New LPN with BIG concern over TN scope of practice re: IV Push

U.S.A. Tennessee

Published

Hi, all. I've been working as an LPN for less than 3 weeks now. I started training on the med cart this weekend and part of my training was pushing meds such as phenegran and nubain. All the LPN's in my hospital do it, so I accepted it as a normal part of my training. But today I was looking at the TN BON website and stumbled onto the board's amended policy regarding LPN's and IV therapy. Basically, it states that the LPN must have a minimum of 3 years experience or 2 years experience with completion of a formal IV training program at their facility in order to administer IV push medications. I have neither as I have been a LPN only since the 13th of this month and IV therapy is not included in the curriculum in TN LPN schools! I guess one of my questions would be: are any of you LPN's pushing IV meds without meeting the above conditions? Also, I did sign off on meds I pushed while training this weekend...is my tail end going to end up in the frying pan for this? And if this is standard policy at my facility, even though it is outside my scope of practice, what should I do? Am I interpreting "IV push" correctly when I assume it refers to any medication installed into the vein via the IV port? I'm really confused and concerned on how to address this with my new employer. All suggestions are appreciated.

Specializes in ER.

There are lots of meds LPNs can push. I push pain meds, antiemetics, etc. everyday. My original post was several years ago. Since then, my facility instituted a IVP class. As LPNs you can't push thrombolytics, cardiac meds, chemotherapy, experimental drugs, etc. I can't remember exactly what the BONs statement says, but that's most of the drugs we can't push. We can't push IV meds on an adult weighing less than 90 pounds or on peds patients. Of course we can't do anything with blood products either. This is just my interpretation so you really need to check the TN BON to be certain. Just thought I'd share what I can recall with you.

Thank you so much. :yeah: Now to choose one from each of those categories to do drug cards... :crying2:

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