Quote from OntCaRPN
I read somewhere on allnurses.com that in some areas, only RN's do nursing assessments. We do that too, even initial assessments and care planning. I forgot tube feeds. Everybody is supposed to teach and document that we did. But you do a lot more with IV's than we do.
We do have to take an IV therapy course before we can do anything more than regulate flow.
We start PIVs, hang NS, LR, D5, 1/2NS or any combination of them
We start antibiotics
For PIVs with MVI, K, etc in them, an RN must hang the first bag but we do hang subsiquent bags.
We also do restarts...but that goes along with starting.
In Ohio we can not hang blood, but as always, we do monitor and stop. We also can not give any IVP meds.
The only thing we can do with PICC or other CIVs is monitor/adjust flow rate.
I work with several RNs who think the PICC/CIV rules are just rediculous. Nobody could act fast enough, RN, LPN or even MD to make a difference in the maybe 10 or 12 seconds difference in time to reach circulation up the arm. And to think it's becuase of the postion and possibilities of infection, bleeding, etc. Well, CNAs and PCAs provide care and they are just as likely if not more likely to run into a disconnected line. The rationale just doesn't follow through. It's like the BON decided they have to keep LPNs from being 100% useful to med-surg and other non-critical areas of the hospital by restricting procedures that just don't make sense to restrict.
Oh well...there I go again.