Hello, I am an LPN from the province of Quebec. however, here in Quebec we call LPNs` Registered nursing assistants(RNA), kinda of weird name. I don`t know how it is in the USA, or the rest of Canada, here in Quebec the RNs`pretty much dominate nursing care. Especially, when it comes to making a nursing assesments. RNAs`or Lpns`s (whatever you want to use) in Quebec, can only implement the Nursing care plan. Everything else is done by the RN. For example if a patient complains of a headache, before giving a tylenol from a standing order, an RN has to asses a patient. If a patient is complaining of a cough, and soar throat, again the RN has to asses. Any small changes in the patient`s status, the RN must be notified, and asses the situation. I think it is stupid. The adminstrators of our professional order(LPN board, known as the OIIAQ), do not have the courage enough to argue this point with the professional order of the Registared Nurses in Quebec. My question, is it the same practice elsewhere? Do RNs` have to asses everything before and LPN can use an intervention.