NCLEX Review: Leadership and Management: Licensed Practical Nurse (LPN)
Licensed Practical Nurse (LPN)
A Licensed Practical Nurse (LPN) has almost all of the capacity of a Nurse such as AUSCULTATE/LISTEN, CHECK(S), REINFORCE/REMIND, ADMINISTER (PO,SUBQ,IM — NO HIGH ALERT MEDS, PLASMA, BLOOD PRODUCTS), OBSERVE-COLLECT (DATA, SPECIMENS) i MONITOR- SET UP (BASIC EQUIPMENT). They are also able to REVIEW/TEACH– USUALLY STANDARD PRACTICES (HAND WASHING/HYGIENE) OR MED ADMINISTRATION (IE. EYE DROPS) . RN MOSTLY TEACHES (IF ANYONE ELSE HAS EXAMPLE OF INSTANCES WHEN LVN/LPN TEACH THAT WOULD BE GREAT- ROUTINE/STANDARD. WOUND CARE/SUCTION/URINARY CATH** DON’T ASSIGN LVN/LPN TO DO A TASK AN NURSE ASSISTANT CAN COMPLETE**
LVN/LPN
- Auscultate/Listen
- Check(s)-
- Reinforce/remind
- Administer (PO,SubQ,IM — NO high alert meds, plasma, blood products)
- Observe-
- Collect (data, specimens)-
- Monitor- Set up (basic equipment)-
- Review/Teach– Usually standard practices (hand washing/hygiene) or med administration (ie. eye drops) —
- RN mostly teaches (if anyone else has example of instances when LVN/LPN teach that would be great- Routine/Standard-
- Wound care/Suction/Urinary Cath** Don’t assign LVN/LPN to do a task an nurse assistant can complete**
AVOID THESE ASSIGNMENTS FOR NEW/FLOAT/LVN/LPN/TRAVELING
- NEW ONSET/SUDDEN/ACUTE-
- NEW ADMISSION-
- TRANSFER-
- NEWLY DIAGNOSED-
- DISCHARGE-
- REQUIRE EDUCATION/TEACHING (BEYOND BASIC SKILLS — TEND TO BE COMPLEX AND SPECIFIC TO PATIENTS ON THAT PARTICULAR UNIT)-
- UNSTABLE (IE. HIGH RISK OF SUDDEN RESPIRATORY FAILURE, OR REQUIRES FREQUENT ASSESSMENTS AND CHANGES IN THERAPY)
GIVE
- CHRONIC-
- ROUTINE MEDS/PROCEDURES-
- STABLE
ALL HEALTHCARE WORKERS
- RESPONSIBLE FOR KNOWING ABOUT AND IMPLEMENTING STANDARD PRECAUTIONS + AIRBORNE/DROPLET/CONTACT –> THEREFORE ALL CAN TEACH ABOUT IT OR PREPARE A ROOM FOR IT
Prioritization of client care assignments is important to know for the NCLEX.
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Ellen Payne
said
I’m taking my LPN today actually… I was told we do the exact same job as a RN the only difference is we can not hang blood – but we can maintain it once its hung. I’m in Georgia so it may be different for each state. Our program actually taught us on an RN level and we used the same text books as the RN programs…We were taught how to start IV’s and administer meds of all kinds – I’m not sure what we can’t do.
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Ellen Payne
said
We were taught ADPIE too
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Ellen Payne
said
And I’m not sure wound care should be given to an unlicensed personnel because don’t you have to assess the wound? Also suctioning and urinary cath. are invasive and I don’t think those would be given either.