RE: LPN's Role in MDS

[Dorothy Wolfe]

I'm in VA. LPN's do MDS and care planning. RN's sign.   Dorothy Wolfe, BSN, MDS Coordinator The Virginia Home 1101 Hampton St. Richmond, VA 23220 Phone: 804-359-4093 X227 Fax:    804-358-4075 [EMAIL PROTECTED] This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If this message contains protected health information (PHI), it should not be forwarded to any other recipient without the authorization of the original sender and should be encrypted when possible. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the email address or telephone number above and delete this email from your computer. -----Original Message----- From: Richardson, Christine [mailto:[EMAIL PROTECTED] Sent: Monday, February 23, 2004 8:18 AM To: [EMAIL PROTECTED] Subject: RE: LPN's Role in MDS Well lets see how many states have LPN doing MDS and care planning. I'm in MO and have been through several surveys with out a problem CAR -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Sunday, February 22, 2004 6:26 PM To: [EMAIL PROTECTED] 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 NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure.  It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available).  In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611.