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You are saying it is complete.
----- Original Message -----
Sent: Sunday, February 22, 2004 9:52
PM
Subject: Re: LPN's Role in MDS
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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