Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Purpose of the scope OF PRACTICE FOR NURSES
Purpose of the scope OF PRACTICE FOR NURSES
Purpose of the scope OF PRACTICE FOR NURSES
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Purpose of the scope OF PRACTICE FOR NURSES
The acronym LPN stands for Licensed Practical Nurse. What an LPN does varies from state to state. Each state board of nursing regulates what LPN can and can’t do in a state. An
LPN can provide patient care in many different settings such as hospitals, nursing homes, home care, schools and urgent medical clinics. A LPN can also practice many skills under the supervision of a registered nurse. Some of those skills include: administering oral medication, chartings in the medical record of a patient, taking the patients vitals and reporting abnormal to the registered nurse, changing wound dressings, collecting specimens such as blood and urine for lab tests, inserting and caring for urinary catheters, care for ostomies, assisting with
…show more content…
An licensed practical nurse may not irrigate a nephrostomy tube because it involves assessment of the tube, the area of skin and assessment of if the sight looks better or worse. Delegation differs between licensed practical nurses and registered nurses. LPN can delegate to other LPN and nursing assistants but can’t delegate higher to a registered nurse. The
LPN must make sure that the other LPN or nursing assistance has the education, legal authority and competency to perform that skills that were delegated. The tasks that are delegated must fall in the job description can be performed safely. Registered nurses can delegate to other registered nurses, licensed practical nurses, nursing assistants. All the delegation needs to be within the scope of practice. The registered nurse must supervise, monitor and evaluation the skills given.
A licensed practical nurse doesn’t make nursing diagnosis. A nurse uses critical thinking
And nursing judgements to assess patients, make independent nursing decisions and make nursing diagnoses. A registered nurse must be able to determine the signs, symptoms and changes of a patient if they are expected or unexpected and especially emergency
According to the NursingLicensure.org the BLS reports that 29% of LPNs work in nursing care facilities, 15% in hospitals, 12% in doctor’s offices, and 9% in home health. For RNs, hospitals are the most common setting, with 48% in private general hospitals and 6% in local hospitals. Only 5% work in long term care.
In the United States, depending upon the state in which they work, nurse practitioners may or may not be required to practice under the supervision of a physician, frequently referred to as a “collaborative practice agreement”. However, in consideration of the shortage of primary care/internal medicine physicians, many states are eliminating or lessening the restrictive authority which allows and nurse practitioners the ability to function more autonomously (AANP 2015).
I need further development in knowing what the scope of practice of an RPN is because at clinical I am unsure of the difference in roles of the RPN’s that are working on the units compared to the Registered Nurses (RN’s). I feel that knowing and understanding the scope of practice of an RPN is crucial, in order to ensure the safety of the patients, but also to protect your license as a nurse. Also, it is important to understand your role as a nurse to ensure the patients’ needs are being met, and to ensure you stay within your scope of practice while providing care. The CNO’s scope of practice statement is, “The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function” (College of Nurses of Ontario, 2015). The goal I set for myself is, I will learn and understand the scope of practice of an RPN in order to be accountable for all my actions as a future
Delegation as defined by the American Nurses Association (2005) is the ability to handover responsibility for the performance of a duty from one person to ano...
This case study examines a case of an LPN who became ill while about halfway through her shift and chose to go home. This LPN was assigned to care for five patients in an obstetrical ward, four of which were considered stable. The fifth patient was awaiting an obstetrical consultation when the LPN became ill and vomited. At this time, she notified the other nurses and, subsequently, the charge nurse that she needed to leave due to illness. The charge nurse instructed her to notify her supervisor prior to leaving the facility; however, the LPN chose not to do so and went home. Her reasoning in not notifying her supervisor as she was instructed was that she feared that the supervisor would ask her to go to the emergency room for care. The LPN testified that she did not want to pay for an emergency visit and that she intended to make an appointment with her family doctor early that same day. The facility terminated the LPN’s contract and also reported her to the state board of nursing for patient abandonment. As a judgment, the board of nursing suspended here nursing license pending a psychological examination and fined her $1000 for abandoning her patients. In this paper, we will examine the viewpoints of the LPN, the charge nurse, and the nursing supervisor as they relate to the Nurse Practice Act and the board of nursing.
The nurse needs to recognize the limitations of each staff member and learn what assignments are within the scope of their practice and what are tasks that need delegation. Delegation is defined as a complex process that requires clinical judgment and final accountability for patients’ care (Weydt, 2010). An assignment is defined as “giving someone else a task within his/her own practice and is base on job descriptions and policies” (NCSBN, 2005, p. 1). The Board of Registered Nursing (BRN) and the Board of Vocational nursing & Psychiatric Technicians (BVNPT) website, lists what duties the RN and the LVN can legally do and is within their scope of practice, this is called the ‘nurse practice act’. A nurse assistant personnel (NAP) or Unlicensed Assistive personnel (UAP) may perform different tasks depending on the state that they reside in, but most include tasks that are considered activities of daily living (ambulating, hygiene, grooming)(NCSBN, 2005). The LVN can perform tasks that the nursing assistant can do, as well as other tasks which include: medication administration (oral, subcutaneous, intramuscular), simple dressing changes, wound care, suctioning, catheter insertion, drawing blood from a patient, and starting an IV and intravenous fluids. IV and blood draws are dependent on the LVNs certification, competence, and
The comparisons of Licensed Vocational Nurses (LVN) and Registered Nurses (RN) are simply the bases for all nurses. LVNs and RNs protect the patient’s privacy, provide safe environments, and administer medications and treatments. The Texas Administration code (2007) says all nurses will, “accurately and completely report and document: the client’s status including signs and symptoms; nursing care rendered; physician, dentist or podiatrist orders; administration of medications and treatments; client response(s); and contacts with other health care team members concerning significant events regarding client’s status”(D). Nurses are to maintain a professional nurse-client relationship; it is their responsibility to know and recognize what that entails. Nurses are bound by law to provide nursing care without discrimination regardless of age, sex, sexual orientation, ethnicity, nationality, religion, health problems or socioeconomic status. Some other similarities include measures to prevent the spread of infectious pathogens, collaboration with other health care team members and patient, prevent patient harm.
These nurses will work in various health care settings. All of these nurses are having a legal outline to work in. Each kind of nurses has their own scope of practice. This is regulated by the nursing governing bodies. The nurses have to work within their scope of practice to deliver a good service to clients with quality and they are permitted only to work within the scope of practice. The scope of practice for the nurses and how to make the duties within the scope of practice are discussed here.
The licensed practical nurses, or LPN and also called licensed vocational nurses or LVNs, is one of several popular
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Identifying and maintaining the appropriate number of mixed nursing staff, RN/LPN/CNA, is critical to the delivery of quality patient care. Many studies reveal an association between a higher level of experienced RN staffing and lower rates of adverse patient outcomes (“Nurse staffing plans,” 2013). The nurse-patient ratios will in turn improve the nurses working conditions, decreasing the risk of errors to patients.
Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nursed who have received graduate-leveling nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialist when necessary. Some Nurse practitioners work under the supervision of a physician; while others run their own practices.
Certified Nursing Assistants "perform delegated nursing task under the supervision of a licensed practical nurse (LPN) or registered nurse (RN)" (Sorrentuino & Remmert, 2012). Nursing assistants are trained and certified to "provide basic quality of life care" (Botonakis, 2012) which includes assisting patients and residents with activities of daily living(ADL) such as; feeding, grooming, hygiene, housekeeping task, toileting; transporting patients and assisting with mobility. The responsibilities of nursing assistant vary based on state regulations, employment setting and the employer's individual policy and patients' individual needs (NCDHHS, 2013).
The nature of the work is very similar for the C.N.A. and L.P.N. A C.N.A. work includes performing routine tasks under the supervision of nursing staff. They answer call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. Aides also provide skin care to patients, take pulse, temperature, respiration, and blood pressure and help patients get in and out of bed and walk. They also escort patients to operating rooms, exam rooms, keep patient rooms neat, set up equipment, or store and move supplies. Aides observe patient’s physical, mental, and emotional condition and report any change to the R.N. Likewise the L.P.N. provides basic bedside care. They take vital signs such as temperature, blood pressure, restorations, and pulse. They also treat bedsores, prepare and give injections and enemas, apply dressings, apply ice packs and insert catheters. L.P.N.’s observe patients and report adverse reactions to medications or treatments to the R.N. or the doctor. They help patients with bathing, dressing, and personal hygiene, and care for their emotional needs.
There are many themes that present in literature about delegation. American Nurses Association(ANA) defines delegation as the transfer of responsibility for the performance of a task from one person to another. The National Council of State Boards of Nursing(NCBSN) defines delegation as transferring to a competent individual the authority to perform a selected nursing task in a selected situation. I think delegation is a skill that needs to get proficient. Kleinman and Saccomano(2006) state that the nurse must be taught delegation skills, both in academic and clinical settings. The use of unlicensed assisted personnel(UAP) or licensed practical nurse(LPN) is essential in todays health care because of the increased acquity of patients and increased custom-service approach.