Agency LPNs doing IV Push

Specialties Infusion

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What is the groups opinion on agency LPNs doing IV Push meds? I recently asked about hospital LPNs doing IV Push and had a variety of answers. If anyone does allow it...how do you measure competency? We have some agency nurses that are here day after day, others once every 6 months. Do you limit it to the "frequent fliers"?

also, it shouldn't make any difference if you are agency or not, everything depends on what the nurse practice act is in your state

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Originally posted by niteshiftnurse

also, it shouldn't make any difference if you are agency or not, everything depends on what the nurse practice act is in your state

As a LPN, I am IV certified which qualifies me to monitor IV therapy, hang IV bags and do IV flush but I cannot start a IV here in CT. When I lived in IL state regulations in some cases, leave it up to the facility if they wanted an LPN to start a IV or not.

The difference between a LPN/RN could be that of a APRN/PA.

Are lot of our jobs overlapping????:confused: :confused:

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It doesn't matter if you are a traveler, a nurse of 40 years, etc. If you don't like the way that things are you have options to lobby and push for your profession and try to gain some more autonomy. If you really have this dying desire to give IVP's and your state doesn't allow you to do it then it sounds like you ought to get your RN.

I would follow what ever your state board of the state you are practicing in says to do. It doesn't matter if you are from say Alabama but practicing in Florida. Whatever state you are practicing in, you have to follow those guidelines set by the State Board of Nursing. If the hospital is not following those guidelines, then they should be reported. It is your license on the line and if you are brought to court and asked how to defend yourself on giving an IVP that according the governing body, the state board says as an LPN you cannot, what is your defense gonna be?

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BTW a certification class does not grant you the authority to do something out of your scope of practice.

For example in ACLS I was taught how to intubate a patient. However, being an RN in the state of Virginia, that is not in my scope of practice, so I will gladly gather the supplies and hand them over to the MD or CRNA.

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Where I work hosptial policy is that LPNs do nothing with IVP or IVPB. but then we have very few LPNs. I'm unsure of what the SBN says.

Brett

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In Kansas it is not in the LPN's scope of practice to do IV pushes

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Originally posted by Bundles of Joy

As a LPN, I am IV certified which qualifies me to monitor IV therapy, hang IV bags and do IV flush but I cannot start a IV here in CT.

Here in NY it is the same. I think that an LPN cannot hang the first IVAB or blood. They cannot do IVP's, but Im not sure about starts.

In my hospital they do not hire LPN's. Ther are very few who work there and have been there sonce the 70's.

deb

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Specializes in CVICU.

I too; work in Ft. Laudrdale Fl and the state board here says NO IV pushes for LPN's.. not within your scope...certain meds may be piggybacked if there is an existing line in use...but NO IVPushes..I too was an LPN for 20 years here before I became an RN...please be sure you are in fact practicing within your scope... you would not want to lose your license to work...

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Wow. If all the LPN's are allowed to give IVP's then the hospitals can just get rid of all the RN's. Think of the money they'll save. Unless, LPN's start demanding more money for doing the same exact work(physically and clinically) as the RN's.

Before you slam me, I am not for or against anything yet. I am still making up my mind. I'm from CALIF where we are thrilled to find ANY nurse to help out!

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Specializes in LTC, ER, ICU,.

a facility that you work can restrict you from performing within your sbn guidelines but cannot expand your perfomance from that of your sbn. with that said, lpns in al cannot do ivps nor start any blood or its product [only monitor] and can do ivpb.

iv therapy was part of my lpn program and i had to be certified and checked off by an rn in the facility which i worked too.

it is amazing that some states allow certain things for lpns/lvns and other states do not, interesting.

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Originally posted by MishlB

since they are the 'backbone' of patient care.

I will disagree with you that LPNs are the backbone of healthcare. NURSES are the backbone of healthcare regardless of LPN or RN.

Brett

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Specializes in Emergency.

As a new grad in Ohio, i am informed that LPNs cannot do IV push med,

if someone knows different and has reference please let me know.

xo

Jen

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