LPN IV Push - page 3

Good day one and all. Does your facility have a policy that limits the drugs that an LPN can give IV after attending an IV push class? I have polled several hospitals in our area and had a variety of... Read More

  1. by   stressedlpn
    In response to canoehead we LPNs need RNs to do the paperwk and do the "pushes" .
  2. by   mattsmom81
    Here in Texas LPN's are mostly limited by facility policy and there is a wide variance....from facility to facility and even specific unit policies.

    Some limit them to PO meds only, others have zero restrictions. In my ICU an LPN with the proper critical care competencies can do anything I can do.,... except be in charge. I'm still needed for that. (((whew))) LOL!
  3. by   shannonRN
    lpns cannot push meds, start iv's, or hang blood at my hospital.

    Originally posted by stressedlpn
    Besides I get perverse pleasure out of telling this one RN who really spends the whole 12 hours we are on duty in one spot, that I am not allowed to do the pushes, the sour look on her face makes our night. There is a silver lining around every cloud
    too funny!!!
  4. by   NurseLKY
    In Kentucky as a LPN I can hang a piggy pack, but i cannot push a drug. I cannot hang blood but i can monitor it and d/c it. I cannot hang K. And I cannot change an iv that is being titrated (heparin, insulin). That is about all I can't do.
  5. by   Nurse Ratched
    It just blows me away the vast differences among states. I couldn't believe when one nurse (LPN) mentioned she was not permitted to start IV's where she came from (state is escapingme now.)

    We just had a nurse start from down south and she is having quite a bit of culture shock.
  6. by   2rntish
    The difference from region-region or state-state is interesting. What I really find interesting is the difference in policy within states and "across town". Our QA has shown little or no difference in error rates between LPNs and RNs. Some of the best nurses I have worked with were LPNs (including critical care areas when allowed). Much like the difference in ADN vs BSN vs MSN...the nurse will make the best of his/her education. A good nurse can usually overcome an education deficit if they want to or given the oppurtunity. I agree that there should be an extensive competency evaluation prior to granting a clinical privilege. With the nursing shortage I think I or my family would rather have a competent nurse (LPN or RN) with an appropriate patient load and training doing IV bolus rather than the RN that is covering the entire floor run in and do it.
  7. by   Mattigan
    Where I work after passing the LPNII course they can give IV pushes,hang blood and blood products and start IV's. I think the only things they cannot do is chemo drugs,access mediports, draw blood via ports or do pushes via port. The exception do not make sense to me in light of all they are allowed to do.
  8. by   Mattigan
    ...and some of the LPN's here think RN's are unnecessary for patient care and we pretty much just get in their way. We have some LPN's that have worked here for 30+ years when the only RN was the house supervisoror only 1 RN per nursing floor and I get to work with one of those every day. Did have 2 but one finally retired.
  9. by   2rntish
    Please don't get me wrong. We still need RNs. I used to feel threatened by LPNs with "too many privileges". Now, as long as they are acting within state and facility guidelines and competent, I'm all for it. More time for me to spend with my patients...
  10. by   Mattigan
    Exactly, my favorite person to work with is an LPN of 4 years, she is great but the other LPN I work with thinks I am unecessary. When we have a difference of opinion on what to be done she sulks when I do it differently than she wanted. I tell her to take it up with the Nurse Manager when she is in the office. ( I am the Nurse Manager). I have a small unit and unless census is up we only have 2 nurses working.
  11. by   Fgr8Out
    So... with proper education and credentials... we'll someday see CNA's doing the majority of nursing???

    I think not...

    The discrepancy between ADN and BSN education where I am is minscule... when compared to the education for LPN.... And our State apparently presents enough limits to their scope of practice that many fast-track it to the RN courses in a hurry....
  12. by   stressedlpn
    I joke around about the unimportance of having an RN however I would not be too happy about not having one, I only have a few years of exp. most of them being in critical care, I've posted b-4 that I float the house @ my small hosp. so I get to work everywhere. I agree that I only went to school for a year, but... add the critical care exp. I do have The staff and pt. depend on me to know what I am doing, I want to add that no I do not feel comfortable or safe pushing some drugs due to my lack of training in that area. and it is scary that the RN I mentioned earlier who has 20+ years of exp. looks to me and others to make decisions for her and in an emer. she is nowhere to be found. I think I would feel safer pushing meds. on those I love b-4 letting her do them, We all are nurses we all have a part to play the game just goes smoother when we all play on the same team. Besides I would hate to do all that extra paperwk I have the upmost respect for RNs I dont know if I could have taken another year of hell that people call nursing school love to all and to all happy pushes
  13. by   mattsmom81
    I hear ya, StressedLPN, and your story goes to show that RN after someone's name does not guarantee a comfort level with ALL types of nursing....she may come from a LTC or HHC background and is just a scared new kid in the hospital environment!.

    I work with LPN's who are MUCH stronger than my RN coworkers. It's what the nurse does with their RN/LPN that counts.