Do you know your (LPNs) scope of practice? - page 3

Care to venture any guesses guys?... Read More

  1. 2
    My job will not allow an LPN to do an Admission assessment. but, with extra education and subsequent certification, an LPN can give IV drips, such as KVO rate and IV piggybacks into saline or hep locks. But they can't titrate drips in ICU or ER, for instance. Go figure.

    I've known LPN's who are much better at IV starts than some RN's.

    To OP: you've got to check with your state Board if you have questions about your Scope of Practice. I do know what LPN's may and may not do on my job, as I have familiarized myself with the rules/laws by reading them for my state, for both RN and LPN. I have never had an employer that required or authorized an LPN to do things that violated the law.
    jadelpn and nursel56 like this.

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  2. 0
    It would be foolish for anyone to take at face value opinions on legal issues like one's Scope of Practice from people who clearly don't understand the concept or the specifics contained in them. Especially when the information you seek is so readily available online. We have a list of all state Boards of Nursing with current contact information here. That's a good place to start.

    Quote from Seas
    A RN is a RN is a RN. (I just made this up, but it really fits).
    If people really believed that we wouldn't have a constant repetition of the other common topic of argument here.
    Last edit by nursel56 on Dec 30, '12 : Reason: bad format
  3. 0
    We have Lead Rn's where I work. Occasionally -like once a week or so we hear a code that we have a patient down. There is a team that goes to that location and the RN leads in the assessment and makes decisions based on our protocal and the patients condition. Rarely is it serious. Usually a drop in blood sugar. Occasionally an seizure. We are not equipped for a trauma or serious injury...we call out for transfer to the ED for that type of situation. We also do not take on walk in injury that should be rerouted to the ED.

    That team is made up of Lvn's, Rn's and mostly....unlicensed personel. WELL TRAINED, MANY years of experience...unlicensed personel. I don't have issue with that at all. But if it were ME....I wouldn't put myself in that situation. That is a HUGE liability.

    I never go when that code is called...short of obtaining a wheelchair or o2 supplies if directed because I am in the area.
    I am a NEW lvn with very little experience. I cannot assess. I have no business involved in that situation. That is CLEARLY outside the scope of "predictable outcome". For those that can and do participate I wonder if they realize they are working outside their scope of practice.

    I think I will just mind my business and keep my mouth shut.

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