Licensed Practical Nurse (LPN) Role and Scope Course

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1 Licensed Practical Nurse (LPN) Rle and Scpe Curse LPN Rle and Scpe 7/11/2014 1

2 Intrductin This mdule was develped t implement the educatinal prvisins in R , which requires candidates wh are graduates frm a registered nursing prgram and want that t btain a practical nurse license t cmplete a Bard prescribed rle delineatin curse. This mdule and the accmpanying learning activities will prvide the needed rle delineatin educatin required The curse is als available fr any member f the public t access t learn mre abut licensed practical nurses, their rle and scpe LPN Rle and Scpe 7/11/2014 2

3 Instructins fr Curse Cmpletin T accmplish the bjectives f this mdule, all the required materials must be read including. This presentatin The Nurse Practice Act Definitin f Licensed Practical Nurse Rules f the Bard pertaining t Standards f LPN Practice Practical Nursing level Advisry Opinins All materials are either hyperlinked in this presentatin r available n ur website: LPN Rle and Scpe 7/11/2014 3

4 Testing Upn cmpletin f the mdule, candidates wh are required t cmplete this educatin fr licensure will need t take and pass an exam. T access the exam cntact the Educatin Prgram Administrative Assistant Lyn Ledbetter The exam may be taken by appintment, in the Bard ffices (4747 N 7 th Street, Ste. 200, Phenix, AZ) r Bard staff can arrange t send the exam t a designated prctr. LPN Rle and Scpe 7/11/2014 4

5 Curse Objectives Discuss the rle and practice f the licensed practical nurse Differentiate between the rle f the Registered Nurse (RN) and the LPN in the nursing prcess Lcate the dcuments that define the scpe f practice fr the practical nurse n the State Bard website. Define what Advisry Opinins (AO) are and hw they are used in Arizna Describe elements f specific Advisry Opinins that clarify scpe f practice fr the LPN LPN Rle and Scpe 7/11/2014 5

6 What is an LPN Graduate f a Bard apprved nursing schl r prgram Bears full respnsibility fr the quality f health care she/he prvides Practices under ARS (12) see Nurse Practice Act and R see Rules f the Bard LPN Rle and Scpe 7/11/2014 6

7 General Scpe f Practice Operates under the supervisin f an RN r physician Participates in the nursing prcess, but des nt take the leading rle. N nursing diagnsis Participates in patient teaching with an established RN-prepared teaching plan r t reinfrce RN r physician teaching. Delegates t unlicensed assistive persnnel (UAP) as apprpriate Fllws established medical regimen and bserves therapeutic respnse LPN Rle and Scpe 7/11/2014 7

8 LPN Scpe Mdel LPNs are taught t differentiate nrmal frm abnrmal and t identify changes in patient cnditins t be reprted t RN r Physician fr further cmprehensive assessment Maintaining Safe & Activities Perfrmed Under Supervisin RN r Physician Cntributing t Assessment Participating in Develpment Strategy f Care Effective Nursing Care Delegating Activities Within Scpe f Practice Implementing Strategy f Care LPN Rle and Scpe 7/11/2014 8

9 Scpe and Setting Law determines scpe, nt setting Sme settings may restrict scpe N setting may expand scpe Knw the plicies and guidelines f YOUR facility! LPN Rle and Scpe 7/11/2014 9

10 Assessment The LPN rle is data cllectin and cntributing t the assessment Gathering and recrding assessment data Recgnizing client characteristics that may affect client health status Recgnizing variatins frm baseline Reprting signs/symptms and changes in cnditin t RN/physician RN is respnsible fr the cmprehensive assessment LPN Rle and Scpe 7/11/

11 Planning The Licensed Practical Nurse cntributes t the develpment f the care plan Planning care fr patients wh are stable r predictable Observing patient needs and cncerns Assisting RN/physician in identifying prblems/needs and gals Determining pririties f care in cllabratin with RN/physician LPN Rle and Scpe 7/11/

12 Implementatin Fllws RN/physician rders Seeks clarificatin f rders when needed Administers treatments, meds and prcedures Attends t client and family cncerns r request Prvides health infrmatin as directed by RN/physician r accrding t an established teaching plan Maintains safe client envirnment Cmmunicates relevant infrmatin t team members Dcuments all care LPN Rle and Scpe 7/11/

13 Evaluatin The Licensed Practical Nurse cntributes t the evaluatin phase Gather, bserve, recrd, and reprt patient respnses t nursing interventins. Mdify plan f care in cllabratin with RN based n client respnse. LPN Rle and Scpe 7/11/

14 Delegatin A LPN can delegate nursing activities t Unlicensed Assistive Persnnel (UAP) Assign nursing care t ther LPNs A LPN may nt delegate r assign nursing activities t RNs The LPN must fllw the delegatin guidelines as pertaining t task, supervisin, training, cmmunicatins, and client status LPN Rle and Scpe 7/11/

15 Delegatin Guidelines UAP has the educatin, legal authrity, and demnstrated cmpetency t perfrm the delegated task; Tasks delegated are cnsistent with the UAP's jb descriptin and can be safely perfrmed accrding t clear, exact, and unchanging directins; Results f the task are reasnably predictable; Task des nt require assessment, interpretatin, r independent decisin making during its perfrmance r at cmpletin; LPN Rle and Scpe 7/11/

16 Delegatin Guidelines The client and circumstances f the delegatin pses minimal risk t the client and the cnsequences f perfrming the task imprperly are nt life-threatening; LPN prvides clear directins and guidelines regarding the delegated task r, fr rutine tasks n stable clients, verifies that the UAP fllws each written facility plicy r prcedure when perfrming the delegated task; LPN Rle and Scpe 7/11/

17 Advisry Opinins An advisry pinin (AO) is an interpretatin by the Bard f what the law requires. While an AO is nt law, it is mre than a recmmendatin. An AO is the fficial pinin f the Arizna Bard f Nursing regarding the practice f nursing as it relates t a specific standard f care. AOs are available n the Bard f Nursing website at under the resurces tab LPN Rle and Scpe 7/11/

18 Specific items There are a few specific AOs that pertain t rutine patient care fr the LPN. Read the fllwing AOs befre taking quiz. Intravenus Infusin Therapy/venipuncture: The Rle f the Licensed Practical Nurse Peripherally Inserted Central Catheter(PICC) Insertin, Suturing, Maintenance, Remval & Verificatin f Tip Placement Wund Care: Rle f the LPN Orders: Accepting, Transcribing, Reviewing Orders Ventilatr Care By LPN s Take the time t read all PN level AOs! LPN Rle and Scpe 7/11/

19 Cmparisn f LPN and RN scpe Fr a cmparisn f RN and LPN scpe and rle please access the fllwing 2 dcuments and R and R AZBN Cmpetency Mdel Cmparisn f RN and LPN Standards Related t Scpe LPN Rle and Scpe 7/11/

20 Cmmn Examples Outside Yur Scpe Prescribing Intravenus (IV) fluids, medicatin, xygen withut an rder Perfrming the actin and getting the rder later faulty habit Carrying ut activities that are usually reserved fr a higher level f prvider Practicing utside yur facility s plicy ATTITUDE I am better than peers/can d mre/n ne will find ut LPN Rle and Scpe 7/11/

21 Rules t Remember If yu didn t learn it in nursing schl r frmal pst licensure educatin dn t d it If yu are nt familiar with the prcedure dn t d it If yu are cnsidering ding it because f peer/patient/family pressure dn t d it If it is nt in yur facility s plicy manual, dn t d it LPN Rle and Scpe 7/11/

22 Summary If yu have been paying attentin t these slides and cmpleted the suggested reading, yu shuld be able t answer the fllwing discussin questins? What standards the same fr bth RNs and LPNs? What is different in their scpe and standards f practice? What is the LPN rle in infusin therapy? Under what circumstances can an LPN take a telephne rder? What are the respnsibilities f the LPN in delegatin? What is the rle f the LPN in wund care? What are the differences in educatin between an RN and LPN? LPN Rle and Scpe 7/11/

23 The End This is the end f the presentatin If yu need t take the exam, please refer t the instructins in Slide 4 LPN Rle and Scpe 7/11/

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