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Practice
Opinions |
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THIS LIST IS NOT INCLUSIVE
OF ALL OF LPN PRACTICE AND SHOULD NOT BE USED TO DEFINE OR LIMIT PRACTICE. |
Please contact our
office if you need further clarification on any of the practice opinions
listed here. |
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The following
are opinions issued by the Board : |
Call
us at 504-838-5791 or write to us at 3421 North Causeway Blvd, Ste 505,
Metairie, La 70002. |
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9/18/1981
The attending physician makes the decision on assigning the following
procedures to selected LPNs following appropriate training: Pap
smears, GC cultures, IUD string checks, fundal heart tones, Leopolds
Maneuvers, history taking for medical records.
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Be
sure to also review the Scope
of Practice. |
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- 1/31/1986 LPNs may perform heparinization
during hemodialysis.
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1/31/1986
LPNs may serve as First Surgical Assistant but they may not
suture.
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5/29/1987
LPNs may not inject medications per epidural catheter.
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1/22/1988
LPNs may maintain heparin locks and administer IVPB meds per same.
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10/05/1990
LPNs may, with proper instruction and determined competency: insert a
feeding tube in a neonate, reinsert tracheostomy tube in an
established tract, remove sheaths and hold pressure in cardiac cath
lab and later pull the lines under the direction of the physician.
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10/04/1991
LPNs, with demonstrated competency, may load and monitor PCA machines.
With regard to external venous access catheters/devices, trained LPNs
may: obtain blood specimens; start an IV line, hang and monitor IV
fluids, hang and monitor IVPB medications, flush with heparin lock
solution, provide site care including dressing change. With regard to
internal venous access devices (ie, port-a-cath, life port, etc.),
trained LPNs may:draw blood, start and monitor IV fluids, provide site
care including dressing change.LPNs, when serving as First Surgical
Assistant, may not suture, dissect, or cauterize.
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2/3/1995
LPNs may monitor clients who receive IV Conscious Sedation.
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6/16/1995
LPNs may delegate the insertion of glycerin suppositories to Certified
Nursing Home Nursing Assistants.
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10/13/1995
LPNs may delegate capillary blood glucose testing to unlicensed
assistive personnel in the Nursing Home setting. Delegation of tasks
to unlicensed assistive personnel always includes the provision that
there is written documentation of skills and competency readily
available for the LPN to review for each individual to whom the task
is delegated and the skills and competency are re-evaluated every six
months.
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6/20/1997
Licensed Practical Nurses may conduct esophageal motility studies
provided he or she possesses the necessary knowledge, skills, and
ability to perform the studies, the procedure is performed under the
direction of a physician, and the protocol is approved by the
facility.
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3/4/1999
LPNs may accept verbal/telephone orders only from a licensed physician
or other authorized prescriber (optometrist, dentist, psychologist, or
advanced practice registered nurse).
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