Alt0712

Ok that's what I thought, they said it was a legal issue? I could see that if I was practicing as a LPN and not following the role given to me as a RN student but I haven't by any means. I make sure I have supervision (that's what they want us to do) for everything...like even get a blood sugar or sometimes empty urine...so I'm just very careful to stress I am a RN student not a LPN in this setting.

So I'm curious to know the opinions of others. I am a LPN going through RN clinicals currently. I have been to this facility before and people know me and have asked me how I'm doing etc, they know I am a LPN. And the nurses I get paired with and patients I interact with can tell I have been working comfortable with patients for a while...so they find out I'm a LPN. I never go outside of my scope as a RN student or act like oh I'm a LPN I don't need to do this or I can't learn something new...but a patient didn't want me to do something with her because she saw my uniform. I said ok that is fine, im more than happy to watch if that is ok and she she agreed. With mild manner chit chat in the room amongst the nurse, patient and myself they began to ask me my work history and if I've given injections before, etc. So I said yes I have at my old job and the patient asked if I was a medical assistant and I said no so she asked what I did and I was honest and said LPN. So immediately she wanted me to do the injection again..haha. I told her I do not have to give it, I am a nursing student while I am here not a LPN. But she insisted. I told this to my instructor and she said that I was not allowed to even tell them I have a LPN or the staff that I am....now I understand I can't use my LPN role and do things I'm not supposed to do as a student and I don't. I also carry a higher liability insurance than a normal student so it really shouldn't be a liability concern as much as it would be for a traditional student...I'm basically asking, am I wrong to be honest and tell people my title even though I am only acting and doing things permitted for me to do as a student??

I guess that could be an option. He didn't sound "junky" like in his throat like he does sometimes but that doesn't really mean that that isn't what I was hearing because if this makes any sense I can still hear clear airflow, the hollow sound that they talk about..I just needed some other ideas of what I could be hearing. I didn't think it was a respiratory concern mainly because all of his vitals were great and no extra effort to breathe....I have noticed a similar sound to this before with him but normally he is extra junky that day and coughing a bunch of phlegm up too so I didn't even think about it today...thanks for your input!

I'm hoping someone can help me. I am a new LPN assessing the lung sounds of my patient. 12yrs old cerebral palsy but no current respiratory problems, has chest vest twice day therapy done and aside from the occasional rhonchi that is cleared when he coughs he is normally clear. No URI currently or sicknesses. Today when I auscultated his lung sounds I immmediatley heard bubbling sounds so you would assume crackles but he wasn't breathing at the time...sometimes he just takes a sec or two for him to take another good breath, no respiratory distress at all. O2 100% and HR 80 RR 12...any suggestions? HR rhythm normal no s/s of pericardial rub.