LPN's and care plans
- 1Jan 26, '09 by makes needs knownI'm curious, are lpn's allowed to start, or update patient care plans?
According to the office of professions @ NY education department lpn's "may not create, initiate, or alter nursing care goals or establish nursing care plans." "LPN's function by law in a dependent role at the direction of the RN or other selected authorized health care provider.
I see many lpn's are working on care plans. Is that legal?
See http://www.op.nysed.gov/nurse-scope-lpn-rn.htmLast edit by makes needs known on Jan 26, '09 : Reason: address incorrect
- 0Feb 4, '09 by lpnfloridaIn Florida, we can not initiate a care plan, we can however update the care plan, meaning we can write on the care plan a daily progress note. If a new issue needs to be addressed we let the Rn know if it is our own patient so that again they can put in the intial problem.
- 0Feb 4, '09 by lpnfloridaUpdating a care plan is not the same as altering the care plan. I would take altering to be making a change to the plan which has already been chosen by the Rn.
Example: Pressure Ulcer Prevention Plan:
1. turn q 2 hours
2. ensure adequate nutrition and hydration
3. keep skin clean and dry,,
I can write on the plan beneath
todays date; skin remains intact measures appear to be effective , patient is turned q2 hours, skin cleansed after incontinent episodes barrier cream applied, heels elevated on pillows, no skin alterations noted.
or some such thing.
- 0The NYSOP gives your license and determine what you can and cannot do, not the RN or the facility. No RN cosignings or check-offs . OP gives your license and will take it away for violations. The site and # are available so, not knowing is not an acceptable excuse to the board. please keep up with the changes
- 0Inappropriate use of LPNs may expose agencies to potential litigation, the delegating RN to a potential charge of unprofessional conduct for inappropriate delegation of professional responsibilities [see Regent Rules 29.1(b)(10)], and the LPN to a charge of acting outside the scope of nursing as a Licensed Practical Nurse [see Regents Rules 29.1(b)(9)].
- 0LPN's in New York State do not have assessment privileges; they may not interpret patient clinical data or act independently on such data; they may not triage; they may not create, initiate, or alter nursing care goals or establish nursing care plans.Last edit by irienurse on Apr 2, '09 : Reason: addition
- 0Apr 2, '09 by lpnfloridaQuote from irienurseNew York State do not have assessment privileges; they may not interpret patient clinical data or act independently on such data; they may not triage; they may not create, initiate, or alter nursing care goals or establish nursing care plans.
hmm I think I did address this already