Reprimanded for NOT giving IV Push Medicine

[Spritenurse1210, BSN, RN]

I worked for this doctor's office that also had an iv infusion center. I was told to give IV Push Ativan and I refused because am not legally allowed to do so. I could lose my license. I was told to learn my place and listen to my superiors. I was also told that I would be fired because I could not listen, I quit first.

Anyone else see something wrong with this picture?

[Diary/Dairy, RN]

You are better off not someplace that will pressure you to go beyond your scope of practice... Good luck!

[pagandeva2000, LPN]

I worked for this doctor's office that also had an iv infusion center. I was told to give IV Push Ativan and I refused because am not legally allowed to do so. I could lose my license. I was told to learn my place and listen to my superiors. I was also told that I would be fired because I could not listen, I quit first.

Anyone else see something wrong with this picture?

Are you an LPN? Most of us are unable to do IV push, and I am glad you stood up. Too many people allow themselves to be manipulated. Everything is okay until something happens, and then, the blame would have been on you for doing something out of your scope of practice, or policy. Hurray for you!!:bowingpur

[elizabells, BSN, RN]

I see that you're better off not working for people who want you to violate your SOP and tell you to shut up and listen to your superiors.

Sorry about the job, though.

[KBRN413]

good for you! that place isn't worth it! if they are willing to fire you for doing the right thing, then you shouldn't work there! sorry about the bad experience :uhoh21: everything happens for a reason! you'll find something much better!

[pagandeva2000, LPN]

This annoys me to no end, because I have seen plenty of LPNs get caught up in behavior like this and sucuumbing to it. I remember going to a Continuing Ed class and one of the RNs told me that while she was an LPN, she also used to administer IV pushes; that it is better to just get the RN so that you can. I told her that this would not have been me...if the BON of my state specifies that I cannot, and policy has not offered me training in order to make me competent to do so, then, I would clearly not have compromised myself in that way. Just yesterday, my nursing administrator placed an LPN in our clinic's triage area so that we can go to an inservice. She also did it in a slick way, she did not delegate this assignment herself; she delegated it to an RN who does not make many waves to delegate this assignment. This LPN is agency and wishes to get hired on with us, so, she does whatever this insane woman tells her. Everything is wonderful until something goes wrong, though. Let something drastic happen and see how far it can blow. And, usually, when it blows, friends mysteriously disappear. When policies are in place regarding skills, competence and safety, it is for a reason.

[squeakykitty]

Good for you.

I don't blame you for quitting. The scope of practice is there for a reason. Can this place be reported for unsafe practices?

[Dolce, RN]

Thats too bad. You did the right thing to refuse. You have to know your SOP and to not overstep the bounds of your professional license.

[CHATSDALE]

sometime there is a loophole in the regs which can say 'lpn can do x and y if they have been 'properly trained'

i know at a place i worked they had lpns who worked in icu and they did pushes and blood gases etc when the icu got a new head nurse and she saw what was going on she nearly had a fit, she demanded an all rn unit and made a lot of enemies but even those who protested the most knew that she was right

you were right to quit no one would have stood up on your side if something happen

[oramar]

It is pretty shocking to hear that this goes on in the world. You were pressured to do something outside your scope of practice, you were threated with dismissal. I have never known an LPN to be even asked to do IVP, let alone be threatened. If I was you I would have quit also. Look what happened to the nurses that reused syringes because they were ordered to do so by managment, every single one of them is having their licensed reviewed. Not to mention the lawsuits by the people that got hepatitis. This is the same sort of situation. They will keep hiring people till they find someone who will buckle under to the threats and do what they are told, then when the trouble comes that person will be out there on their own without a leg to stand on.

[oramar]

sometime there is a loophole in the regs which can say 'lpn can do x and y if they have been 'properly trained'

i know at a place i worked they had lpns who worked in icu and they did pushes and blood gases etc when the icu got a new head nurse and she saw what was going on she nearly had a fit, she demanded an all rn unit and made a lot of enemies but even those who protested the most knew that she was right

you were right to quit no one would have stood up on your side if something happen

that manager did them a big favor, sooner or later it would have hit the fan

[pagandeva2000, LPN]

I would have thought that whomever hired her would have reviewed the scope of practice for a nurse in that geographical area to keep them all safe. But, the bottom line is that the nurse will be on her own if she does something out of her scope of practice...period.