Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Scope of Practice, LPN

I am working at an outpatient substance abuse clinic in the State of Maryland. I am an LPN and work with an RN and a part-time MD. I generally answer to the RN, and we both answer directly to the MD.

For various reasons, my employer is asking if I can work independently, without an RN, and answering only to the MD. In other words, there will be no RN onsite, and three days a week, I would be practicing alone, under the supervision of an off-site MD.

Is this within my scope of practice? When I worked in AZ, I believe, I always had to work under the supervision of an RN.

Thanks in advance. I tried asking this question to the Board of Nursing, and do not get an answer.

  • Quote

    • Featured Replies

    In most states, an LPN works under the supervision of an RN and OR a licensed practiconer like an NP, PA, MD, DO, and dentist. I couldn't find much on the Maryland board of nursing regarding LPN scope, just RN scope :( .With that said, an LPN can legally "assess" in Maryland. In most states, an LPN, depending on the setting, doesn't need to have "direct" supervision with someone physically present. The fact that someone is available by phone, such as an RN/MD etc, will usually suffice, again setting dependent/acuity levels. I think in your setting, you needn't have an RN or MD physically present, just available should you need support. I've worked in a methodone clinic, where we were all LPNs, working underneath "supervision" of our medical director who was available by phone, and came in once a week.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.