OK, so I know to delegate stable pts to an LPN, but can anyone provide specific examples of tasks or pt care that is w/in their scope of practice? Some say they can suction, give IV meds, trach care, sterile dressings????? I'm not sure these are all correct. I also read that LPNs cannot do discharge planning, is this true? It makes sense b/c involves teaching. Also, if asked on NCLEX to prioritize 4 pts and 3 have specific needs and the 4th is a discharge pt, can that pt. wait?
Also, as far as the charge nurse can anyone tell me the role they play for the NCLEX? since positions like this vary per facility I'm not sure how to grasp how they function when answering NCLEX questions.
Thank you, I test soon and feel more confused than ever!
Can anyone inform me on the general tasks, what I mean by that is what they can do according to the NCLEX. I DONT need to know what everyone does per their state I'M SPECIFICALLY asking for duties they can do in the hospital.
I've been through both the NCSBN/ANA delgation guidelines and they do not address this, only stable patients. But I need to know a range of tasks they can safely perform. Speficially I'm wanting to know if for the NCLEX RN ONLY the LPN can:
Suction, if so when can they not? suctioning can cause several adverse effects
sterile dressings, not dressing changes but I need to know if "sterile" is included
Can they insert foley catheters? other catheters?
can they instill IV meds? give insulin? give anything else?push meds (this I think not)
Trach care? can they give tube feedings? or change these dressings?
can they help with chest tubes?
I'm sure I'm missing something else?
AGAIN, I don't need to know what LPNs do in each state, just for the NCLEX RN.
Can anyone inform me on the general tasks, what I mean by that is what they can do according to the NCLEX. I DONT need to know what everyone does per their state I'M SPECIFICALLY asking for duties they can do in the hospital.
I've been through both the NCSBN/ANA delgation guidelines and they do not address this, only stable patients. But I need to know a range of tasks they can safely perform. Speficially I'm wanting to know if for the NCLEX RN ONLY the LPN can:
Suction, if so when can they not? suctioning can cause several adverse effects
sterile dressings, not dressing changes but I need to know if "sterile" is included
Can they insert foley catheters? other catheters?
can they instill IV meds? give insulin? give anything else?push meds (this I think not)
Trach care? can they give tube feedings? or change these dressings?
can they help with chest tubes?
I'm sure I'm missing something else?
AGAIN, I don't need to know what LPNs do in each state, just for the NCLEX RN.
I appreciate your help!
LPN can suction a stable patient but on the NCLEX likely not stable so don't pick that.
LPNs can do sterile wound changes and unsterile wound dressing changes. Can't do 1st dressing change after surgery.
Can insert a foley and do straight cath. Can't reinsert a GT or peg. Can't insert NGT. Can't insert suprapubic.
No IV period!
Insulin yes if stable.
Trach care yes if stable.
Tube feeding yes.
Chest tube No!
Can ambulate a pt except when assessment is needed such as first time pt ambulated after surgery.
Pick the most stable patient. Usually it will be giving meds (not IV) ambulating a patient or doing a wound dressing change.
Can do colostomy/ileostomy except sp surgery and needs assessment of stoma.
Can irrigate.
As I suggested in my prev post get the PDA book.
For cna do not assign a patient that needs to be assessed in any way, needs teaching or evaluation. Can feed but not a sp cva being fed first time or having a change in condition that affects swallowing. May calculate intake and output (even with a foley). Can bathe and transfer a pt. Can't do colostomy/ileostomy care. Can't take care of an unstable pt.
kajh20
64 Posts
Can anyone inform me on the general tasks, what I mean by that is what they can do according to the NCLEX. I DONT need to know what everyone does per their state I'M SPECIFICALLY asking for duties they can do in the hospital.
I've been through both the NCSBN/ANA delgation guidelines and they do not address this, only stable patients. But I need to know a range of tasks they can safely perform. Speficially I'm wanting to know if for the NCLEX RN ONLY the LPN can:
Suction, if so when can they not? suctioning can cause several adverse effects
sterile dressings, not dressing changes but I need to know if "sterile" is included
Can they insert foley catheters? other catheters?
can they instill IV meds? give insulin? give anything else?push meds (this I think not)
Trach care? can they give tube feedings? or change these dressings?
can they help with chest tubes?
I'm sure I'm missing something else?
AGAIN, I don't need to know what LPNs do in each state, just for the NCLEX RN.
I appreciate your help!