Are LPN's allowed to draw blood from PICC lines? - Page 2
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Nov 16, '12 by RyanCarolinaBoyQuote from SRK77Totally incorrect. I work and live in NC and LPN's can draw blood from a picc or any other central/peripheral access.NC - no
If you are going to answer questions like these, please at least know the RIGHT answer before you speak up!Blackcat99 likes this. - Asst. Admin
Nov 16, '12 by Esme12I think I found what you need. https://www.flrules.org/gateway/chap...hapter=64B9-122) Central Lines. The Board recognizes that through appropriate education and training, a Licensed Practical Nurse is capable of performing intravenous therapy via central lines under the direction of a registered professional nurse as defined in subsection 64B9-12.002(2), F.A.C. Appropriate education and training requires a minimum of four (4) hours of instruction. The requisite four (4) hours of instruction may be included as part of the thirty (30) hours required for intravenous therapy education specified in subsection (4) of this rule. The education and training required in this subsection shall include, at a minimum, didactic and clinical practicum instruction in the following areas:
(a) Central venous anatomy and physiology;(b) CVL site assessment;
(c) CVL dressing and cap changes;
(d) CVL flushing;
(e) CVL medication and fluid administration;
(f) CVL blood drawing; and
(g) CVL complications and remedial measures.
Upon completion of the intravenous therapy training via central lines, the Licensed Practical Nurse shall be assessed on both theoretical knowledge and practice, as well as clinical practice and competence. The clinical practice assessment must be witnessed by a Registered Nurse who shall file a proficiency statement regarding the Licensed Practical Nurse’s ability to perform intravenous therapy via central lines. The proficiency statement shall be kept in the Licensed Practical Nurse’s personnel file.Blackcat99 and TheCommuter like this. - Nov 16, '12 by Blackcat99Thank you so very much Esme12. Yes you have indeed answered my question. It is OK for me to do it as an LPN. I have taken the 30 hour IV class. I don't recall learning about how to do a blood draw but I still have my paperwork from that class so will need to review.Esme12 likes this.
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Nov 16, '12 by FLArnAlso as is mentioned in Esme's cite, you will need to give your employer a copy of your IV certification certificate for your file. The employer may or may not want a RN to watch you draw the first time you do it.Last edit by FLArn on Nov 16, '12 : Reason: Spelling errorsEsme12 and Blackcat99 like this. - Nov 16, '12 by DSkelton711And remember--even if your state allows it, it still has to be in your job description or somewhere in your facility P and P manual that the LPN is allowed to do x,y or z.Esme12 and Blackcat99 like this.
- Nov 16, '12 by Blackcat99Thanks. Good point. I will ask the DON if it is allowed in our facility manual. I would sure like to have someone watching me the first time I do it.Esme12 likes this.
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Nov 16, '12 by Ntheboat2What exactly does "under the direction of a registered nurse" mean anyway? Does that mean if there's a registered nurse on the unit then you're working under the direction of a RN, or does that mean that the RN has to be actually watching?Blackcat99 likes this. -
Nov 16, '12 by SRK77Quote from RyanCarolinaBoySettle down, its my facility's policy obviously. I don't work with LPNs anyway. Geez!
Totally incorrect. I work and live in NC and LPN's can draw blood from a picc or any other central/peripheral access.
If you are going to answer questions like these, please at least know the RIGHT answer before you speak up!Blackcat99 likes this. -
Nov 16, '12 by AZMOMO2AZ nothing to PICC except change the dressing and flush if you have IV certification... most places don't even let you flush as an LPN.Blackcat99 likes this. - Asst. AdminNov 17, '12 by Esme12Quote from Ntheboat2It means that if the LPN makes a mistke you are liable as well. Usually, it means that the RN in "charge" has personally witnessed the LPN perform this task and finds her capable and safe.What exactly does "under the direction of a registered nurse" mean anyway? Does that mean if there's a registered nurse on the unit then you're working under the direction of a RN, or does that mean that the RN has to be actually watching?
As stated in the Florida BON position statement/standards of practice
So the RN sends the letter to the board profession the LPN's proficiency. But it is absolutely a facility to facility policy option.The clinical practice assessment must be witnessed by a Registered Nurse who shall file a proficiency statement regarding the Licensed Practical Nurse’s ability to perform intravenous therapy via central lines
You absolutely need to follow facility policy and without the RN's "proficiency statement" you may not draw off the PICC. You're welcome......It took some searching.....I'm glad I could helpBlackcat99 Thanks. Good point. I will ask the DON if it is allowed in our facility manual. I would sure like to have someone watching me the first time I do it.Blackcat99 likes this.
