Can a nurse read a PPD?
All employees are required under the state law to have annual PPD tests for tuberculosis screening. The RN of the group home administered the PPD tests and read them for the employees. However, there is no doctor's order for the test and no physician or house officer on staff.
What can LPNs not do in NY?
New York law does not allow LPNs to determine nursing diagnoses, develop or change nursing care plans, perform triage, or perform any service that the LPN is not personally competent to perform.
What an LPN Cannot do?
The Licensed Practical Nurse is not permitted to give any type of drug through an IV line (depending on the state). The LPN may flush a peripheral IV line in preparation for the Registered Nurse to give an IV medication, but the LPN cannot actually give it.
What is the scope of practice of a licensed practical nurse?
The LPN may administer drugs, medications, treatments, tests, injections, and inoculations, whether or not the piercing of tissues is involved and whether or not a degree of independent judgment and skill is required under the direction of an authorized health care practitioner or under the direction and supervision of ...
Why do LPNs call themselves nurses?
Without question, LPNs like Becky Rhodes and Sharon Blackmon embody the title of a nurse because they provide incomparable nursing care and convey unparalleled professionalism. Nevertheless, some registered nurses deem that LPNs should not hold the title since they have less clinical training and education.
Can LPN draw blood in New York?
An LPN MAY NOT: - Draw blood from any central venous access device/line.
What are the limitations of an LPN?
Limits to LPN Practice Most state laws specify that an LPN cannot assess, diagnose or evaluate medical care; those functions are reserved for more highly trained RNs and doctors. Some states allow LPNs to administer medication, including initiating an IV drip, under the direct supervision of an RN or doctor.
What Cannot be delegated to LPN?
The licensed nurse cannot delegate any activity that requires clinical reasoning, nursing judgment or critical decision making. The licensed nurse must ultimately make the final decision whether an activity is appropriate to delegate to the delegatee based on the Five Rights of Delegation (NCSBN, 1995, 1996).
Can a LPN flush a PICC line?
(6) It is within the scope of LPN practice to perform peripheral venipuncture (to start IV or draw blood), flush peripheral, PICC and central lines for the purpose of ensuring patency if the following occurs: a. The LPN completes an annual instructional program on the initiation of peripheral IV.
Can LPN complete initial assessment?
Based on the Nurse Practice Act, it may be possible for an LPN to perform partial or full assessment in only specific situations, such as personal care and support services.
Can LPN listen to lung sounds?
An LPN can perform a focused assessment by listening to lung or bowel sounds and report the findings to the RN but a comprehensive assessment is done by the RN.
Can LPN insert NG tube Nclex?
The LPN should be assigned the patient with an NG tube who requires tube feeding and medications. Ultimately, you are matching the level of care required by the patient with the health care team member who can provide that care.
General Information
Non-Patient Specific Orders
- A non-patient specific order authorizes named RNs or RNs who are not individually named but employed or under contract with a legally authorized entity, to administer specified immunization agents or anaphylaxis treatment agents for a specified period of time to an entire group of persons such as school children, employees, patients of a nursing home, etc. Some health care …
Immunizing Agents
- Many of the immunizations listed in the Advisory Committee on Immunization Practices (ACIP) and the Centers for Disease Control and Prevention (CDC) guidelines may now be legally administered in New York State, under non-patient specific orders following specific protocols. The list of authorized immunizing agents differs for adults and children. Adults are persons who …
Administration of Immunizations
- The non-patient specific standing order and protocol must be authorized by a physician or a certified nurse practitioner.
- RNs must maintain or ensure that a copy of the standing order(s) and protocol(s) authorizing them to administer immunizations is maintained.
- All RNs immunizing children in accordance with non-patient specific standing orders and pro…
- The non-patient specific standing order and protocol must be authorized by a physician or a certified nurse practitioner.
- RNs must maintain or ensure that a copy of the standing order(s) and protocol(s) authorizing them to administer immunizations is maintained.
- All RNs immunizing children in accordance with non-patient specific standing orders and protocols must be employed by, or act as an agent of, the Visiting Nurses Association or an equivalent organi...
- An LPN can assist in administering immunizations (give the injection, assist in recordkeeping, and when appropriate, administer anaphylactic agents) as long as the RN assesses the recipient, and is...
Epidemics
- Any RN may administer any immunizing agent that is authorized by a non-patient specific standing order and protocol as part of an immunization program authorized, maintained or under the auspices of the State Commissioner of Health, a county commissioner of health, or a county public health director when the immunization program is instituted as a result of an epidemic de…
CPR
- All RNs involved in the administration of immunizing agents in accordance with a non-patient specific standing order and protocol must be currently certified in CPR by the American Red Cross, American Heart Association or an equivalent organization acceptable to the State Education Department. Staff development or inservice departments that train individuals in CPR …
Protocol Requirements
- Ensure that the potential recipient is assessed for contraindications to immunizations;
- Inform each potential immunization recipient of the potential side effects and adverse reactions, orally and in writing, prior to immunization and inform each potential immunization recipient, in w...
- Obtain consent for the immunization from the potential recipient, or from a person legally res…
- Ensure that the potential recipient is assessed for contraindications to immunizations;
- Inform each potential immunization recipient of the potential side effects and adverse reactions, orally and in writing, prior to immunization and inform each potential immunization recipient, in w...
- Obtain consent for the immunization from the potential recipient, or from a person legally responsible in the case of a minor or otherwise incapable person, before the immunization is administered.
- In cases of minors and persons incapable of personally consenting to immunization, consent may be gained by informing the legally responsible person of the potential side effects and adverse reacti...
Anaphylaxis Administration Requirements
- Non-patient specific standing orders and protocols must be authorized by a physician or a certified nurse practitioner.
- RNs must maintain or ensure the maintenance of a copy of the standing order(s) and protocol(s) authorizing them to administer anaphylactic treatment agents.
Anaphylaxis Protocol
- Ensure that a record is kept of all persons who received epinephrine and/or other agents to treat anaphylaxis including, but not limited to: the non-patient specific standing order and protocol uti...
- Arrange for appropriate follow up by contacting the local emergency medical services system (EMS) following administration of anaphylactic treatment agent(s), or ensure that equivalent …
- Ensure that a record is kept of all persons who received epinephrine and/or other agents to treat anaphylaxis including, but not limited to: the non-patient specific standing order and protocol uti...
- Arrange for appropriate follow up by contacting the local emergency medical services system (EMS) following administration of anaphylactic treatment agent(s), or ensure that equivalent follow up is...
- Report noted information regarding administration of agents to treat anaphylaxis to the recipient's primary care practitioner/provider, unless unable to obtain this information from the patient.
- An RN may assign the actual injection of the anaphylactic treatment agent to an LPN.
PPD Protocol
- The RN shall ensure that each potential recipient is assessed for untoward conditions that would preclude purified protein derivative (PPD) mantoux skin testing and that the patient's exclusion fro...
- Ensure that a patient's refusal to be tested is documented.
- Ensure that a record is kept of all persons who received the PPD including, but not limited to: …
- The RN shall ensure that each potential recipient is assessed for untoward conditions that would preclude purified protein derivative (PPD) mantoux skin testing and that the patient's exclusion fro...
- Ensure that a patient's refusal to be tested is documented.
- Ensure that a record is kept of all persons who received the PPD including, but not limited to: the non-patient specific standing order and protocol utilized, the recipients name, date, address of...
- The RN shall be responsible for having an appropriate non-patient specific order for anaphylactic agents, the agents and syringes and needles available at the PPD testing site except in an emergency.