Question about Injections and who can give them

  1. 0 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 in some cases LPNs. My mother works for a company that normally keeps a staff nurse on hand for job related injuries (factory related injuries), but they have been without a nurse for awhile (economy, downsizing, etc). So I am wondering did I tell her wrong? can MA's do any injections? I saw an earlier post about people using the title "Nurse" and doing injections at the behest of Dr's but not actually being Licensed nurses. And yes i told her to be safe always have a licensed nurse do injections.



    Jas
    4 quarters down, 4 to go for my ADN!
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  3. Visit  CareteamRN70 profile page

    About CareteamRN70

    From 'Indianapolis, IN'; 45 Years Old; Joined Nov '08; Posts: 162; Likes: 316.

    21 Comments so far...

  4. Visit  xoemmylouox profile page
    1
    I believe CMAs are able to give immunizations as well. To give a TB test a person should be TB certified as well.
    Aubrie8CMA likes this.
  5. Visit  PedsAtHeart profile page
    3
    You dont have to be TB certified to do TB tests...

    "and in some cases LPNs"??? Where in the world is an LPN NOT allowed to give injections??

    MA's, CMA's, non licensed people trained by others all give injections.
    It all depends on where and who's license they are working under.

    Im not saying I agree that they SHOULD, Im just saying that they DO.
  6. Visit  roser13 profile page
    0
    Oops, didn't mean to give kudos, sorry to say. Meant instead to say that in my area of the world, anyone placing or reading a TB test must be certified. I can't imagine that not being a requirement everywhere.
  7. Visit  work&play profile page
    0
    I'm only an MA and my job is to give injections an TB test all day in our clinic.
  8. Visit  PedsAtHeart profile page
    1
    I administer and read TB tests all day long too, part of my job as public health nurse. Im an LPN. I dont have any special certifications for TB testing.
    pagandeva2000 likes this.
  9. Visit  K.P.A. profile page
    0
    I get my flu shots from a nervous nursing student :-)
  10. Visit  Ruthiegal profile page
    1
    Quote from smanion
    You dont have to be TB certified to do TB tests...

    "and in some cases LPNs"??? Where in the world is an LPN NOT allowed to give injections??

    .
    If the LPN does not have pharmacology certification they would not be able to give injections. I know most schools offer that right along with the training, but there was a time when they did not, so there may be a few out there that weren't certified, highly unlikely but never say never!

    Mydnightnurse.
    Last edit by Ruthiegal on Aug 11, '09 : Reason: added content
    CareteamRN70 likes this.
  11. Visit  NickiLaughs profile page
    0
    It also depends on the state I believe...
    for example, in some states MA's can give and read TB tests, but in California they can only give TB tests...
    LVN's in california can give injections, read TB tests and if they are IV certified administer regular solutions such as normal saline and blood products.
    RN's can do all of the above and IV medications

    I believe unlicensed personnel can be trained in certain situations, but the laws vary on that.
  12. Visit  CareteamRN70 profile page
    0
    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.
  13. Visit  NotFlo profile page
    6
    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.
  14. Visit  Fiona59 profile page
    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?
  15. Visit  CareteamRN70 profile page
    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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