Policies & Procedures. I.D. Number: 1071
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1 Policie & Procedure Tile: Licened Pracical Nure (LPN ) ADDED SKILLS (Aigned Funcion) Auhorizaion: [x] SHR Nuring Pracice Commiee I.D. Number: 1071 Source: Nuring Dae Revied: Sepember 2004 Dae Effecive: March 1998 Dae Reaffirmed: March 2015 Scope: SHR Acue and Long Term Care Any PRINTED verion of hi documen i only accurae up o he dae of prining 22-Dec-15. Sakaoon Healh Region (SHR) canno guaranee he currency or accuracy of any prined policy. Alway refer o he Policie and Procedure ie for he mo curren verion of documen in effec. SHR accep no reponibiliy for ue of hi maerial by any peron or organizaion no aociaed wih SHR. No par of hi documen may be reproduced in any form for publicaion wihou permiion of SHR. 1. PURPOSE 1.1 To enure afe clien care. 2. POLICY 2.1 Definiion LPN Added Skill are procedure which are ouide he uual cope of LPN pracice, bu which may be performed by pecific LPN in he inere of clien care. Added Skill i he Sakaoon Healh Region erminology ued o refer o Aigned Funcion a defined by he Sakachewan Aociaion of Licened Pracical Nure (SALPN). 2.2 Philoophy Saemen Sakaoon Healh Region (SHR) acknowledge and uppor he concep ha change in pracice may require LPN o ake on Added Skill. Thee change mu occur wihin guideline which enure afe clien care wihin recognized LPN pracice andard Individual LPN hould no perform any procedure for which hey do no feel compeen Cerified LPN will independenly perform Added Skill procedure only for paien whoe oucome are predicable wih no crie anicipaed, and whoe curren condiion doe no require an advanced level of knowledge. 2.3 The Manager reain accounabiliy for he deciion o idenify Added Skill for he pracice area. Change in Added Skill for acue care pracice area mu be approved by he Tri- Hopial Acue Care Nuring Pracice Commiee. (Appendix A) 2.4 The Manager or deignae mainain a cerificaion/recerificaion record for each LPN. (Appendix C) Page 1 of 7
2 Policie & Procedure: Licened Pracical Nure (LPN) ADDED SKILLS (Aigned Funcion) I.D # The LPN reain accounabiliy for he deciion o perform a paricular kill in he care of an individual clien. 2.6 The LPN reain accounabiliy for he compeen performance of he Added Skill. 2.7 A curren li of all LPN Added Skill hall be mainained and reviewed by Nuring Affair on a regular bai and a needed o include new kill. (Appendix B) 2.8 In order o enure he afey of he clien, LPN uden may no perform Added Skill. 3. PROCEDURE 3.1 Crieria for Idenifying Added Skill: Nuring Affair mu idenify ha each Added Skill i reaonable, appropriae and conien wih LPN pracice in Sakachewan, a defined by SALPN There mu be opporuniy in he pracice area for he LPN o perform he procedure ofen enough o enure compeence and he proviion of afe clien care A wrien procedure mu decribe each Added Skill An educaional program of heory and pracice mu be provided for each procedure idenified for he pracice area. Thi cerificaion program hould include: Relevan heory Supervied clinical pracice, and A mehod of eing compeence If he Added Skill i no performed on an on-going bai, a recerificaion program mu be provided annually Each LPN ha he reponibiliy o eek recerificaion a needed for Added Skill There i proviion for evaluaion of he policy and educaional program by Nuring Affair. 3.2 Crieria for Performing LPN Added Skill The LPN mu feel compeen o perform he procedure a he ime he care i required Specific clien condiion hould be preen for an individual, cerified LPN o independenly perform an Added Skill: Clien oucome of care are predicable wih no crie anicipaed An advanced level of knowledge i no required "Where an advanced level of knowledge i required, he Licened Pracical Nure work in parnerhip wih oher healh care profeional a an inerdependen member of he eam." SALPN Scope of Pracice April 2004 Page 2 of 7
3 Policie & Procedure: Licened Pracical Nure (LPN) ADDED SKILLS (Aigned Funcion) I.D # Porabiliy 4. REFERENCES Individual cerificaion for an Added Skill i ranferable among SHR Sakaoon ie a long a he procedure ha been idenified a an Added Skill in he LPN' new pracice area. CUPE (2003). Repor on he Uilizaion of Licened Pracical Nure in Sakachewan, Sepember Regina: Auhor. Herman, Tanny, SALPN Pracice Advior. Peronal communicaion May & June RPNAS, SALPN and SRNA (2000). Nuring in Collaboraive Environmen. Regina: Auhor. SALPN. (June 24, 2004). Poiion aemen: Aignmen of Funcion [On-line]. Available: SALPN. (June 24, 2004). Scope of Pracice. [On-line]. Available: Sakaoon Diric Healh LPN Compeencie Survey, July SIAST (June 2003). SIAST Nuring Diviion Pracical Nuring Pychomoor Skill Record. Regina: Auhor. SRNA (2004). Pracice of Nuring: RN Aignmen & Delegaion. Regina: Auhor. Page 3 of 7
4 Policie & Procedure: Licened Pracical Nure (LPN) ADDED SKILLS (Aigned Funcion) I.D # 1071 SHR Nuring Pracice Commiee Special Nuring Procedure/Added Skill Change in Targeing Reque Appendix A Ue hi Reque form for addiion or deleion of RN Special Nuring Procedure or LPN Added Skill for addiion or deleion on a Nuring Uni/Program. Pleae complee he form and ubmi o he SHR Nuring Pracice Commiee c/o RUH Nuring Office. Agenda iem mu be received 3 week prior o he meeing dae. Conac RUH Nuring Office for meeing dae. 1. Wha i he name of he policy for which argeing i o be changed 2. I hi a RN-SNP or LPN Added Skill 3. Reque for addiion or deleion on (name of nuring uni) 4. Wha i your raionale for making hi reque? 5. Pleae eimae he number of ime an RN or LPN would perform hi procedure in a monh? a year?. In your opinion, i hi adequae o mainain compeence? 6. If he procedure i approved, wha if any, limiaion or rericion will be in place? 7. Name of conac peron() for SNP or Added Skill reque, phone # MON Signaure Uni Sie Dae Commiee Ue: Change in Targeing for Special Nuring Procedure/Aigned Funcion Approved Change in Targeing for Special Nuring Procedure/Aigned Funcion no Approved Page 4 of 7
5 SASKATOON HEALTH REGION: Parkridge Cenre - Royal Univeriy Hopial - Sakaoon Ciy Hopial - S. Paul Hopial Aiing Anaeheia wih Inducion and Exubaion, and regional anaeheic Changing a rach in a well healed oma Chemoherapy Drug (Oral) for Cancer and Non-Cancer Treamen: Adminiraion and Precauion Appendix B LPN LIST OF ADDED SKILLS Revied Dae: Sepember 2015 Dae: January 2015 LPN ADDED SKILLS SKILL RUH SCH SPH Parkridge Cenre OR OR OR All Clinical Care Uni wih LPN excep OR ECG Monioring and inerpreaion AC Ped, 6000 All Clinical Care Uni wih LPN excep OR and DS All Clinical Care Uni wih LPN excep OR End idal CO2 Monioring IV Puh Medicaion Adminiraion OR Lumbar Drain Care of 6300 Sucioning a venilaed paien (cloed) via racheoomy ube 6200 CU Norhridge 2 in a well healed oma & aociaed racheoomy care: care of oma ie, changing inner cannula, changing ie, delivery of humidiy and oxygen, inflaion & deflaion of racheoomy cuff Sucioning a venilaed paien (open and cloed) via a CU racheoomy ube in a well healed oma Venilaion managemen (managemen of he paien requiring long erm venilaion) Managing venilaor alarm, Diconnecion & reconnecion o racheoomy ube, Adminiraion of mulidoe inhaler via venilaor circui CU Page 5 of 7
6 SASKATOON HEALTH REGION: Parkridge Cenre - Royal Univeriy Hopial - Sakaoon Ciy Hopial - S. Paul Hopial Appendix C LPN Cerificaion Record: ADDED SKILLS Page 1 of 2 Name: Sie: Uni: Dae of Employmen: Added Skill Aiing Anaeheia wih Inducion and Exubaion, and Regional Anaeheic Changing a rach in a well healed oma Chemoherapy Bladder Inillaion-Miomycin Aiing wih and Care of Paien Chemoherapy Drug (Oral) for Cancer and Non-Cancer Treamen: Adminiraion and Precauion ECG Monioring and inerpreaion End idal CO2 monioring CERTIFICATION RECERTIFICATION Dae Cerifier LPN Dae Cerifier LPN Lumbar Drain Care of Sucioning a venilaed paien (cloed) via racheoomy ube & aociaed racheoomy care = heory = kill NOTE: Signaure of LPN indicae ha he LPN accep reponibiliy for performing he above named procedure in a compeen manner. Signaure of he cerifier indicae ha he LPN ha uccefully compleed he Educaional Program. Updaed: Sepember 2015 Page 6 of 7
7 SASKATOON HEALTH REGION: Parkridge Cenre - Royal Univeriy Hopial - Sakaoon Ciy Hopial - S. Paul Hopial LPN Cerificaion Record: ADDED SKILLS Page 2 of 2 Added Skill Sucioning a venilaed paien (open and cloed) via a rach ube in a well healed oma Venilaion Managemen (managemen of he paien requiring long erm venilaion) CERTIFICATION RECERTIFICATION Dae Cerifier LPN Dae Cerifier LPN NOTE: = heory = kill Signaure of LPN indicae ha he LPN accep reponibiliy for performing he above named procedure in a compeen manner. Signaure of he cerifier indicae ha he LPN ha uccefully compleed he Educaional Program. Updaed: Sepember 2015 Page 7 of 7
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