Can LPN's give Morphine??

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Just need to clarify this. I am thinking NO, but need to double check.

Thank you.

Specializes in Medsurg/ICU, Mental Health, Home Health.
your kidding right .....i work a hospital floor and we give it all the time....i also am a inpatient hospice rn and give that stuff in bucket amounts iv.....the lvn's i work with give it push all the time....ive never worked anywhere that didn't allow lvn's to push it...

i believe most states' nurse practice acts do not allow lvns/lpns to administer medications via ivp.

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Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
I believe most states' Nurse Practice Acts do not allow LVNs/LPNs to administer medications via IVP.
Texas' NPA allows LVNs to give medications via IV push if two conditions have been met: (1) the facility policy allows it, and (2) the LVN has satisfactorily completed a course in intravenous therapy.
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Specializes in Medsurg/ICU, Mental Health, Home Health.
Texas' NPA allows LVNs to give medications via IV push if two conditions have been met: (1) the facility policy allows it, and (2) the LVN has satisfactorily completed a course in intravenous therapy.

I'm well aware of that; I was just pointing out to the poster that although she has been able to push said medicine, does not mean that ALL individuals with her title may do the same.

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Specializes in ICU, PICC Nurse, Nursing Supervisor.

let me clarify my "your kidding" comment...that was directed at the poster who said "but direct push isn't permitted to any nurse on my hospitals floors. logic being only er and icu give them push"...not at lvn's being able to push morphine....

i'm well aware of that; i was just pointing out to the poster that although she has been able to push said medicine, does not mean that all individuals with her title may do the same.
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Specializes in Gastroenterology; and Primary Care.
Texas' NPA allows LVNs to give medications via IV push if two conditions have been met: (1) the facility policy allows it, and (2) the LVN has satisfactorily completed a course in intravenous therapy.

Florida is the same as Texas. When I was a LPN I pushed morphine plus 3 pages of other meds. We were able to do it after being "checked" off by a RN 3 times on each med.

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Specializes in Med/Surg, LTC/Geriatric.
Sure, sq, oral, IM and change the PCA cartridge. But direct push isn't permitted to ANY nurse on my hospitals floors. Logic being only ER and ICU give them push--if you need it on the floor you are too sick to be there.

Really? I worked on a general surgery ward and morphine was given IV (by RN's only) all the time.

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Really? I worked on a general surgery ward and morphine was given IV (by RN's only) all the time.

Nope, my hospital's policy if the pain can't be managed by PCA or epidural, they shouldn't be on a surgical unit. Push is only in emerg and ICU.

Having said that, I think Canadians treat pain in a different manner than Americans. I was talking to some nurses in the States last year and was amazed to hear their appis came back with PCA's.... Ours get 5-10mg Morph sq and then when they can take fluids go to oral meds.

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Specializes in Medsurg/ICU, Mental Health, Home Health.
Nope, my hospital's policy if the pain can't be managed by PCA or epidural, they shouldn't be on a surgical unit. Push is only in emerg and ICU.

Having said that, I think Canadians treat pain in a different manner than Americans. I was talking to some nurses in the States last year and was amazed to hear their appis came back with PCA's.... Ours get 5-10mg Morph sq and then when they can take fluids go to oral meds.

I've never had an appy come back with a PCA. A lot of open belly surgeries, do, though.

When I had my tonsils out, I got IM Morphine until I could tolerate PO meds, then I was sent home.

I prefer giving IM pain medicine, actually, and which more surgeons would order it.

You know what, I push LOTS of IV pain medicine, and I don't even work on a surgical floor anymore...

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I've never had an appy come back with a PCA. A lot of open belly surgeries, do, though.

When I had my tonsils out, I got IM Morphine until I could tolerate PO meds, then I was sent home.

I prefer giving IM pain medicine, actually, and which more surgeons would order it.

You know what, I push LOTS of IV pain medicine, and I don't even work on a surgical floor anymore...

I'm happy for you. It's just not done in my hospital.

But then we don't have 25yo BScNs with five years of work experience either.:D

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Specializes in Medsurg/ICU, Mental Health, Home Health.
I'm happy for you. It's just not done in my hospital.

But then we don't have 25yo BScNs with five years of work experience either.:D

Don't be happy for me! I'm unhappy for me, I'd love to stop pushing pain meds all of the time! :)

I prefer your way! :)

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