I work on a cardiac/pulm/renal floor in my hospital. The normal nurse to patient ratio is max
6:1. Which I am normally okay with. Well an LPN has been hired to work on our floor recently and we have now had occasion to do team nursing with the RN doing all assessments, IV pushes, etc. and the LPN doing all meds, dressing changes, etc. We had 11 -12 patients the other day together (on a monitored floor I personally think that is too many but that's besides the point.) Well this LPN is so sweet - she is just a really good person and I'm sure she's a great nurse. However, a couple of med errors (could have been serious ones) occurred when she was giving meds. Now I know this could have happened with anyone -be it an LPN or RN- b/c I'm sure I will make mistakes in my career also. I just do not like my license being on the line with this team nursing thing. I mean am I supposed to do everything I'm doing AND also be expected to check off all the LPN's meds, walk with her to give them, etc. In my opinion, that is the only way to be positive that everything is getting done right and that is micromanaging and
impossible with 11-12 pts. I dont mind being responsible for my own actions but to be held responsible for everything someone else does is difficult. My question is how responsible really is the RN for what the LPN does? I'm sorry if I offend anyone with this as I am not trying to bash LPN's - I appreciate every member of the healthcare team, I just want to know where MY responsibility lies. Thanks.