LPN IV Push - page 5

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   Sekar
    In North Carolina pushing IV Medications is with the Scope of Practice for a LPN. The training (Education, whatever) is provided in the Practical Nurse programs and we must pass competency trials before we graduate from School. Don't assume we are untrained or unskilled, we might just surprize you.
  2. by   MishlB
    Love ya stressedlpn.
    I realize taking a "class" may not give me all the info I need to know, but it's a start. How much did YOU really know after graduating? Give us LPN's a break, we are not second class citizens. A title doesn't mean SQUAT, except that you have been to school.
  3. by   mattsmom81
    A good friend of mine is an LPN. We've worked together in ICU for years and she is an excellent critical care nurse. She can do anything she's qualified for on our unit except charge...cuz our state, hospital and unit policies provide for this.

    She needed some extra $$$, so she took a PRN job at a neighbor hospital in the area. This facility's restrictions on LPN's were ridiculous! She had to run down the RN to give all her IV meds, coudn't do the head to toe asessment of her patient, yada yada. She was so frustrated and the worst of it: the RN's there openly RESENTED HER...for the HOSPITAL's stupid restrictive policies!!

    She did not stay on after her 3 month orientation, and when she quit she gave a very candid exit interview which I totally agreed with. If a facility is going to restrict a good LPN this way and allow the RN's to treat them like dirt, they don't deserve to have good help....and this facility lost a wonderful nurse...:stone
    Last edit by mattsmom81 on Aug 5, '02
  4. by   norinradd
    As an LPN in Oklahoma I was able to do everything but initiate a blood tranfusion. With my ACLS, PALS and Bard PICC and midline certification I was expected to perform all of these skills and more. In ICU or ER I often gave meds during the code, defib and intubated. I was my facilities trauma resource person and had pass TNCC but due to being an LPN I could not recieve a card.
    As an LVN in Texas I am able to do these and more. Here I can Hang the blood and with chemo certification administer chemotherapy agents and frequently access ports and utilize central lines.
    I respect all nurses and there training. I am the primary preceptor for my unit (LVN and RN) and have found little difference between knowledge levels of new grads. I have had many nurses who have went on to get there RN to tell me they had less hands on and practical training in RN than they did in LPN/LVN programs.

    I good nurse can have any initials behind their name and be respected as a poor nurse can have any intial behind their name and not be.
    I dont recall knowing of a Hospital that allows LPNs to push medications. I thought it was out of the spectrum of care as Far as the Board Of Nursing was concerned. I could be highly wrong in this because I dont work on the floor anymore . In the area I work at an LPN can not push drugs, nor hang blood , they can second varify but not hang. As far as thier being able to if trained Im sure they could, but I would think it would stretch thier coverage on certain medications.Things change when you work in the dungeon of the hospital as I do (surgery) , I do miss the action that occurs on the floors, and this I see I have truly missed but I think I would flip out if I saw an LPN doing a push, It was the way I was trained even when I was a LPN.
  6. by   grandma B.
    I teach LPN IV therapy in KS. LPNs are allowed to give pushes on certain medications only. There is a very specific policy outlining their skills in my institution. I have also taught ADN students and I believe that the LPNs I teach receive more intense IV education than the ADNs do. While their clinical experiences may be less than the ADNs, the LPNs do have a great deal of 'book smarts'.
  7. by   NMAguiar
    In California there is a move afoot to allow LVNs to give IV medications -- which seems like a terrible idea to me.

    Our website has a poll on the subject, including a link to the CNA's press release on the subject. Take a look if you like (not intended as an "advertisment!")
  8. by   Brownms46
    Originally posted by rebelwaclause

    I can perform blood transfussions and start IV lines, because I am IV Certified and the state says I can under that certification. I cannot hang IV antibiotics (Wierd, since I can transfuse?...Go figure). I cannot do IV pushes, but I can do SQ anything (Low molicular Lovenox comes to mind). I currently am employed in the med-surg unit, but rotate to the tele unit when needed, because of my ACLS certification. I cannot push cardiac meds, an RN "covers" me for nursing care that is out of my scope of practice.
    I would check out CA's "modified" vocational nurse practice act", and I think you will find, that the board never meant for LVNs to not give ABX's or any other med IV! I'm referring to this modified text available online on the BVNs site, and has been proposed for over a year now! It didn't make sense to me, that you could give blood, with is where the most adverse reactions occur, but no ABX! And that you could give flds via a secondary line, but not ABX, which is the commonest use of secondary lines!
    The modified text states, that LVNs can not only give ABX IV, but heparin, and any other med!

  9. by   deespoohbear
    Indiana must have a wide scope of practice for LPN's. I work at a small county hospital and our LPN's can do everything I do except for retrieve blood from the blood bank. They can hang the blood, monitor the blood and etc, but can't sign it out. Doesn't make a whole lot of sense to me that they can't sign out blood. To me signing out blood is a lot "easier" task than hanging blood and monitoring for reaction sx, fluid overload, and all the other possibilities with blood. Our LPN's do IVP's, do daily assessments, start IV's, hang IVPB's. I am grateful they can do that. Our facility is decent about letting them do a lot. The larger facility that I did my nursing clinicals at about 10 years ago didn't let their LPN's do squat. They couldn't do heart sounds, bowel sounds or lung sounds. They couldn't do IVP's, hang blood, monitor blood. I thought they got treated like glorified CNA's. This thread has been interesting.
  10. by   NMAguiar
    Just to rethink myself...

    In California there is a move afoot to allow LVNs to give IV medications -- which seems like a terrible idea to me.
    ... I would take a dedicated and careful LVN pushing any medication flowing into my body over a few jaded and burned-out RNs I know. That's a fact!
  11. by   tenarnc
    I have worked in a few hospitals that allow LPN's to give IVP drugs. Where I work now there are only allowed to hand iv fluids, no blood, and can only flush saline locks or c-lines once they have been accessed by an RN. I believe it is determined by each hospitals policy what they can do. Myself, I don't have a problem with LPN's giving pushes as long as they get the proper training and know the effects of the drugs they are giving.
  12. by   dianas
    I don't want to sound awful to all you RN's but I to was an LPN and could push what ya'll do. I had to be certified. Now that I am an RN I still feel the LPN is able to do IV pushes. If you are a true nurse with training you know what to look for side effects, how long to push the drug, and what it is now compatable with. If not I firmly believe that you would look it up. So as an RN don't look down on the LPN they are just as much our colleagues as the RN they still indeed are nurses. Everyone complains of the nursing shortage well I firmly believe if they stop and think hire LPN's in certain areas there would be less of a shortage. I think it is a disgrace to put someone down just because of the initial behind there name. Look at the intial DR. do all RN's feel looked down on because we are not Doctors no. Stop and treat each and everyone equal. As an RN myself that is less work to have to go and push a drug or start a transfusion. And then come back and care for my other patients.
    Last edit by dianas on Aug 6, '02
  13. by   TMPaul
    nrw 350,
    The difference between IVP and hanging a IV are many:
    An intravenous push delivers a bolus of medication in a VERY short period of time (seconds to minutes) whereas an IV drip is calculated out to deliver a precise amount over a period of time.
    Please keep in mind that both routes have the the potential for serious side effects (anaphylatic reactions, etc.) but (if there were to appear) it would be quicker and much worse with the IVP that with a slow administration (hanging an IV).
    Hope this helps.