I need some specifics
about why your hospital does not allow LVN's to work in Labor and Delivery. We are having a HUGE problem with the one and only LVN in our unit. She charts very little--even on cases that wind up in stat C-Sections. We changed to all QS computer charting about a year ago. Since then, NO nurses co-sign her assessments or notes. She refuses to wear her badge because she doesn't want the patients to know she is an LVN. She takes care of Mag. Sulfate pts, critical pts.....and on and on. I have addressed this with our manager and the Director Of Nursing to no avail. I have looked up AWHONN guidelines and looked up "Scope of Practice" for LVN's on the BNE site......to no avail. PLEASE HELP ME!!!! I need specific reasons
that mandate why this nurse should not work in L&D.
We have a LPN working on our LDRP floor; however, she does not triage, care for labor or preterm labor patients. She is awesome!!!! I love working with her because she knows her stuff, knows her scope of practice and will flat out refuse to step outside of those guidelines.
Instead of not allowing them to work on your floor it might be best if your facility established clear guidelines using her scope of practice. The floor manager and those making her assignment should also take responsibility for seeing that she isn't given an assignment outside of her scope. Along with these steps she needs to have the guidelines review with her.
As for the lack of charting or wearing of the badge, this isn't the result of her LPN title. These are personal performance issues that need to be addressed.
An LPN at our facility can scrub in for a c/s, catch baby and recover/assess them, admit c/s patients, and recover c/s patients. She may have more which she is allowed to do, but these are the ones I have observed. She normally has postpartum assignments and I think it bares repeating...she is an awesome nurse!
Last edit by feisty on Dec 30, '09
: Reason: I apparently can't spell addressed.