessment. The scope of practice varies from state to state.
- Aug 10, '11 by nozyrozy40Quote from lilacloverPlease don't read attitude into my post. I meant nothing derogatory. I was an LPN before becoming an RN. Enlighten me as to the homework you'd like me to do.WHOAAAA!!!! Better do your homework before posting such a claim.
I am not even going to comment any further than this because anything I say from here on in will not be nice.
Fellow LPN's care to comment?
- Aug 10, '11 by cappuccinoLPNI'm also a new grad LPN and I would be terrified to be in that situation. I work in a LTC also and "supervise" the CNA's but it's not with a supervision title. I'm a floor nurse. I would definately talk with your DON - soon - and get some official training. You don't need to say that you're worried or anything, just say you'd like to ensure you're doing your job correctly for reimbursements, etc.
- Quote from Cat_LPNBut Medicare patients need an RN assessment every 24 hours in LTC facilities. It doesn't really matter what shift- but it's usually days to deal with MD calls and any need for more assessments.... IMEIn LTC/LTAC LPN's are supervisors.. not in the sense that they manage other nurses or are unit managers, but that they are direct supervisors to the CNA staff.
It's just a regular position in a LTC/LTAC as a staff nurse. They just call it 'LPN supervisor' since you're 'supervising' the CNA. You're the 'charge nurse'. It's different from a hospital.
- Quote from lilacloverIn the US, hospital patients may have LPN/LVN primary care nurses, but an RN still needs to do an assessment every shift- in TX I was the only RN for 27 beds, but had 4 LVNs on 7-11p and 3 LVNs from 11p-7a....and it worked fine I had great LVNs (and CNA- usually 1- sometimes none) and the stray RN on 7-11p (12 hour shifts).I live and work in Canada as a LPN and we most certainly do assessments!!! I work on a very acute hospital unit and have sole responsibly for 4 -5 pt's on a day shift. If I am not responsible for assessments then that means my pt's must not be getting assessed. haha.
- Not that long ago, LPN/LVNs (new) would be expected to take a 30 bed unit- do meds, treatments, charting (as needed), call docs, deal with families, supervise the CNAs (2-3 on days and evenings, 1 on nights), etc... it was how it was done And we didn't have the technology (some of it) so it had to be done by hand- it still had to be done A 12 patient assignment was for RNs on nights in acute care hospitals, not LTC !!!
- Aug 11, '11 by waksbrI work in acute care in GA, in my facility the initial assessment must be done by the RN. The data (all the med/surg history and pharm list) can be collected by the LPN. Our pts do not necessarily get an RN assessment Q24 hrs. We do primary nursing with an RN charge, the rest of the staff nurses are a mix of LPN's and RN's. Alarms would have went off to be given that much responsibility without a proper orientation and as a new grad no less. I have been lucky everywhere I worked I have received a good orientation with the exception of one agency job with quesitonable practices that I quickly left.