I work in a small community hospital ICU. We have one per diem LPN assigned in our unit. Sometimes difficult assigning patients because of the limitations of the LPN. Also diffucult for the RN's since they have to be responsible for the LPN's assessments, IVP meds, and co-signing their work. ????is who is responsible if an error occurs on the LPN's assessment. ( The RN also has their own assignment-usually the more critical pts!!!)