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Items of Interest
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Brochure Download and view ACDVNP brochure. |
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Talking Points Letter to Legislators about LVN Role Letter to Legislators (Word doc) This is a letter that can be sent to California legislators. The SCDVNP encourages that this letter be made available to both faculty and students. It should be made clear to each individual and institution that this letter can, and probably should, be individualized to his/her own circumstances. The most effective use of the letter would be to send it to all of your legislators as individuals, rather than in a group. Many thanks to the Program Directors for their assistance with this project. Please feel free to contact me about the letter, its issues, or other: mkowalsk@cerrocoso.edu |
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Notification of New Website! California Vocational Nurse Educators (www.cvneducators.org) |
Responsibilities
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LVN Scope of Practice
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RN Scope of Practice
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Comments |
| Bedside Nursing | |||
| Acute Care Facilities Provide direct patient care in units such as medical, surgical, maternity, newborn, pediatric, intensive care, emergency |
Yes According to physicians' orders |
Yes According to physicians' orders |
Bedside care includes all aspects of activities of daily living (ADL). |
| Long-term Care Facilities Provide direct resident/ patient care in units such as medical, post surgical, rehabilitation, Alzheimer’s, hospice, home care |
Yes According to physicians' orders |
Yes According to physicians' orders |
Bedside care includes all aspects of activities of daily living (ADL). |
| Assessments Monitor vital signs, physical and mental status, and diagnostic laboratory values |
Yes | Yes | |
| Treatments Administer treatments, for example: sterile wound care, blood sugar testing, nasogastric insertion, tube feedings, foley catheter insertion, and charting. |
Yes According to physicians' orders |
Yes According to physicians' orders |
Either the LVN or the RN provides treatments. Some facilities may require special “in-house” training for the LVN or the RN for complex procedures |
| Medication Administration According to Physician's Orders | |||
| Oral, topical, and inhalants | Yes | Yes | |
| Injections Intramuscular, subcutaneous, and intradermal |
Yes | Yes | |
| Intravenous Fluids Start and superimpose intravenous fluids with vitamins, nutrients, and electrolytes by primary or secondary infusion lines |
Yes With IV Certification |
Yes |
LVNs can take an approved course to become certified in IV therapy and blood withdrawal post licensure. RNs receive IV therapy and blood withdrawal as part of their curriculum. |
| Intravenous Blood Infuse blood and blood products |
Yes With IV Certification |
Yes | |
| Intravenous Flush Flush peripheral IV insertion site with heparin or saline |
Yes With IV Certification |
Yes | |
| Intravenous Medications Infuse antibiotics, or other medications via secondary IV line |
No* | Yes | Effective July 14, 2005, LVNs cannot perform this function in hemodialysis, pheresis or blood bank settings. |
| Intravenous Fluids Infuse TPN or other fluids by central line |
No | Yes | |
| Blood withdrawal Via venipuncture or peripheral line |
Yes With Blood Withdrawal Certification |
Yes | |
| Intravenous Fluids Central Lines: dressing change |
Yes | Yes | |
| Intravenous Fluids Central Lines: blood withdrawal |
No | Yes | RNs may need to obtain facility training and approval for this procedure |
| Critical Thinking / Nursing Process | |||
| Initiate Basic Data Collection
and Assessment Obtain an admission history (interview) |
Yes Work within physician and RN orders; communicate with healthcare team members; act as supervisor to unlicensed personnel |
Yes Work within physician orders; communicate with healthcare team members; act as supervisor to LVNs, and unlicensed personnel |
The RN is responsible for the initiation of a Care Plan. Either the RN or the LVN may do the initial admission interview and obtain the admission history. The RN is responsible for the analysis and synthesis of data. In clinical situations, especially long-term care, the LVN does the primary interviews, obtains data, and assesses needs of the patient. All licensed nurses care for patients, communicate with others, contribute to the nursing process, and provide teaching to patients and family members. |
| Initiate a Care Plan | No | Yes | |
| Initiate Interventions Take action to assist patient |
Yes As designated within the Care Plan, physician orders, and VN Scope of Practice |
Yes As designated within the Care Plan, physician orders, and RN Scope of Practice |
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| Provide new interventions Use new information and adjust actions to meet changing needs of patient |
Yes As designated within the Care Plan, physician orders, and VN Scope of Practice |
Yes As designated within the Care Plan, physician orders, and RN Scope of Practice |
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| Evaluate Modify actions according to patient need and Care Plan |
Yes | Yes | |
| Document, Communicate and Teach | Yes | Yes | |
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For further information about the California Nurse Practice Acts for LVNs or RNs see their websites: |
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Useful Links & Info |
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Welcome to our website! Use the links at the left hand side of the page or at the bottom to navigate the website. New Resource |
Southern California Directors of Vocational Nursing
Programs (SCDVNP)
is now the
Association of California
Directors of Vocational
Nursing Programs, Inc.
The term "Vocational" Nurse is used in California and Texas. "Practical" Nurse is used in all other states. The terms are equivocal.
Last updated 08/23/2007
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