Hi, I have been a LPN for about 15 years in two states (MA/NH) and have worked Med/Surg, LTC and out patient ambulatory. On my Med/Surg floor I could hang blood, load & operate PCA pumps, start/maintain IV lines push most IV medications, daily dressing changes, wound care, caths, EKGs, bladder scans and more. The biggest difference we found on the floor was I could take, write and carry out the verbal order however I could not sign off the order in the chart (paper chart days) I could not be change nurse, but having an RN charge nurse allowed me to take admissions, and complete head to toe assessments. It the LTC setting I could be charge nurse/supervisor, maintain and pull PICC lines, take,write, carry out and sign verbal orders, administer medications scheduled and PRN and complete head to toe assessments just no blood products because not something LTC usually does. Now as an ambulatory care nurse I can triage both in person and on the phone, along with the other things mentioned. I did need to take extra classes, get certified in the IV, blood products and triage.