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
    Joe V likes this.
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  3. 20 Comments so far...

  4. 5
    Anytime you have a question like this you need to ALWAYS call your BON.
    Fiona59, kattycakes, DogWmn, and 2 others like this.
  5. 1
    i dont see an 24/7 number unless I am blind
    theleaf likes this.
  6. 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. 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. 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. 0
    Definitely call BON.
  10. 0
    Can anyone help me find a number for the Florida BON that is answering on the weekend. I've been searching.
  11. 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. 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.


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