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I am in Michigan. LPN and doing since inception. No
problems here.
----- Original Message -----
Sent: Monday, February 23, 2004 10:26
AM
Subject: RE: LPN's Role in MDS
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
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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
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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