[ilnurse]

Hi everyone! As a long term care DON in Illinois, I have been under the impression that LPN's are not legally allowed to administer TPN. Our new administrator feels I am wrong. I have tried to look up the Illinois Nurse Practice Act, but have not had much success in finding the limitations for an LPN practicing in Illinois.

Can anyone help me either find the scope of practice or regulations?

Thank you in advance.

[Jessy_RN]

Welcome to the site. Enjoy your stay and best wishes to you.

[Thunderwolf]

Contact your BON by phone to speak to a live person to discuss.
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[suebird3]

Welcome to the site!

As a present Illinois RN, and former Illinois LPN, I will try to answer.
I have MONITORED TPN patients as an LPN.....but in clinical. Can't think of rationalle right now.....just go off a grueling day in "the trenches". Best thing is, call the BON.

If I hear of anything.....will let ya know.

Suebird

[Bird2]

Like Suebird3 I was an LPN and am now a RN. As an LPN we only monitored the TPN. LPN's can not give Heparin thru a line so we only monitored any PICC, Central line, or implanted port. Always best to verify the info by calling the BON and keeping a copy of the Nurse Practice Act on hand. Good luck.

[meownsmile]

In my facility, LPN's are not able to hang any TPN to a central line. Most TPN with lipids are NOT recommended to be hung via a peripheral line so thats not an issue. TPN without lipids usually come as a pre-mix (amino acids)(procalimine, aminosyn) and is/can be run through a peripheral line and hung by a LPN.

[suzanne4]

Most TPN, meaning more than 10% dextrose, must be infused via a central line. I would get it in writing fromt he BON directly.

TPN with under 10% dextrose usually goes into a peripheral IV, and can be hung by any LPN that si certified to hand IV fluids in their state, at least in most cases.

All of the facilities that I have worked in over the past few years, actually require a 2 person check of the ingredients as well for the central line TPN.