Scope of practice for LPN

[cmegaf]

Can anyone tell me if a LPN can administer TPN in the home? Does it depend on the state? Where can I find the LPN scope of practice for New Mexico? I already checked the state nursing board web site and could not find any detailed information.

[cfno8fan]

I dont know about mexico, but you can not hang tpn in MS. You should be able to ask the pharmacist of your local hospital about what you would be able to hang. They are usually very helpful in helping you out with these things. In MS we are not allowed to do IV's without an RN on the premises. If your not sure about what to do, the best thing for you is not to do it until you know for sure. Dont mess your license up for anyone. You worked too hard for them.

[suzanne4, RN]

Each state can set their own rules. You msy not find TPN listed, but see about hanging IV fluids thru a central line. A central line is required for TPN. And in many states, an LPN is not able to hand fludis thru these. That si what you should look for.

[NRSKarenRN, BSN, RN]

part 2 nurse licensure

i. standards for licensed practical nursing practice. licensed practical nurses practice in accordance with the definition of licensed practical nursing in the npa [61-3-3, g. nmsa 1978].

(1) lpns may assume specific functions and/or perform specific procedures which are beyond basic preparation for licensed practical nursing [61-3-3, g. nmsa 1978] provided the knowledge and skills required to perform the function and/or procedure emanates from the recognized body of knowledge and/or practice of nursing, and the functions or procedure is not prohibited by any law or statute. lpns who perform procedures which are beyond basic preparation for practical nursing must only perform these procedures under the supervision/direction of a rn.

(2) lpns may perform intravenous therapy, including initiation of iv therapy, administration of intravenous fluids and medications, and may administer medications via the intraperitoneal route provided the lpn has the knowledge and skills to perform iv therapy safely and properly.

(3) when assuming specific functions and/or performing specific procedures which are beyond the lpn's basic educational preparation, the lpn is responsible for obtaining the appropriate knowledge, skills and supervision to assure he/she can perform the function/procedure safely and competently.

j. educational program criteria. educational programs preparing either rns or lpns to perform specific functions and/or procedures that are beyond basic educational preparations should:

(1) prepare the nurse to safely and properly perform the function and/or procedures;

(2) prepare the nurse to recognize and respond to any complication(s) which may result from the procedure, and;

(3) verify the nurse's knowledge and the ability to perform the specific functions and/or procedures.

http://www.state.nm.us/clients/nursing/pdf/nmacpart2.pdf