In Texas as a LVN the only things I could NOT do is push cardiac medications, spike blood, access or deaccess a port. I could do an intial assessment but a RN had to do the 'Admit Assessment' within 24 hours (so if you got a new pt in the night .. the RN in charge COULD just pass it on that that pt didnt have their 'Admit Assessment' done yet). Blood draws from central line and ports and starting IV's... we did alot... we did have to do the care plans but a RN had to check off and update the care plans every 24 hours. NOW i say that to say ....it isnt that way everywhere....I moved out of Texas and now I am a glorified CNA. With the CNA pay! Now I am in school for RN to get the same pay I was making in Texas as a LVN... to do the (almost) same level of nursing I was doing in Texas!