Question about Injections and who can give them - page 2

by CareteamRN70 42,206 Views | 21 Comments

Hi all, I live in Indiana and my Mother called wanting to know who can legally give various injections from flu shots, tetanus, to PPD skin test injections. I fired off an email stating to the best of my Knowledge only RN's and... Read More


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    I'm an LPN.

    Today on my assignment I had six diabetics, all with sliding scale insulin coverage and three with scheduled insulin (NPH, one with U-500). I work on a short term/rehab floor so I have to give PPDs on all new admissions and had two to do today.

    I also administer the pneumovax on any new admits that qualify for it that sign consent for it.

    I had a B12 shot to do, and one patient that gets sub-Q heparin three times daily.

    My trach patient is on IV ABX Q6hrs, one is on IV hydration, and one of my patients is on TPN five nights per week. The TPN patient has a PICC, today I had to do the dressing change.

    The floor I worked on over the weekend had a patient with a double lumen port-a-cath, getting both continuous TPN and dilauded via PCA pump.

    Anyhow, all this to say I think I would be out of a job if LPNs can only administer injections in SOME cases.
    pagandeva2000, Debilpn23, Fiona59, and 2 others like this.
  2. 0
    Quote from careteam70
    THanks all, It was just a curious question, I didnt mean to tweak anyones nose by asking if Lpns can or can not give shots, I honestly did not know. I'm halfway to getting my ADN and we JUST did IM and subcut injections a month ago on each other for a practical, just got into starting IV's on the "fake" arms. My clinicals start in January and I can't wait. This board has been a Godsend of info, support, and when I needed it laughter.
    As for my original question I suppuse it would be best to check with the BON of my state, just didnt think they had a hot line for off the wall question from nursing students Heh would be ringing off the hook if they did. I do appreciate all input even if it is just to correct my assumptions, as I know in the future I should probably have a good idea of what I can delegate to whom.
    I'm glad you admit you have a lot to learn. But let me pass on a nugget that might stand you in good stead. You need to be aware of the nursing regulations of whichever state you live in.

    In my province, I as an LPN, work under my own insurance and permit. The only RN that "delegates" to me is the Charge who prepares the shift assignment for both RNs and LPNs. I will assist my coworkers but nobody gets to delegate "down" to a LPN. We may both delegate to the NA.

    To add who may administer an injection, well, RNs, LPNs, second year and beyond nursing students, military medics. General injections such as insulin and B12? Well, anyone can. The GPs or NPs will ask a nurse to demonstrate to the patient how to do it for themselves and with return demos and the healthcare team agreeing that the patient is competent on how to do it, the script is written for the needles and syringes.

    Hell, look at the bodybuilders who illegally inject steroids. Think they were skills checked?
  3. 0
    Okay...since I seem to keep putting my foot (or Keyboard) in my mouth....
    I was not specificly talking about delegating to an LPN...in all honesty I was trying to find out the minimal (maybe I should have stated as such) qualifications to do injections.
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    In many states, medical assistants DO give injections. Check your state board of health or nursing to find out whom that would be in your state.
    CareteamRN70 and Fiona59 like this.
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    Quote from Fiona59
    I'm glad you admit you have a lot to learn. But let me pass on a nugget that might stand you in good stead. You need to be aware of the nursing regulations of whichever state you live in.

    In my province, I as an LPN, work under my own insurance and permit. The only RN that "delegates" to me is the Charge who prepares the shift assignment for both RNs and LPNs. I will assist my coworkers but nobody gets to delegate "down" to a LPN. We may both delegate to the NA.

    To add who may administer an injection, well, RNs, LPNs, second year and beyond nursing students, military medics. General injections such as insulin and B12? Well, anyone can. The GPs or NPs will ask a nurse to demonstrate to the patient how to do it for themselves and with return demos and the healthcare team agreeing that the patient is competent on how to do it, the script is written for the needles and syringes.

    Hell, look at the bodybuilders who illegally inject steroids. Think they were skills checked?

    This is how it is in my state too. Guess sometimes I "forget" that other states do not train/use LPN's like mine does.


    Halfway through getting your RN and you are just not giving IM injections? We were doing that in the 2nd or 3rd month of school, plus IV's. I only mention that to let you know how much schools/states vary. I know we did clinicals in our last area with other schools that were "ahead" of us we did twice as much as they did. We also did clinicals with 4th year BSN students who didnt even know how to crush pills....
    Fiona59 likes this.
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    Okay again....yes things vary State to State...why I asked my original question which seems to keep getting lost in people wanting to correct me on what LPN's do. As for bringing up my schooling? why? Pointing out to me that you knew BSN students that couldn't crush pills?..I NEVER..and let me repeat for the record...never...meant to belittle, besmirch, take away from, lesson, or in way shape or form the talents, abilities or status of the LPN
    I am did not want to get into a #$%^ing contest with any LPNs and am very confused by some of the replies here. I just had a simple question about injections.
    To show you how easy misconceptions can lead one astray lets tackle the subject of my RN program and why I am "just now" doing injections and starting IV's..last quarter we just started doing injections and IV starts. Yes I am halfway done with the program..AN ACCELERATED program that combines the prereqs and core nursing classes into one package...I spent the first 3 quarters getting my science, math, tech classes out of the way and have just started what I would assume would be 2nd quarter (or the 4th month) for regular 2 yr program students that have to do prereqs then apply to the school of nursing
    Ive given up on my original question, Thanks for all who answered that actually addressed that.
  7. 0
    Woa... hold up... you took my comment way wrong, that or maybe I worded it wrong.
    Im not trying to put down anyone. There are GREAT LPN's out there and there are GREAT RN's out there.
    I will admit the wording of your original question through me off. But in my last comment I was simply trying to point out the differences that you can come across from school to school and state to state.
    There are a lot of people who think of LPN's as nothing more than nurse's aides. I am a very proud LPN, but Im also very proud to say that I am going to school to get my RN, and I will be a very proud RN when that time comes.
    Im not trying to get into a ******* contest with you either.
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    "If the LPN does not have pharmacology certification they would not be able to give injections."

    I am so confused by this. I am a LPN, took and passed pharm in my program, but in my state pharmacology certification is a completely optional thing. The fact that I graduated from my program and passed nclex gives me the ability to give injections.
    pagandeva2000 likes this.
  9. 1
    Quote from Boog'sGirl724
    "If the LPN does not have pharmacology certification they would not be able to give injections."

    I am so confused by this. I am a LPN, took and passed pharm in my program, but in my state pharmacology certification is a completely optional thing. The fact that I graduated from my program and passed nclex gives me the ability to give injections.

    Same for me
    pagandeva2000 likes this.
  10. 0
    OK guys, the OP was asking a question and surely we as professionals can give an answer without upsetting everyone. As we know each state, heck even each country will have their own requirements on who can or can't give injections in the proper setting. We know that drug abuse happens whether it is steroids etc and they generally are not properly trained or supervised and all we can do is try to educate them to do it at least as clean and sterile as possible.


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