LTC facility, can an LPN adjust TPN?

  1. 1 I am in the great state of Florida. I am an LPN in a LTC facility. I have a new TPN pt. I work 11p-7a. His orders are at 6p to run at 100ml/hr for 1 hr, then adjust to 180ml.hr for 10 hrs, then 100 ml/hr for 1 hr, then it comes down at 6am. I understand this. My question is can an LPN who is not IV certified adjust and take down the TPN? Or does it have to be an RN?? I asked my ADON... we called the Pharmacy and they said LPNs can but I thought I was taught NO LPNS could do anything with TPN?? Who is right??
    Last edit by NRSKarenRN on Aug 20, '12
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  3. Visit  angelabLPN profile page

    About angelabLPN

    From 'Clarksville, TN'; 34 Years Old; Joined Feb '12; Posts: 30; Likes: 12.

    20 Comments so far...

  4. Visit  xoemmylouox profile page
    5
    Anytime you have a question like this you need to ALWAYS call your BON.
    Fiona59, kattycakes, DogWmn, and 2 others like this.
  5. Visit  angelabLPN profile page
    1
    i dont see an 24/7 number unless I am blind
    theleaf likes this.
  6. Visit  katnurseswims profile page
    3
    If you need an IV certification in Florida and you don't have one, then don't do it. End of story. You are risking your license.
    NyteshiftLVN, Fiona59, and DSkelton711 like this.
  7. Visit  DogWmn profile page
    1
    Call your BON right away - that's what they are there for. The scope of practice for LPN/LVN's is so varied from state to state the only way to get a reliable answer is from your BON.
    herring_RN likes this.
  8. Visit  angelabLPN profile page
    0
    That's my question. Do I need to be IV certified to take it down? And as an LPN is adjusting allowed. No one seems to know the answer. I'm just confused.
  9. Visit  leslielpn09 profile page
    0
    Definitely call BON.
  10. Visit  angelabLPN profile page
    0
    Can anyone help me find a number for the Florida BON that is answering on the weekend. I've been searching.
  11. Visit  MombearNurse profile page
    0
    I found this discussion... hope it helps. http://allnurses.com/lpn-lvn-corner/...ns-621609.html. I would still call your BON on Monday to clarify.
  12. Visit  Fiona59 profile page
    1
    You've stated you are not permitted to touch IVs. End of discussion.

    TPN usually goes in a central line, well you shouldn't be taking it down.
    Forever Sunshine likes this.
  13. Visit  NyteshiftLVN profile page
    1
    I don't know about Florida, I'm in California, but there's no way I would carry out that order. I would make sure the RN took care of it. Just like all the other ones said if you have IV certifications in Florida AND you don't have yours PLUS peripheral vs. central lines I wouldn't touch it.
    Fiona59 likes this.
  14. Visit  pecanpies profile page
    0
    Your nurse practice act is here: http://www.doh.state.fl.us/mqa/nursi...racticeAct.pdf

    Based on what pages 93-95 say, I would not carry out that order. It states on page 95 that for an LPN to administer anything through a central line, you must have special training. At least, that is my interpretation. Definitely call your BON, but use the practice act to back up your refusal in the meantime.
  15. Visit  frankie,RN profile page
    0
    Dont you have an RN nursing supervisor during the shift who could take a few minutes to adjust the rate?


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