Hello, been a while since I last posted on this BB. Hope this finds you all in good health and doing well. This is in regards to new standards of LPN functions in South Dakota.
"In July 2000, the Administrative Rules of South Dakota were changed to incorporate the functions of initiation and administration of IV therapy into the basic role of the LPN. As of 2001, the graduates of the LPN programs in South Dakota will have these skills upon graduation. Currently practicing LPN's who were educated prior to 2001 and who have not had training in the initiation and administration of IV therapy do not have this skill as part of their scope of practice. As a result, those individuals must obtain this knowledge and these skills prior to their performance of IV therapy functions."-South Dakota Board of Nursing
I graduated in 1998, and am currently working in Med/Surg in a VA hospital. Working with LPN's and RN's, we carry very different roles. Depending on each individuals' "step/grade", depends on their scope of practice and role. It has been the ONLY difference, skill wise, between RN and LPN... the starting and infusing of IV's. Now we are to learn this, apply this and still be treated and paid as aids. Hmmm, I can see the good and the bad sides to this. I want to get my RN degree and I know this will only facilitate me in that process, however, I don't know that I feel all that comfortable being responsible for IV's on top of all the other pt care I am responsible for. Typically I have anywhere from 3-8 pts, and typically 1-2 of them would keep me very busy during a 8hr shift. As a LPN I have a 'resourse nurse' (RN) who is responsible for assessments and IV's and perhaps a couple pts. I pass PO meds, incision, drain, etc cares, ADL's, etc, etc for my pts. I am nervous about this new task at hand, the unknown is always unnerving. I know that I can do it and will do it, it is just change and change is just that. What are your thoughts on this subject? No LPN's don't have the 'critical thinking' teaching that RN's have, but now new LPN's are being taught more and more into that scope of practice, just not the RN pay scale...employers
are getting a skilled work force for immigrant pay. Just my thinking at this moment, tommorrow I may change my mind!
lol Anyhow, ya'll have a good day.
[This message has been edited by Jo_deye_yuh (edited January 31, 2001).]