LPN scope of practice a little too broad?(LONG)

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Maybe I wasn't being concise, I did sort of drift a little . I am not trying to downplay the role of the LPN, they are sorely needed especially during this day and age of the "nursing shortage." But the fact of the matter is they are not trained (at least in my state) to do a lot of the duties that they are currently required to do (In my State). The LPN role was never meant to be "lower payed RN" in my humble opinion. In "my" state and the hospital that "I" worked at that was the case, I've also noticed a trend of other hospitals following suit.

Monitoring an IV site does not equate to inserting an IV cathter, and I was not suggesting that Monitoring an IV site was above the ability or training of an LPN, please don't put words in my mouth Inserting and NG tube or pulling a central line requires training and if done improperly can result in death or great harm, I was not trained to do this LPN school, nor was anyone I have known (and they were trained in various states from CA to NY).

Umm okay lol, like I have said a few other times I went to school as was trained in standard LPN duties.


So is administering medication a basic procedure that they are teaching CNA's now in PA? So the aid knows why they are giving the medication, what they need to check before administering the medication, possible side effects/adverse reactions of the medication and what to do if a side effect or adverse reaction occurs? The CNA's are also trained on the 5r's of administering medication also?

Are the CNA's legally liable for the medication they administer, can they be brough up on charges of negligent homicide if they are grossly negligent in administering the medication even though they never received the education to appropriately administer medication? Do they loose their certification?

I have lurked for a while. What is wrong with a pot stirer ? We are all adults here who can state our opinions and why, and perhaps agree to disagree I haven't made any personal attacks on anyone, just pointing out holes in some people's logic

Key word you failed to recognize in my quote, "Likelyhood" administering an enema improperly or giving a resident a bath does not have a likelyhood of causing death.

Insert an NG improperly and fill a patients lungs with Jevity or better yet perferating their lung and the morbidity rates jump a little higher then bathing

I feel by minmizing the dangers and training required to perform such procedures one would be doing thereselves and the patient a great diservice.

Hmm, I don't understand how you could have deduced that. I stated LPN's shouldn't do things they are not properly trained, compensated and recognized for.

LPN's are properly trained in LPN school to give medications, monitor TF's and administer a large variety of medications via IVPB route. At least in my state they are.

I feel were taking one procedure and beating it to death lol, learning dangers/rationals etc. to a procedure is one thing, we learned the dangers/rationales of Surgical repair of a disecting abdominal aortic aneurysm in LPN school that doesn't mean we get the scapal and go at it which by your logic above would be okay ? Yes there is always room to learn, and I think as nurses we do that every day.



I disagree, I've known a lot of people that couldn't be trained to perform procedures/troubleshoot and not harm the patient. Ten of them were my classmates which were discharged from my nursing school. Lets say its bizzaro world and you and brownms were trained on the above mentioned Repair of an abdominal aortic aneurysm, only this surgical procedure you would be trained in, you have to use your LPN medical skills to assess any other complications during this procedure since you didn't go to school/internship/externship like the MD's did. You can perform this procedure because you went to a workshop and have also seen it done.

You are completely liable for this procedure and any of its complications both legally and moraly, you will not receive any extra pay or recognition for performing this procedure you are still an LPN with the same pay scale and limited advancement opportunities in the hospital enviorment... Are you seeing anything wrong with this picture yet ?



What is your point ? What does that have to do with me being appropriately trained, compensated and recognized for the responsbility and liability I encur by doing procedure x .



Hmm, I am not aware of any practical nursing program in this state or any other that trains the LPN to drop NG tubes, insert IV cathters, Push IV drugs, Pull Central lines etc. etc.
If they are teaching that now in practical nursing color me wrong




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