can I.v certified l.v.n's administer tpn??

[princess007]

can I.v certified l.v.n's administer tpn/ppn??

[caliotter3]

Check with your state board with this specific question or contact your IV cert provider. This should have been covered in your class. In most instances the answer is no.

[kcochrane]

Agree with the above AND check with your facility policy.

[kathy313]

Check with your BON, but overall, I'd say no. LVN/LPN are pretty limited as far as IV meds go, with the changing med order that goes with the tpn and the insertion site (central), they don't have the training or skills for it.

[princess007]

thanks every one !!!!!!

[txspadequeenRN, BSN, RN]

depends on what state you are in also depends on your facility policies....places like texas are wide open with lvn practice and i am almost 100% sure that a lvn can handle tpn....

[txspadequeenRN, BSN, RN]

not true, lvns routinely work with iv's push meds and hang all kinds of stuff...where i work they do central line dressing changes but like you said it does depend on the bon... the texas bon leaves a lot of gray are in the lvn practice area and leaves a lot of stuff up to facility policy

check with your bon, but overall, i'd say no. lvn/lpn are pretty limited as far as iv meds go, with the changing med order that goes with the tpn and the insertion site (central), they don't have the training or skills for it.

[Balder_LPN, LPN]

Check with your BON, but overall, I'd say no. LVN/LPN are pretty limited as far as IV meds go, with the changing med order that goes with the tpn and the insertion site (central), they don't have the training or skills for it.

I agree with check with the BON. But that is an overly broad statement that LPN's dont have the training or skills for it. Here in Washington LPN's with documented/evaluated (same standard for RN too) proficiency in IV therapy (to include TPN) certainly could do this. Here in WA LPN's can give IV push meds, narcotics. They ARE expressly forbidden from hanging blood, but may monitor a transfusion independently, they just can't start it.

[RNforLongTime]

Not in OH and PA they can't. Each state is different though.

[kathy313]

I agree with check with the BON. But that is an overly broad statement that LPN's dont have the training or skills for it. Here in Washington LPN's with documented/evaluated (same standard for RN too) proficiency in IV therapy (to include TPN) certainly could do this. Here in WA LPN's can give IV push meds, narcotics. They ARE expressly forbidden from hanging blood, but may monitor a transfusion independently, they just can't start it.

I'm an LVN/LPN too, I wasn't insulting anyone. I think it's great if you can do it, I'm IV certified in two states and not allowed to do it along with some other restrictions. Perhaps I should have just said in my experience.

[silverbat]

Absolutely check with your BON. Hospital poilicy can also vary from facility to facility as to what you can do. At the facility I worked an RN had to hang the first bag, add any insulin, but then the LPN could hang preceeding bags, but cannot do pushes, or add medications like the insulin.

As a current RN, previously an LPN. previously a CMT, before that a CNA.... LPN'S ROCK!!!! would NEVER run one down, can't live without them as part of my team. The same with CNA's, etc., ALL are valuable members of my team. I learn from each of them daily, and it is a pretty poor RN to NOT listen to what the LPN, CNA, Etc., has to say, just because they are ONLY a LPN OR CNA... ugh. That annoys me NO END!

[SaraO'Hara]

In California, we can't give anything through a central line - so that would eliminate TPN. We can do partial hyperalimentation, but only through a peripheral line.