I am a new LPN grad :hatparty: starting her first job at a LTC skilled facility and I want to stay under my scope of practice, but the nurse practice act seems so ambiguis and it's hard to know if the facility will keep me under my scope. My summerized position states that I will be initiating and recieving calls to the Dr., doing admit,transfers and discharg, and developing work assignments. Iam a little unsure about those particular things as I feel like they are out of my scope, but I am not sure and too new to know, can somebody help me out? I feel so lost!

I also cant figure out what exactly it means to "under the direction of a RN teach utilizing established protocols?" I feel like I can't figure anything out right now ( I do take my NKLEX_PN boards in two days,......ahhhh

, who's going to win,...I don't know!) Anyway, I informed my nursing director about my concerns r/t the admission and d/c being involved in the teaching role, and she said I could look at it like "giving instructions" vrs teaching. I also clarified my concerns about initiating a call to the Dr. vrs the RN when I established that there was an abnormal or change in patient condition, and she said yes that was what they did here at the facility and that as long as I gave the information to someone (in a position to do something) that the responsibilty was no longer in my hands. I thought I had to report straight to the RN and not the Dr. I just want to know that what I am doing is right so that I can feel confident in nuring care and staying with-in my scope of practice. Does anyone know, do these position functions sound right? I would appreciate any advice or conformation that I am staying with-in my scope, thank you, from a too new nurse, blardyblardyhelp!!
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