what can I iv push

[rvd4now]

I am a new grad here in michigan, and i was wondering what can i iv push as an lpn.

Now i know what you thinking look at your "sop", I have looked at my scope and this is what it says.

After reading my "sop" I am still unawere of the iv meds i can administer

please do not place this in the michigan section..

http://www.michigancenterfornursing.org/mimages/clark.pdf

IV Therapy

IV medications must be administered according to state law. The LPN must follow special rules on IV Therapy as interpreted by the MDCH. State Law states: Hospitals--Medicare/Medicaid Conditions: "If IV medications are administered by registered nurses, they must be trained for this duty". The Medicaid/Medicare Conditions do not mention LPNs. MDCH recognizes that LPNs commonly work with IV medications and that the rules do not take into account for current LPN training. MDCH interpretation is: "LPNs may be involved with the administration of IV medications in accordance with established hospital policies and procedures." LPNs must also receive special IV Therapy training.

(2001 Update) Michigan Medicaid uses the following rules for nurses: R 333.17201, R. 333.16109, R333.16104, and 338.10104. (Listed above) (Note: Under Medicare/Medicaid Conditions of Participation, individual facilities determine staff functions and may further limit the LPN practice regardless of the rules.)



[JustBeachyNurse, LPN]

What does your facility/employer policy/sop state? (SOP = standard operating procedure). As facility SOP is often more restrictive than BoN scope of practice. Your facility SOP will specify which medications you can admin via IV. It may be fluids and no IV push.

As per what you quoted, you need training either at your facility or an outside class with documentation to show competence.

[JustBeachyNurse, LPN]

Very few states permit LPNs to perform IV push medications, administer blood/ blood products, chemotherapy, or access central lines.

[rvd4now]

sry for the confusion, i was saying "sop" scope of practice.

when its saying admin med's via is it referring to iv push meds or meds that i would hang..

[rvd4now]

my scope of practice says no blood products or chem. It does not say anything about iv push or accessing central lines..

[JustBeachyNurse, LPN]

Are you working? What you quoted states this somewhat determined by facility SOP.

In some states the only drugs that can be pushed by LPNs are heparin & saline flushes. The IV therapy admin by LPNs are premixed solutions (such as 0.9% saline with 40 mEq potassium) and antibiotics. No titration drugs such as dopamine can be managed/adjusted or administered by an LPN as assessment & close monitoring is required.

I don't think I've ever seen a list of drugs that can or cannot be administered other than classes such as no blood, no chemo , no titration drugs. Yes to fluids (NS, LR, etc) and antibiotics. Other than these its up to facility SOP, which can be more specific and detailed than the nurse practice act/scope of practice but not less restrictive.

Drugs that require ongoing assessment and monitoring are usually relegated to RNs (dopamine, IV epi, dobutamine, (ACLS/PALS drugs) blood, chemo) and cannot be delegated to LPNs.

[rvd4now]

thank you, no i am a new grad as of 8/1/13..

im waiting to do my nclex

[Esme12, ASN, BSN, RN]

thank you, no i am a new grad as of 8/1/13..

im waiting to do my nclex

your initial post had your answer...

LPNs may be involved with the administration of IV medications in accordance with established hospital policies and procedures." LPNs must also receive special IV Therapy training.

In many states the LPN practice is widely varied by hospital or facility policy. You must adhere to facility policy.

So there is no general list....that would be provided by the hospital/LTAC/LTC or other facility/department