Michigan LPN Scope of Practice

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I'm inquiring information about the PNs scope of practice in Michigan. I'm nurse here in Ohio and our state has VERY restrictive laws in nursing and they are stated very clearly on our BON website. However, I've recently applied for an endorsement to practice in Michigan and I was wondering if there are any LPNs who practice there could share their scopes practices and differences between the RNs. I looked around on MI BON and it states that there isn't one.

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Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.

It's true, Michigan doesn't have a nurse practice act. Crazy, huh? All of that stuff is "somewhere" in the public health code.

Biggest difference that I know of is that LPNs can't do IV med/fluid administration. Trachs, g-tubes, etc., are all fair game.

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Specializes in Critical Care, Education.

Wow - interesting..... HERE is the applicable public health code section - poking around among the bullet points revealed very little information. I'm amazed. Compared to my state (Our NPA is an extremely comprehensive document) this looks like a 'make it up as you go' arrangement. After noodling around a bit, I found The BON General Rules.... it seems to contain more info, but nothing with the level of detail I'm used to.

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Where I worked in Michigan, LPN's could do everything except start blood transfusions and be in charge. It depends on the facility.

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Specializes in Home health, Addictions, Detox, Psych and clinics..
It's true, Michigan doesn't have a nurse practice act. Crazy, huh? All of that stuff is "somewhere" in the public health code.

Biggest difference that I know of is that LPNs can't do IV med/fluid administration. Trachs, g-tubes, etc., are all fair game.

I can't remember where I've read, but I read that an LPN can engage in IV therapy in Michigan with an additional certificate. An LPN "IV" course approved by the board. LPNs and IV administration

You could always email or call the board of nursing to ask about specifics.

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Wow - interesting..... HERE is the applicable public health code section - poking around among the bullet points revealed very little information. I'm amazed. Compared to my state (Our NPA is an extremely comprehensive document) this looks like a 'make it up as you go' arrangement. After noodling around a bit, I found The BON General Rules.... it seems to contain more info, but nothing with the level of detail I'm used to.

Bold is mine.

Not only that, but our BON has written an extensive document ("BON Position Statements) explaining how they interpret the NPA and how it is applicable to various situations with regard to RN/LPN/APRN scopes of practice. It's very specific.

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Specializes in Neuro ICU and Med Surg.

In MI LPN's may not give IVP medications. They can start IV's but cannot give IVP medications. LPN can not initiate blood transfusions but can monitor them. LPN may not take telephone orders either.

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Specializes in Med/Surg, Ortho, ASC.
In MI LPN's may not give IVP medications. They can start IV's but cannot give IVP medications. LPN can not initiate blood transfusions but can monitor them. LPN may not take telephone orders either.

Seriously, OP, will you base your nursing practice on someone else's opinion on an online forum? Please take Horseshoe's advice and go to the source.

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Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

Moved to the LPN Corner forum.

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Specializes in Home health, Addictions, Detox, Psych and clinics..
In MI LPN's may not give IVP medications. They can start IV's but cannot give IVP medications. LPN can not initiate blood transfusions but can monitor them. LPN may not take telephone orders either.

An LPN cannot take a telephone order?! Ridiculous! How awful would is that if it's indeed true!

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I work in MI... We most certainly take phone orders. I can't hang blood, or do IV push meds. I frequently deal with PICC lines, ports, and drains/ostomies coming out of body parts. I am trained to run peritoneal dialysis. Long story short, there's lots we can do, and some we can't... But most will require extra training. My facility offers all extra training in house for us.

Michigan Legislature - 368-1978-15-172

there's our MI public health code for nursing :)

hope that helps!

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Thank you so much :)

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