Re: LVN's/LPN's How does coverage work on your floors??? Originally Posted by pink2blue1
I am an LVN in California, busy surgical floor. Been there for 7 years total (4 as a CNA, 3 as an LVN) The charge nurse covers me for my piggy backs and pushes. They tends not to give me Direct admits or ER admits because the admission assessments need to be done and I cannot do them.
Just curious, because this past weekend I had a charge nurse who I have only worked with once before, and she was a real jerk about the whole thing!
When you ask about coverage, do you actually mean assignment distribution? It sounds like it to me when you speak of the situation; it seems that your question is more of what can be assigned to an LPN. If your scope of practice or policies do not permit you to do direct/ER admissions and cannot do piggybacks and pushes, then, the charge nurse is wrong. Or, it could be the way your floor practices, moreso than what is actually allowed. An example is this: I work in the OB-GYN clinic and while I know that I am allowed to administer Rhogam to patients, my clinic would prefer that I don't, which is
different from the BON and policy and procedure. Maybe something happened where these particular RN nurses decided that they would prefer to do it themselves. I think that what frustrates some of the RNs is that they have a great deal of responsibility and feel that when they see the LPN, they see another nurse, but one that is limited in their scope. It doesn't make it right, for sure, but this is the vein I get. Maybe getting a bit more specific about what the charge nurse was gripping about can help us answer you better.
Experience has taught me to review policies and procedures and keep copies of them handy when needed. I have also contacted the BON and asked them for copies of their rulings on certain things and have them in a handy place at work. I have no problem in stating to anyone that I am not legally allowed to perform a task and if they are angry, there really isn't anything I can do about it without risking myself.
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