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ok I am sorry if I am beating this to death!
I have been told that if an LPN does the assessment and I sign off on it (sec
R2b) that I am only saying that is complete not necessarily accurate. Is
this correct? Is that what you were saying or were you saying that if I am
signing off on it I am saying that it is complete and accurate?
In my state a LPN is allowed to do the MDS but
an RN does need to sign off on it. I guess now I need to know if I'm
saying it's complete or accurate or both.
I really appreciate you taking the time to answer
my questions.
Thank you so much,
Debbie Nichols, RN, RAC-C
----- Original Message -----
Sent: Sunday, February 22, 2004 6:25
PM
Subject: Re: LPN's Role in MDS
Again, this is state-specific and relates to
the LPN/LVN scope of practice under the LPN/LVN license. The nurse
practice act in each state is what governs what an LPN/LVN is permitted to do
under his or her license.
In most states, LPNs/LVNs are permitted to
collect assessment data, but they are not permitted to synthesize that
information and draw conclusions from it or develop care plans. They generally
are permitted to assist RNs with these functions.
It is important for
all LPNs and LVNs to understand the scope of practice permitted under their
licenses.
Some nursing home providers have reported that surveyors have
written deficiencies on this issue.
Regarding your question about RNs
"signing off on" the LPN/LVN's work - In "cosigning" the work, the RN would be
verifying the accuracy and appropriateness of the work and taking direct
responsibility for it in the same way as if he or she did the work him- or
herself and signed it. In that case, the LPN/LVN scope of practice would
not be an issue. However, in my experience, the RN is not validating the
accuracy and appropriateness of the work - the RN is verifying that the
work is complete.
Rena
Rena R. Shephard, MHA, RN, FACDONA,
RAC-C
Chair, American Association of Nurse Assessment
Coordinators
[EMAIL PROTECTED]
Subj: Re: LPN's Role in MDS
Date: 2/22/04 3:52:30 PM
Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
Do you mean that some states do not allow LPN's to
complete the MDS even if an RN signs off on it or are you only talking about
care plans? Or both?
D Nichols
----- Original Message -----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday,
February 22, 2004 5:25 PM
Subject: Re: LPN's Role in
MDS
This is a state-specific scope of practice question.
If you are not sure about what is appropriate under your license, contact
the state agency that licenses you.
Rena
Rena R. Shephard,
MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment
Coordinators
[EMAIL PROTECTED]
Subj: Re: LPN's Role in MDS
Date: 2/22/04 3:20:56
PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the
Internet
I am not clear on a LPN not being able to
develop a care plan-what exactly does that mean? Does that mean
the RN must write all the care plans and the LPN can then update them as
needed? Please elaborate on this since the LPN's I have ever
worked always did their own care plans and now that scares me a little
since I was unaware of this.
Thanks
Lisa
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