LPN Scope of practice/Picc lines-just moved to Indiana - pg.2 | allnurses

LPN Scope of practice/Picc lines-just moved to Indiana - page 3

I Just moved from California were LVN's there are IV certified but we were only able to hang NS w/ 20 k and blood...NOTHING else. Now in Indiana I was told we can do every thing but hang blood. I... Read More

  1. Visit  Philo profile page
    0
    Quote from krissiee
    I Just moved from California were LVN's there are IV certified but we were only able to hang NS w/ 20 k and blood...NOTHING else. Now in Indiana I was told we can do every thing but hang blood. I don't know what to do know how do I get certified to hang atibiotics and use Picc lines if I have never done so...I called the indiana state board they referred me to ANA and they only deal with RN's..they gave me a number for LPN's and they said to call the state..I told them I had already and she said she couldn't help me. I am at a loss I don't want to go back to work to a unit with half the patients have PICC lines and the RN gets mad when I tell her I have never done PICC lines before...Can any please please give me advice.
    Look the reason she gets mad because she can't do it herself. Protect your license in Ca we can't even touch a PICC not even chang the dressing that is not in our scope don't be fooled. If something goes worng you will loose your license and believe she/he will say you did it on your own. Go ahead and read about the PICC line and know what's supposed to be done but don't touch it. You can get a book with your scope of practice in it from the board if you have any questions about your scope you can call and ask them it is a long wait on the phone but you'll get your question answered.

    Beware make sure you know your scope of practice your license is gold don't let anyone take that from you. As it stand now only RN's can touch PICC lines. Unless it is in their hospital policy and procedure if so then they should be the ones that train you and you can only do that in that hospital.

    Peace, Love and Harmony
    Philo
    Last edit by Philo on Aug 3, '04
  2. Visit  bail profile page
    0
    When I worked in the hosptial in South Bend, Indiana, LPN's did everything the RN's do. Hang blood, IV's, heparin locks, PiCC lines, but we couldn't acutally start an IV line.
  3. Visit  RN34TX profile page
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    Quote from bail
    When I worked in the hosptial in South Bend, Indiana, LPN's did everything the RN's do. Hang blood, IV's, heparin locks, PiCC lines, but we couldn't acutally start an IV line.
    I can't believe that your facilty and/or state thinks that LPN's are educated enough to hang a bag of blood but not start an IV.
    It needs to become more standardized as to what LPN/LVN's are allowed to do.
    The problem is with states that think that LPN's aren't capable of doing much more than giving Tylenol and putting in foley catheters. That would never fly in Texas where LVN's enjoy a wide scope of practice.
    Too many old RN's in administration need to catch up to the times.
  4. Visit  nursepenny profile page
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    Quote from Jailhouse RN
    I don't know any place outside of the military that allows an LPN to hang blood or blood products. In NY I know an IV certified LPN can start an IV with the standard fliuds. If an IV sol'n needs K+ added it must be done by an RN. LPNs can mix ABX. LPNs may not administer chemotherapeutic agents or experimental drugs nor may they do any IV push or IC meds. That leaves alot of space for practice. To get back on track most places do not allow an LPN to touch central or PICC lines.


    I know this is a late post, but I just came across it. In some Georgia hospitals, LPN can hang blood, add K+ to fluids, push narcs, etc. It really depends on the state you work in and also the particular hospital. Where I am employed, I had to take a med test and check off on each procedure 3 seperate times before I could give IV push meds, even though I had been doing this at another hospital. As far as PICC lines and central lines, LPN's can administer meds, blood, etc., through these. We can also draw from central lines, provided we have checked off on this procedure. Justa little info for future reference!

    Licensed Practical NURSE and proud of it!!!!!
  5. Visit  Nurse Q profile page
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    LPN nursing practice varies with every state and with every hospital. I was an LVN at a California hospital. I could start IV's, hang maintenance fluids which I believe had to have <40 meq KCL/liter, hang blood and blood products, but I couldn't give any IV medications. California Board of Nursing states LVN's could not access PICC or Central lines. Imagine my surprise when I moved to Oregon and found out I could push IV meds, hang piggybacks, maintenance IV's with anything in them, and PPN/Lipids. I am not suppose to push any IV meds if the patient is not stable i.e. new seizure, sudden M.I. ( since that is a change in condition and the RN should take over, although that is another story), although I have been told that in a Code I could. I can hang blood, but it needs to be double checked with an RN (same in California). I can't access Picc's or Central lines, and the hospital where I work I can't start IV's which I love to do. Some things don't make alot of sense to me, but I go with the flow. When in Rome........
  6. Visit  bsveillon profile page
    0
    Quote from RN34TX
    I can't believe that your facilty and/or state thinks that LPN's are educated enough to hang a bag of blood but not start an IV.
    It needs to become more standardized as to what LPN/LVN's are allowed to do.
    The problem is with states that think that LPN's aren't capable of doing much more than giving Tylenol and putting in foley catheters. That would never fly in Texas where LVN's enjoy a wide scope of practice.
    Too many old RN's in administration need to catch up to the times.
    Agreed!
  7. Visit  xx--RN--xx profile page
    0
    Quote from krissiee
    . I am at a loss I don't want to go back to work to a unit with half the patients have PICC lines and the RN gets mad when I tell her I have never done PICC lines before...Can any please please give me advice.
    1st, I don't think the RN will get mad. If she does, what a b*&$#.
    2nd, I'm sure you will dazzle them with your other skills enough to make up for the fact that you need to be taught in this one area.
    3rd, its better to swallow your pride and speak up and ask for help vs harm the pt or clot up the PICC line etc.

    Like most hospitals, you will be oriented and work with a nurse for at least 3 shifts to get the system down. Mention you need extra orientation in this area on day one so you can get the training before you go solo.

    You will do great.
  8. Visit  Chicarocks123 profile page
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    Exactly!!!! lol
  9. Visit  NurseHopefulInOH profile page
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    I'm in Ohio and LPN's that are IV certified can initiate the IV in a peripheral site hang electrolytes, NS etc and the second set of ATB therapy after the RN hangs the first. No PICC lines, no push meds and no blood. I had no idea Indiana allowed LPNs to do all that. I heard they hire LPNs for hospitals whereas Ohio does not except the older LPNs who were grandfathered in and worked there 20+yrs! This is surprising because I know several LPNs licensed in both states and never had to complete additional training.


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