I've seen sub-acute facilities that hire LPNs, but it seems most LTAC hospitals go by the RN/tech model. Any one work in a LTAC that uses LPNs? What are their duties? Do they take pt assignments or is it more of a "team nursing" approach?
I've never worked in an LTACH before as a licensed nurse but I have completed a clinical rotation in a LTACH during nursing school. And yes, LPNs were employed there. At this specific LTAC, the LPNs were assigned a 1:6 ratio of patients who were with lower acuity and the RNs were assigned a 1:3 ratio with a higher acuity. Just as the previous posted stated, LPNs do provide all of the patient care that's within their scope of practice. So, to simply answer your main question...yes, LPNs do work in LTACH :-)
Last edit by born2circulateRN on Aug 11, '12
Aug 12, '12
by Esme12, ASN, BSN, RN
Working in an LTAC as an LPN depends on the individual state regulations that are regulating the LPN scope of practice. Some States that regulate the practice of the LPN in acute care makes allowances for the LPN practice in the LTAC. The LPN is still is under the
direction" of the RN and in my state means that the LPN does most for the patient. They can give "certain IVP meds but may mix others in a piggyback, after checking with the RN and have passed a med competency exam. They may administer blood which is "started" by the RN they do the admissions if the "assessment is done by the RN". They are pretty independent....in my state.
Last edit by Esme12 on Aug 13, '12