So exams are here and ive got a couple questions can anybody help me answer them ?!

[Rebeccaanngrace]

Hmm first question when there is a med error what is the lpn supposed to do, also what is the lpn medication role in a long term care setting and an acute care setting.

[msygrnbw]

These both look like things you could look up on google.

But I will answer at least part of it, when you make any error, what would you do? First and foremost - How can you help the patient? Is it a mistake that puts them at risk of anything you need to immediately intervene about? If not, what are you watching for as an adverse reaction depending on the mistake? Your responsibility is to the patient, so any important interventions to make sure they are ok.

Then, notify the physician - are there any orders you may need going from here forward based on the mistake? You need to make a note at least acknowledging that the pt got the medication/treatment/whatever mistake was made. For litigation purposes you do not necessarily have to say "Pt XYZ got medication ABC 50mg in error" you can just state what was done or given and further orders from the doctor. Nursing notes do not need judgments/opinions.

After that, you carry out the orders given, consult your facility's policies and procedure as how to handle disclosure to the patient. My facility promotes transparency to our patients, but that doesn't mean that you cannot consult your charge nurse, risk management, the doctor, about how you're going to talk to the pt about the error, depending on the severity of it. It may or may not be appropriate to immediately tell them on your own, as they may have questions for the doctor, etc that could be better answered/in a less anxiety inducing situation with people to help you answer it. After that, you continue to implement orders, monitor the patient, and if your facility has an error reporting system to help decrease facility defects, you would complete that incident report or whatnot.

As far as LPN duties/responsibilities it depends on the state. You should look up your BON's nurse practice act, or related healthcare law if your state does not have a nurse practice act. If you're looking for additional information, I suggest google or browsing through forums here, there are a number of posts about duties and responsibilities.