theleaf

That's what I initially thought, however after meeting today with the RN in charge I was informed I was to be setting up and administering the TPN. After starting the infusion and assessing for a few minutes, I was to finish my documentation and leave the patient. I also had some apprehension because I would be hanging the TPN, but not monitoring for the entire infusion.

Checked both my basic nursing and med-surg nursing books, they both briefly (a few paragraphs) give an overview of what PN/TPN is. The basic nursing book gives no instruction on administering, as it does with other procedures such as inserting NG tube, checking tube placement, etc. Then again I wouldn't really expect it to be in a basic nursing book :/

Well, apparently they don't have any nurse educators working on thursdays or fridays, so I'm out of luck there :/

Thank you. Currently on hold with the CABRN.

Also, what would I ask the CABRN? Not really sure since it's an LVN scope of practice question.

I contacted the CABVNPT but I won't get a reply until Tuesday. I found a sheet from the California Vocational Nurse Educators (updated 2010) and it says infusing tpn or other fluids, blood withdrawal throught central line is not within LVN scope of practice. So it looks like a no. I spoke with the RN from the home health agency and she said another nurse told her as long as I was IV certified and had training with her I was fine to do it. I'm confused and don't want anything to happen to my license.

Any admin able to help answer? I called the board and they won't get back to me until next week, but I start training tonight. Former classmates that I asked tell me working with a central line is a nono, which is what I thought. But I can't find anything in the NPA that specifies about TPN/central lines.

Do you know what kind of 'set up' that would need to be done the night before?

Hello, I'm an CA LVN and today have been offered a case position with a home health agency. From what I understand, my job will be to arrive at the client's house at 10pm and set up the TPN. I was informed that all I had to do was set up the TPN so it is ready for the RN in the morning. I was told I would be done in about an hour or less. I'm supposed to start tomorrow night for training. Does this sound appropriate for me to do? The lady I was talking to (not a nurse) mentioned about the central line, which is something I thought LVNs weren't allowed to touch. Also, what kind of set up would be involved that couldn't easily be done by the RN in the morning? I'm currently looking through the NPA but I thought it can't help to ask here!

Thank you both for your advice. Now that I think about it, I've seen quite a few nurses come and go during my time in LTC, so I guess being fired is a pretty common occurrence in this area. Which isn't too appealing a thought That would be great if it was illegal to ask if one has ever been fired, I feel that admitting that is such a hindrance when looking for a job. Thank you both again

In the later part of last year I was terminated from my first LVN job. It was a per diem day shift float position and honestly was a lot for me to handle. The whole situation really brings me down whenever I think about it. It made me rethink whether I want to continue being an LVN or just give up and start at the bottom. After a lot of thinking, I think it's best if I give it at least another shot, so I've been applying to various LVN position near my area. So far I've only heard back from one place, just today in fact. I had to explain why I was terminated to the DON and, surprisingly, she invited me to go meet with her tomorrow morning. I'm pretty nervous, not only because it will be my first interview (if you can call it that) in a long time, but for the position in question. It is a per diem position covering all shifts. I really only want to work night shift, but at this point I really need some income coming in and this is the only place that is giving me a chance to talk to them. Any tips/advice/words of wisdom? Also, is it necessary to have naked fingernails to go in and talk? They aren't crazy colors (pink with white tips) but I'd like some input. Thank you very much in advance, I appreciate your time :)

I know exactly how you feel. I was fired last year, and every application I fill out always asks if I have been previously terminated. I either put "let go during probationary period" or, more recently, "job ended." I've only been called back once (today in fact!) and the DON asked why I wasn't still working at the place I was terminated at. I answered her questions with simple straight-forward answers, I didn't want to sound like I was over explaining. She invited me to meet with her tomorrow so I guess the way I handled it was satisfactory for her. Good luck with finding another job, I completely understand wanting to give up on nursing, I felt exactly the same way, for months. It really is terrible feeling like you made such a mistake by going to nursing school (and actually really enjoying it). And the job hunt is tough, at least in my own experience, although I know quite a few of my former classmates are also looking for jobs and having a tough time. I wish you the best of luck.

Honestly, I feel relieved. I'm going to miss the income though, and it's going to suck working just as a CNA, not to mention looking for another job and explaining why I was fired.

I'd feel so lucky to be in your shoes. I'm still looking for my first job. Be happy that they're talking to you like you're hired. Just my 2¢

Thank you everyone for your words. I guess I should be happy I have a seasonal job through Mollen (although I have no idea how that will work out for me). It's just that by now, I thought I would have a F/T job. I will try reconnecting with some old class mates again and see where that gets me. Oh yeah, just got turned down for another position yesterday. Seems everyone wants that elusive 1 year experience... Also, is there an area on this site where someone is willing to give me some pointers on my resume? The worker from Alliance Worknet said it looked great, but something isn't working. Also, I've had one, interview, if you can even call it an interview, it was sad. Seems like no one is hiring wherever I look.