What CAN'T LPN's do? - page 2

by NicInNC

11,850 Views | 22 Comments

After stressing out for a year about what to do, I've decided to change my major to LPN instead of RN. I want to hurry up and become a nurse. I've wanted this since I was a little girl. But I keep hearing how LPN's can't do... Read More


  1. 0
    Quote from fla orange
    I currently work in North Carolina as a Lpn',we can't do IV Pushes and the inital assesment of pt. But we can hang blood.

    I'm currently in school for my ASN degree and being a Lpn helps when you're contiuing your nursing education. Well, whatever you decide,Good Luck
    What is an IV PUSH? And whereabouts in NC are you? I'm in Winston-Salem.
    Last edit by NicInNC on Jun 26, '05
  2. 0
    I am an LVN. I work in a pediatric clinic-private practice in San Diego. I make $21.00/hour. I love the hours and the office setting. No weekends or nights, holidays off, etc. etc.
  3. 0
    Quote from Bird2
    You should read the "Nurse Practice Act" for your State. In Illinois LPN's can not give IV Push drugs, flush lines with heparin, or give blood products. These are just a few that I can remember. Each State may vary. Good luck with the program.
    All of the above + where I'm at we can't hang TPN, access central lines, or obtain consents for surgery/blood. We also can't program PCA's but can be the verifying nurse to check with the RN.
  4. 0
    I work in NC and conscious sedation is about the only thing we can't do in our facility. We give blood, Puch drugs, hang blood....
    Last edit by RobLPN on Jun 27, '05
  5. 0
    Quote from NicInNC
    What is an IV PUSH? And whereabouts in NC are you? I'm in Winston-Salem.

    An IV push is when you insert (or push) the medication from a syringe directly into an IV which is inserted in the pts vein.

    Z
  6. 0
    Quote from NicInNC
    What is an IV PUSH? And whereabouts in NC are you? I'm in Winston-Salem.

    IV Pushes is when you give intravenous medication via a heplock or a saline lock. Like pushing lasix IV from a 5-10cc syringe.
  7. 0
    Quote from purplemania
    Depends on the state you live in and, sometimes, the practice traditions of the local facilities. For instance, in Texas an LVN can give meds IV push AFTER getting credentialed through his/her employer (usually a class or self-study plus precepted practice before being allowed to do it alone). However, even though the state allows it under these conditions, many hospitals choose not to allow LVNs to be credentialed because there is a discrepancy in the education and an increase in insurance risk. My question is, why would you expect to have the same responsibilities and privileges as someone with twice the amount of education?
    Pardon me, i'm not really trying to ruffle any feathers.....but what LPN is expecting to have the same responsibilities or " privilages" as a RN. Have you been an LPN? I am a new RN and work in the ICU, but have been a LPN for 12 years. Perhaps it depends on the state and the individual LPN school, but I believe as a new LPN, I was just as prepared as the generic ADN graduate.
    However, everyone has different abilities.

    My point is, as a LPN student in 1992(pre internet), I did not have a clue about the discrimination against LPN's or the can do, can not do rules.
    I just wanted to be a nurse! It took me a while to become a RN, but my primary motivator was that working around certain RN's(probably half I have encountered) treated me like I was not a nurse. I was treated like I was just "priveledged" to be working along side them performing some nursing functions even though I had my own assignment of patients.

    So please, do you want to be treated like that by someonr with a higher degree? Though I would always honor state nurse practice acts, what educational difference does an RN have that enables one to more effectively "spike a blood product, or IV push a med". LPN's learn med-surg, ob, peds, just like I had to go through in RN school.

    LPN's are valuable and should not be pushed from the hospital setting.

    Please forgive this out of place rant.
    Last edit by JACLPN-RN on Jul 1, '05
  8. 0
    Quote from JACLPN-RN
    Pardon me, i'm not really trying to ruffle any feathers.....but what LPN is expecting to have the same responsibilities or " privilages" as a RN. Have you been an LPN? I am a new RN and work in the ICU, but have been a LPN for 12 years. Perhaps it depends on the state and the individual LPN school, but I believe as a new LPN, I was just as prepared as the generic ADN graduate.
    However, everyone has different abilities.

    My point is, as a LPN student in 1992(pre internet), I did not have a clue about the discrimination against LPN's or the can do, can not do rules.
    I just wanted to be a nurse! It took me a while to become a RN, but my primary motivator was that working around certain RN's(probably half I have encountered) treated me like I was not a nurse. I was treated like I was just "priveledged" to be working along side them performing some nursing functions even though I had my own assignment of patients.

    So please, do you want to be treated like that by someonr with a higher degree? Though I would always honor state nurse practice acts, what educational difference does an RN have that enables one to more effectively "spike a blood product, or IV push a med". LPN's learn med-surg, ob, peds, just like I had to go through in RN school.

    LPN's are valuable and should not be pushed from the hospital setting.

    Please forgive this out of place rant.

    AMEN sister! I am a new RN after 19 years as an LPN. I'm already sick of people telling me I am finally a nurse. What the heck do they think I've been doing for the last 19 years for crying out loud!!! The funniest part is, it is usually the "less intelligent RN's" that say this and they have been scaring me for years. It's not the initials behind your name that matters, it's how you do the work.
  9. 0
    I went to LPN school so that I could back to work as soon as possible. My intent was to get my RN later. Now I'm not sure. I'm really happy as a LPN because I do direct patient care (LTC). Most RNs in my facility are supervisors and paper pushers and I don't have any desire to do that. LTC isn't a bad deal especially if you can get on a specialty unit. I'm on a respiratory unit for LTC so I get to do a lot of things. Our facility does not allow us at this point to do IVs or inital assements. BUT who knows what is in the future since the patients coming in are sicker and sicker. In this area LPNs at the hospital can do most everything except IV pushes. You can work at a hospital if you want but most times you need about a year's worth of experience as a LPN. I probably will go back, but only because I desire to teach LPN school after 10 or so years. I think starting as a LPN is not really a bad thing. You get some good experience and some good confidence building for when you get your RN. In my area, having you LPN puts you at the front of the line when applying for RN school.
  10. 0
    In the state of Georgia, the Board of Nurses allows LPNs to perform any duties covered under the approved curriculum for practical nursing schools. There are not any specific restrictions applied by the state (transfusions, triage, assessments, basic pharmacology, dosage/calcualtions, et c. all are covered in the curriculum). My expericence has found that the restrictions applied to LPNs tend to be procedural based on the policies of individual institutions.
    As an LPN (licensed since 1996), I have performed transfusions, initiated and maintained intravenous fluids and medications, done IV push meds, triaged and assigned acuity to emergency room patients... pretty much any function any other nurse has performed.
    In my experience the main differentiation in credentials dictates pay scale and not much else. I have even worked in hospitals that allow LPNs to be house supervisor (though not common, I have seen it). Some places in Georgia still recognize that an experienced LPN is a valuable asset to a nursing team.
    But as most of these replies seem to iterate, the rules vary from state to state and most states should have a website with information on how to deteremine the limitations imposed on LPNs in your area.


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