Quote from stevielynn
In my state, LVN's can't do the full nursing assessment
. They can chart about meds they give or dressings they change or foley's they place. Yes, stupid but that's the law.
The trouble with laws, Steph, is who really knows what they are? Unless you sit down and read every line of a state's nurse practice act, which I haven't, you have to assume that the way things are done in your hospital are according to the law.
At my hospital, also in California, LVNs are allowed to fill out the entire shift assessment part of the nurse's notes. No RN co-signature required. But RNs have to sign that they've read the care plan for each LVN's patient they cover. (For you non-Cali nurses, each LVN has an RN assigned to "cover" -- do the things LVNs aren't allowed to do, like hang antibiotics and push IV meds.) LVNs can sign the square on the care plan sheet that certifies they've done the dressing change.
The only place where my hospital is strict is the assessment of new admits. RNs MUST do it and fill out the form, even though an LVN might be assigned to do the patient care. When I used to work as an LPN in Florida, RNs were supposed to do the admission assessments, but LPNs would fill out the sheet and sign it with no counter-signature. Legal oversight was so lax there that nobody got busted.
I want to do what I believe is legal. There's such a hodge-podge of hospital practices that it's hard to know, though. Unfortunately, the hard legal truth of a matter frequently doesn't come out until there's a hard legal case about it.