I wasn't too worried about the phone orders, but in nursing school, even the LPN's weren't allowed to take MD orders, so I was a bit thrown by the whole thing.
As for the assessing.....I guess that it just bothered me, as I know that the RN's in the facility aren't going around and assessing these people. They go by whatever the LPN says he/she heard/saw. It just seems so wrong--I went and listened to one person that the LPN said that the lung sounds were clear bilaterally. Ummm...no. There were Insp./Exp. wheezes--and we're supposed to monitoring this resident's respiratory status, as they had a recent URI?
The ST-POC thing also really floored me, as I don't feel it's right that they are developing these. I mean, that's why we have the additional training to be RN's. Right?
I wish that they did checks on the insulin or did their narcotics checks. You wouldn't believe the other stuff I witnessed today: One LPN was eating her whole shift (candy and snacks on her med cart)--not washing hands (ever!)--even after taking blood sugars and administering insulin (w/out gloves). Other LPN's had snacks in the pockets of their scrubs
and were munching their entire shift. All I could think was "Wow." I know they thought I was weird because I contacted supply and made them bring up 4 bottles of hand sanitizer, and I kept asking where the gloves were, so I could keep myself and my patients safe.