Quote from JC1130
i live in FL and am about to complete my LPN program and take the NCLEX-PN. LPN in FL are becoming more respected each day and are actually starting to replace RN's in some facilities. I'm sure this is r/t the fact that an LPN with Phlem/IV therapy has a scope very simulare to that of an RN, with a slightly smaller salary.
Never confuse "tasks that one can do" with "scope." There's a reason for that salary difference accounted for by real differences in responsibility and accountability.
Excerpts from the FL Nurse Practice Act:
(3)(a) "Practice of professional nursing
" means the performance of those acts requiring substantial specialized knowledge, judgment, and nursing skill based upon applied principles of psychological, biological, physical, and social sciences which shall include, but not be limited to:
. The observation, assessment, nursing diagnosis, planning, intervention, and evaluation of care; health teaching and counseling of the ill, injured, or infirm; and the promotion of wellness, maintenance of health, and prevention of illness of others.
The administration of medications and treatments as prescribed or authorized by a duly licensed practitioner authorized by the laws of this state to prescribe such medications and treatments.
. The supervision and teaching of other personnel in the theory and performance of any of the above acts. (b) "Practice of practical nursing"
means the performance of selected acts, including the administration of treatments and medications, in the care of the ill, injured, or infirm and the promotion of wellness, maintenance of health, and prevention of illness of others under the direction of a registered nurse
, a licensed physician, a licensed osteopathic physician, a licensed podiatric physician, or a licensed dentist.
The professional nurse and the practical nurse shall be responsible and accountable for making decisions that are based upon the individual's educational preparation and experience in nursing.
464.015 Titles and abbreviations; restrictions; penalty.--
(1) Only persons who hold licenses to practice professional nursing in this state or who are performing nursing services pursuant to the exception set forth in s. 464.022(8) shall have the right to use the title "Registered Nurse" and the abbreviation "R.N."
(2) Only persons who hold licenses to practice as licensed practical nurses in this state or who are performing practical nursing services pursuant to the exception set fort
64B9-12.001 Statement of Intent and Purpose.
(1) The "practice of practical nursing" as defined by Section 464.003(3)(b), Florida Statutes, includes the "administration
of treatments and medication," under direction, and holds the licensed practical nurse "responsible and accountable for
making decisions . . . based upon the individual's educational preparation and experience in nursing." As medical
science advances and the demands for health care in Florida grow, the scope of nursing practice, in general, and of the
practice of practical nursing, in particular, is expanding. It has become necessary that the licensed practical nurse, when
qualified by training and education and when approved by the institution at which the licensed practical nurse is
employed, engage in the limited administration of intravenous therapy both to serve the public and to allow the
professional nurse to better perform those acts requiring professional nursing specialized knowledge, judgment and skill.
(2) The purpose of this rule is to protect the public by ensuring the availability of intravenous therapy and its competent
administration in the care of the ill, injured or the infirm. In keeping with the purpose, this rule authorizes the qualified
licensed practical nurse to administer those aspects of intravenous therapy within the scope of practice of the licensed
practical nurse, enumerates those aspects of intravenous therapy outside the scope of practice of the licensed practical
nurse, and sets out the educational and/or competency verification necessary to administer, under direction, limited
forms of intravenous therapy.
Specific Authority 464.006 FS. Law Implemented 464.003(3)(b) FS. History-New 1-16-91, Formerly 21O-21.001, 61F7-
(1) "Administration of Intravenous Therapy" is the therapeutic infusion and/or injection of substances through the venous peripheral system, consisting of activity which includes: observing, initiating, monitoring, discontinuing, maintaining, regulating, adjusting, documenting, planning, intervening and evaluating.
(2) "Under the direction of a registered professional nurse" means that the registered professional nurse has delegated intravenous therapy functions to a qualified licensed practical nurse. The registered professional nurse does not in all instances have to be on the premises in order for the licensed practical nurse to perform the delegated functions.
(3) "Direct supervision" means on the premises and immediately physically available.
Specific Authority 464.006 FS. Law Implemented 464.003(3)(b) FS. History-New 1-16-91, Formerly 21O-21.002, 61F7-12.002, 59S-12.002. 64B9-12.003 Aspects of Intravenous Therapy Outside the Scope of Practice of the LPN.
(1) Aspects of intravenous therapy which are outside the scope of practice of the licensed practical nurse unless under the direct supervision of the registered professional nurse or physician and which shall not be performed or initiated by licensed practical nurses without direct supervision include the following:
(a) Initiation of blood and blood products;
(b) Initiation or administration of cancer chemotherapy;
(c) Initiation of plasma expanders;
(d) Initiation or administration of investigational drugs;
(e) Mixing IV solution;
(f) IV pushes, except heparin flushes and saline flushes.
(2) Although this rule limits the scope of licensed practical nurse practice, it is appropriate for licensed practical nurses to care for patients receiving such therapy.
Specific Authority 456.013(2), 490.004(4) FS. Law Implemented 456.013(2) FS. History-New 1-16-91, Formerly 21O-
21.003, 61F7-12.003, 59S-12.003, Amended 4-9-98.