Are nursing students allowed to give IV push meds? - page 3

I was just wondering if nursing students are allowed to give IV push meds during clinicals..Is it true that LPN's are not allowed to give IV push meds? if it is what is the rationale behind that?... Read More

  1. by   Shanna349
    I'm in Texas in an ADN/RN school in my last semester. NO to IV push meds-ever is the rule I've had to follow. Saline push is allowed. We are not allowed to touch central lines.

    Again, this varies state to sate, school to school, and hospital to hospital.

    I've personally seen LVNs push IV meds but they must obtain RN consent prior to admin. LVNs are limited due to licensing and legal regulations.

    Hope this helps


    _____-
    GN on Dec 15th '05 wOOt!!!!
  2. by   GrnHonu99
    wow I had no idea there was so much variation!
  3. by   rach_nc_03
    it really depends on the hospital and the unit. in nursing school, one hospital allowed us to push anything, including narcs (did a lot of morphine on a post-op ortho floor), and *wanted* us to hang blood, although our school policy forbade it. *never* assume what a co-assigned nurse asks you to do is within your scope of practice- always check with your instructor if you're not sure. another hospital didn't allow us to push anything but saline flushes.

    even when you start practicing as an RN, you'll discover new regulations you didn't know about. On my unit, for instance, RN's administer TPA (which scared the bejesus out of me the first time I did it). We instill heparin superflushes in broviac ports, another thing i didn't realize we could do (thought only the dialysis nurses could do it, like at another hospital).

    be careful. when i had my clinical 'experience' in the NICU, the nurse knew i wanted to do critical care, and taught me how to do ET suctioning. Found out later that day that the school intended this to be 'observation only'. in the burn unit, i was the only pair of free hands when a critical admission came in, and was asked to document (on a piece of scrap paper) the interventions until someone got the code sheet going. i felt comfortable doing it, as I'd done it at work before (which I'd told the charge nurse before he asked if I'd do it), but had i not, that could've been a major mess.

    the best policy is to ask, if you're not 1000% sure. better to annoy someone by asking what they think is a silly question than to make a mistake because you *didn't* ask.
  4. by   oldnurse newnurse
    I am a senior in Illinois RN-BSN and I am also a LPN. I can give IVP meds. while in clinical but not while at work under my LPN license, it is beyond my scope of practice. But I can give, while I am in clinical with supervision of my instructor. This is my last clinical and now we are even expected to hang blood. My preceptor ship is on ICU and it is wothwhile. Everything is scary but enjoyable, I guess I should get ready graduating 12/18/05.
    Last edit by oldnurse newnurse on Sep 19, '05
  5. by   mandrews
    I was only allowed to flush a hep loc when I was in nursing school but some of the students had clinical instructors that let them push iv meds in their presence. Our instructors always reminded us that we are working under their license while at clinicals.
    We were told that the lpn nurses and students were not to do any iv pushes because they are not taught as much about the meds, and the patho in relation to meds. I understood that more when the lpn fast track students joined the rn students during the last year of nursing school. They had to learn to put in iv's, and the patho of meds being administered to the venous system just like we did.
    Some of the lpns where i work can take a iv certification class and they learn to start ivs, flush hl and they learn a little more about meds and the venous system but they still can not push iv meds or give blood products.
  6. by   sweetielin
    lpns in my state are not allowed to give ivp meds, either. we are allowed to flush peripheral ivs with ns and to hang fluids/ivpbs. we are not allowed to administer blood.
  7. by   RazorbackRN
    I am a senior RN student and we have not been allowed to give IVP meds at all. We can do flushes and IVPB with our instructor present.
  8. by   crb613
    We are allowed to do pushes, hang blood, pretty much anything within the scope of practice that our CI is comfortable w/us doing. If we hang blood or have any pushes to do her rule is I must be present.
  9. by   nurse4theplanet
    Quote from ELKMNin06
    I was just wondering if nursing students are allowed to give IV push meds during clinicals..Is it true that LPN's are not allowed to give IV push meds? if it is what is the rationale behind that? Thanks.
    In TN we are allowed to give anything IV push.....we can basically function and perform the same skills as a registered nurse with very appropriate supervision.
  10. by   LcStudent
    I'm in school in VA, going for my RN. Our 3rd year we are able to give all IVP meds, including narcs as long as our professor is there and the nurse we are working with is comfotable with it.
  11. by   mandana
    Quote from Shanna349
    I'm in Texas in an ADN/RN school in my last semester. NO to IV push meds-ever is the rule I've had to follow. Saline push is allowed. We are not allowed to touch central lines.

    Again, this varies state to sate, school to school, and hospital to hospital.

    I've personally seen LVNs push IV meds but they must obtain RN consent prior to admin. LVNs are limited due to licensing and legal regulations.

    Hope this helps


    _____-
    GN on Dec 15th '05 wOOt!!!!
    Yeah, it's really interesting how much it varies. I'm in TX too - ADN program in Austin and we can give IVP meds and we can administer meds through central lines. Our instructor or the RN assigned to the patient needs to be present, which is FINE with me! It still scares me and I've done quite a bit of it.

    Amanda
  12. by   DIXONLPN
    I am an LPN in NC and we are allowed to hang IVPB, start IV's, give some IV pushes, we can not hang any drips, can not start blood but can monitor and maintain. We are not suppose to draw blood from PICC or central lines, but unfortunately some facilities alllow and encourage their LPN's to do so. I was told by an RN while I was in nursing school "yeah that is what they tell you in school but here in the real world you will have to do it." Not me! I'm not risking my license for any facility.

    :Santa2: Merry Christmas :Santa2:
  13. by   BethBSN
    I'm a junior earning my BSN at a school in the midwest and the first time I gave meds it was actually IVP meds. My instructor coached me the first time, the second I was on my own (same pt). Poor guy was a TSL III, I remember giving Morphine and Lopressor (5ml over 5min) and I was so nervous! I was super catious because I didn't want to do anything wrong and make his BP drop.

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