Quote from destinystar
please go to the california nurses association
web site to get accurate information about the lvn & rn nursing practice act.
section 70217 nursing service staff (h) (3) of the california code of regulation states "registered nursing personnel shall provide clinical supervision and coordination of the care given by licensed vocational nurses and unlicensed nursing personel" this is not
in the lvn authority under scope.
i'm not in cali but i would bet if i took the couple of minutes to go to the bon website and look at the lpn scope of practice i would find that lpns coordinate and supervise cnas. and, in specific situations can act as supervisor in ltc even if there is an rn on staff that shift.
too many nurses misunderstand the definition of facility supervisor and supervision of clinical activities.
also, just because the rn supervises the clinical activities of the lpn, it does not mean that an lpn can never supervise an rn.
say there are 3 nurses, an experienced rn, she is the charge nurse, an experienced lpn, she is assigned her pt load and an inexperienced rn also with her assigned pt load.
the charge nurse is very busy with new orders, a new admission she is going to "take," or any other thing that keeps her busy and the new rn needs to do trach care and change the tube, she's never done it before.
what would be the best action?
the lpn should "attend" or suprvise the new rn to ensure it is done correctly and safely as she is performing this skill that she is unfamiliar with but the lpn has been doing for years that would be supervising, yet it is not against the scope of practice for any of us. it would, imho, be against the scope of the rn to perform this procedure without an experienced nurse present and if an experienced lpn is the only one available, well, the lpn is going to supervise the rn.
i don't know what brought about your post but you really need to calm down. try not to read so much into things, you are going to wear yourself out. supervise is a relative term, there are things the lpn can not do that the rn can but for the vast majority of nursing responsiblities our scopes of practice are much the same.