LTC facility, can an LPN adjust TPN?

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  1. This is a discussion on LTC facility, can an LPN adjust TPN? in LPN / LVN Corner, part of General Nursing ... I am in the great state of Florida. I am an LPN in a LTC facility. I have a new TPN pt. I work...

    by Aug 11, '12
    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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    by angelabLPN Aug 11, '12 2:08 pm
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    Joe V likes this.
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  3. 20 Comments so far...

  4. Aug 11, '12 by
    Anytime you have a question like this you need to ALWAYS call your BON.
    Fiona59, kattycakes, DogWmn, and 2 others like this.
  5. Aug 11, '12 by
    i dont see an 24/7 number unless I am blind
    theleaf likes this.
  6. Aug 11, '12 by
    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. Aug 11, '12 by
    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. Aug 11, '12 by
    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. Aug 11, '12 by
    Definitely call BON.
  10. Aug 11, '12 by
    Can anyone help me find a number for the Florida BON that is answering on the weekend. I've been searching.
  11. Aug 11, '12 by
    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. Aug 11, '12 by
    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.