LPN's and Broviac/PICC lines
- 0Mar 14, '08 by Pediatric4077I'm an RN at a long term skilled pediatric facility. We get a good deal of patients with broviac lines. Some of the LPN's who are IV certified feel they are able to care for the broviac line. While I don't doubt their skill or knowledge I wonder if it is within the scope of practice for an LPN to put anything through a broviac, or even to change a broviac dressing. Any one have any feelings or information regarding this issue? Is it totally up to policy and procedure of the facility?
I see it as LPNs cannot do IV pushes (generally, correct?) for peripheral lines how in the world can they licensed to push on broviac lines?
I am not intending to insult the role of LPNs, I'm curious as to the the stance within their license.
Thank you to anyone who has information.
- 0Mar 14, '08 by suzanne4Quote from racing-mom4You did not mention which state that you are from, but there are meds that are restricted in each and every state as far as adminstration by an LPN/LVN. Scope of practice does not cover all.Totally depends on the state. In my state LPNs can do anything with an IV.
And a broviac or PICC line are also not considered peripheral IVs so addtional statutes are in place with those as well.
- 1Mar 15, '08 by imenid37I am having the same issue w/ a group who does infusions. The LPN's are great. I freely admit they know a great deal more about some subjects than I do. The problem, however, is that they are adjusting rates of meds through central lines and blood products. It doesn't matter what the state says about this, the facility's policy says it should not be going on. I don't want people who are trying to help when it is busy being nailed when a patient has a complication. I am not saying the complications would occur because of them. I am worried they be in the wrong place at the wrong time and then get into trouble because they are working outside of the policy.
- 1Mar 15, '08 by suzanne4The poster above brought up a very good point here, and one that often gets mislooked or over-looked. The state has one set of what a nurse can do, and that is whether an RN or an LPN in their policies and procesures as to what can be done.
A facility can further restrict what they permit in their facility to be done by an RN or an LPN, and it also depends on the type of unit that you are working on. There are medications that can only be given in the ICU, and are not permitted to be given on a med-surg floor by an RN.
You are covered for insurance by the facility that you are working at, and need to be covered by their rules. As long as they do not give you more things than the state says that you can do, they are just fine and what you need to abide by.
What you have done at one facility, does not mean that it is the case all over the place. You need to know specifics for where you are working, as well as what your state permits. And as we keep stating, each state has a separate BON and each can set up their own rules.
- 1Mar 15, '08 by TheCommuter, ASN, RN Senior ModeratorQuote from Pediatric4077To obtain a definitive answer to your query, please place a much-needed telephone call to your state's BON (board of nursing). Different states have widely varying scopes of practice for LPNs/LVNs.I see it as LPNs cannot do IV pushes (generally, correct?) for peripheral lines how in the world can they licensed to push on broviac lines?
In my state of residence (Texas), LPNs/LVNs are allowed to do IV pushes for peripheral lines and PICCs. Some states disallow LPNs to do these things. None of the members know which state you live and practice in, since you have not provided us with that important information. Therefore, we are not in a position to accurately answer your question.