Published Jun 28, 2006
blardyblardyhelp!!
14 Posts
I am a little confused on the exact skills allowed in oregon. I know it's probably been a question asked a million times, but I am tierd of trying to interpret the OSBN nurse practice act or try to find answers on the internet and not find any answers. I am a new LPN grad who will take my first job in a long-term skilled care facility as charge nurse. I am a little unsure of what I can really do and what they tell me I can do. For instance, listed on my position description one of my responsibilities would be to admit, transfer, and discharge residents as needed or directed; I am unsure about this because I think it would intail teaching which the board of nursing says (and very un-clear I might add:uhoh3: ) that I can provide under the direction of an RN, health teaching to clients utilizing established protocols....What does that exactly mean? My director of nursing told me that really LPN's do this all the time but that what I would be doing was "instructing" the patient. I also was very unsure when she told me that I would be contacting the Dr. vr's the RN with changes in patient condition, is this correct, shouldn't I leagaly contact the RN as LPNs can only "data collect" and the RN must do the full assessment. My charge nurse said that as long as I told someone in a position of authority (that ofcoorifice would also do something) the responsibility was out of my hands. Sorry for the so many questions (I have more), my teachers were not very helpfull when I asked them specific questions about scope of practice. What exactely does "contribute" and "assist" in the OSBN practice act mean, ie, an LPN can Contribute to the establishment of the nursing diagnosis or assisting in the identification of nursing interventions, does this mean help/add, does anyone have a specific example. Also, in regards to specific nursing skills, are there any nursing skills that an LPN can not do? I am pretty sure I was told I would be administering blood, giving IV pushes of NS, Mabey I am just freaking out ...most likely but I am practicing under my own license now and would like to stay with-in my scope of practice. Please help with any to all of the questions I realize I ask alot but I just really want to give appropraite leagaly accountable are so that I can feel confident in what I am doing. Thank you, blardyblardyHelp!!!!