Careplan at work

I'm an LVN and I also have to update the IPOC for the patients I'm assigned to on my shift.

i see the op is an lpn. nurse practice acts and the ana scope and standards of nursing practice state that nurse care planning is the responsibility of the registered nurse. or am i missing something?

hmm. facilities have their way around things i guess... when we get admissions or changes in status with patients we (mostly lpns) initiate a new careplan or new focus with appropriate interventions. the managerial staff and mds people are mostly rn's who are the main 'coordinators' of the careplan, that is that the staff nurses aren't required to check and maintain its appropriateness on a q shift basis like some other posters have they said they do.

i work in a rehab/snf if that makes a difference. we are also responsible for signing and locking the admission 'assessment' for all new admits. so lpns are signing and locking admissions, which technically aren't in our scope. now the rn adon or rn unit manager does open it up on the computer and look at it but it's still completed by an lpn. not sure how that works.. if the rn signs off on it ultimately or something.