Quote from LNDBSN
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.
I am sympathetic to your concern, I am just not sure of it's origin. Is her charting the huge problem, her care of critical or mag sulfate patients, or her lack of name badge? Or is the "huge" in reference to the number of concerns? Do you have evidence or suspicion of unsafe care?
I think it is a good habit to reflect on the practice of those LPNs who may be practicing under our supervision, I am presuming that you are her charge nurse or RN responsible for signing her charts. The first place to start is with the hospital policy manual. If you cannot find what you need on-line about scope, your hospital library can help you find the info relevant to your state. Once you have concrete and substantive evidence that this LPN is somehow misbehaving professionally speak with your manager.
If you are not in a supervisory or management position you are treading on slippery ground here. You sound pretty passionate in your post, but it is not clear why you should feel so strongly that she should not work there. Assuming that the hospital policies are not being broken and she is within scope (her managers should know and they aren't concerned), you have not provided any information would support termination. In the absence of evidence of harm or jeopardy you may end up looking elitist and petty. My best advice to you, respectfully, is to take a deep breath and re-examine why you feel so strongly about this.