I am a new LVN, home health nurse. My patient has had a trache since March. He is pretty stable respiratory wise, however he cannot seem to swallow whatsoever or cough up secretions on his own. Today, they took his trache out. I was not working, so I am not sure the full logical understanding for this, I just heard from another nurse that it was done. We have respiratory therapists that work with us during the day with this pt. One of them, the "charge" RT, is very pushy with keeping this pt on fulltime and tries to say that the things she does, us LVNs cannot, ie. suctioning and ect. Obviousluy she is lying, we can and DO suction him when they are not on duty. Now that the trache is out and there is not quite so much for the RTs to do, she is saying that us LVNs cannot do nasal suctioning. I do not know if this is true or not.... i have tried to find the scope of practice online, however it is proving to be difficult.
PLEASE HELP! I am willing to do anything that I can, but I am not sure if I am ALLOWED to do this.
Oh yea......I am practicing in California.