HOSPICE TUCK IN/PRE EVALS? lvn?

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Specializes in LVN.

Hello, I am LVN, I would like some assistance on LVN scope in a hospice agency. 

What are pre admit evals, tuck ins? Is the RN supposed to do it. can I get into trouble with my license. 

 

 

Thanks!

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Specializes in Hospice.

Hello, you can do what is called a "tuck in" basically you meet the patient there and just make sure they're stable, educate family, take vitals etc.

The initial assessment as well as the intial comphrensive is out of your scope of practice and unfortunately can only be done by the RN.  As long as you're not charting the initial on your hospice agency's EMR you're fine. 

Per medicare after admission, the RN has 48 hours to complete the initial assessment.

Some agencies do tuck ins due to nursing shortages and not having an RN available the day of admission since most nurses in hospice are per diem/part time. A lot of families/patients have anxiety going into the program so having someone clinical the day of admission helps a little.   ?

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