Transcription of Licensed Practical Nurse (LPN) Role and Scope Course
1 LPN RoleandScopeLicensed Practical Nurse (LPN) Role and Scope CourseIntroduction2/23/20182 Thismodulewasdevelopedtoimplementthe educationalprovisionsinR4-19-301,whichre quires candidateswhoaregraduatesfrom a registered nursingprogram andwantthattoobtaina practicalnurselicensetocompletea Board theaccompanyinglearningactivitieswillpro vide theneededroledelineationeducationrequire d Thecourseisalsoavailableforanymember ofthe publictoaccesstolearnmoreaboutlicensed practicalnurses, theirroleandscopeInstructionsforCourse Completion2/23/20183 Toaccomplishtheobjectivesofthismodule,al lthe Uponcompletionofthemodule,candidateswho arerequiredtocompletethiseducationfor licensurewillneedtotakeandpass a test . Toaccessinformation about thetest contacttheEducation Program AdministrativeAssistantLynLedbetter Thetest must betakenby appointment,inthe Boardoffices(1740 W Adams Street,Phoenix, AZ).
2 The test is Discusstheroleandpracticeofthelicensed practicalnurse DifferentiatebetweentheroleoftheRegister ed Nurse (RN)andtheLPNinthenursingprocess Locatethedocuments thatdefinethescopeof practicefor thepracticalnurseontheStateBoard website. DefinewhatAdvisoryOpinions(AO)areandhow theyareusedinArizona Describeelements ofspecificAdvisoryOpinions thatclarifyscopeofpracticefortheLPNW hatisanLPN2/23/20186 GraduateofaBoardapproved nursingschoolorprogram Bearsfullresponsibilityforthequalityofhe althcareshe/heprovides PracticesunderARS32-1601(12) seeNursePractice ActandR-19-401 GeneralScopeofPractice2/23/20187 OperatesunderthesupervisionofanRN orphysician Participatesinthenursingprocess,but nursing diagnosis Participatesinpatientteachingwithanestab lishedRN-preparedteachingplanortoreinfor ceRNorphysicianteaching. Delegatestounlicensedassistivepersonnel( UAP)asappropriate Followsestablishedmedicalregimen and observestherapeuticresponseLPNS copeModelLPNsaretaughttodifferentiatenor malfromabnormalandtoidentifychanges inpatientconditionstobereportedtoRNorPhy sicianforfurther comprehensiveassessment Activities Performed UnderSupervision RNorPhysicianContributingto AssessmentMaintainingSafe&EffectiveNursi ng CareDelegatingActivities WithinScopeof PracticeParticipatingin DevelopmentStrategyofCareImplementing StrategyofCare2/23/20188 ScopeandSetting2/23/20189 Lawdeterminesscope,not setting Somesettingsmayrestrict Scope Nosettingmayexpandscope KnowthepoliciesandguidelinesofYOUR facility!
3 Assessment2/23/201810 TheLPNroleisdatacollectionand contributingtotheassessmentoGatheringand recordingassessmentdataoRecognizingclien tcharacteristicsthatmay affectclienthealthstatusoRecognizingvari ationsfrom baselineoReportingsigns/symptomsandchang esin conditiontoRN/physicianoRNisresponsiblef or thecomprehensive assessmentPlanning2/23/201811 TheLicensedPracticalNurse contributesto thedevelopment of thecare planoPlanningcareforpatientswhoarestable or predictableoObservingpatientneedsandconc ernsoAssistingRN/physicianinidentifying problems/needsandgoalsoDeterminingpriori tiesofcareincollaboration withRN/physicianImplementation2/23/20181 2oFollowsRN/physicianordersoSeeksclarifi cationoforderswhenneededoAdministerstrea tments,medsandproceduresoAttends toclientandfamilyconcernsor requestoProvideshealthinformationas directedby RN/physicianor accordingtoanestablished teachingplanoMaintainssafeclientenvironm entoCommunicatesrelevantinformationtotea m membersoDocuments allcareEvaluation2/23/201813 TheLicensedPracticalNursecontributestoth eevaluationphaseoGather,observe,record,a ndreportpatient ALPNcan delegatenursingactivitiesto Unlicensed AssistivePersonnel (UAP) AssignnursingcaretootherLPNs ALPN maynotdelegateorassign nursingactivitiesto RNs TheLPNmustfollow thedelegation guidelinesaspertainingto task, supervision,training,communications, andclientstatusDelegationGuidelines2/23/ 201815 UAPhas theeducation,legalauthority,and demonstratedcompetency toperformthe delegatedtask.
4 TasksdelegatedareconsistentwiththeUAP'sj ob descriptionandcanbesafely performed accordingtoclear, exact,andunchanging directions; Resultsofthetaskarereasonably predictable; Task doesnotrequireassessment,interpretation, or independentdecisionmakingduringits performanceor atcompletion;DelegationGuidelines2/23/20 1816 Theclientandcircumstancesofthedelegation posesminimalrisktotheclientandthe consequencesofperformingthetaskimproperl y arenotlife-threatening; LPNprovidescleardirectionsandguidelines regardingthedelegatedtaskor, forroutinetasks on stableclients,verifiesthattheUAPfollows each writtenfacilitypolicyor procedurewhenperforming thedelegatedtask;Advisory Opinions2/23/201817 AnAdvisoryOpinion(AO)is aninterpretationbytheBoardofwhatthelawre quires. WhileanAOis notlaw,it is morethanarecommendation. AnAOis theofficialopinionoftheArizonaBoardofNur singregardingthepracticeofnursingasitrel atestoaspecificstandardof care.
5 AOsareavailableontheBoardofNursing InfusionTherapy/venipuncture:TheRoleof theLicensedPracticalNurseoPeripherally InsertedCentralCatheter(PICC)Insertion,S uturing,Maintenance,Removal&Verification of TipPlacementoWoundCare:Roleof theLPNoOrders:Accepting,Transcribing,Rev iewingOrdersoVentilatorCare By LPN sTaketimetoreadallPNlevelAOs!Comparisono fLPNandRNscope2/23/201819 For acomparisonofRNandLPNscopeandrole pleaseaccessthefollowing2documentsandR4- 19-401andR-4-19-402oAZBNC ompetencyModeloComparisonofRNandLPNS tandardsRelatedtoScopeCommonExamplesOuts ideYourScope2/23/201820 Prescribing Intravenous(IV)fluids,medication, oxygenwithoutanorder Performingtheactionandgettingtheorderlat er faultyhabit Carryingoutactivitiesthatareusuallyreser vedfora higherlevelofprovider Practicingoutsideyour facility spolicy ATTITUDE I ambetter thanpeers/candomore/no onewillfindoutRulesto Remember2/23/201821 If youdidn tlearnitinnursingschoolorformalpostlicen sureeducation don tdoit If youarenotfamiliarwiththeprocedure don tdo it If youareconsideringdoingit becauseof peer/patient/familypressure don tdoit If itis notinyourfacility s policymanual,don tdo itSummary2/23/201822 Ifyouhavebeenpayingattentiontotheseslide s andcompletedthesuggestedreading,youshoul d beabletoanswer thefollowingdiscussion questions?
6 OWhatstandardsthesameforbothRNsandLPNs?o Whatisdifferentintheirscopeandstandardso fpractice?oWhatistheLPNroleininfusionthe rapy?oUnderwhatcircumstancescan anLPNtakeatelephoneorder?oWhataretheresp onsibilitiesoftheLPNindelegation?oWhatis theroleoftheLPNinwoundcare?oWhatarethedi fferencesineducationbetweenan RNandLPN?TheEnd Thisistheendofthepresentation Ifyouneedtotaketheexam,pleaserefer tothe instructionsinSlide42/23/201823
