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I may be wrong here, but it is my understanding that an
LPN may not begin a care plan, i.e.; make the original care plan, although an
LPN may update things on it. LPN's are not allowed to do care plans in
Michigan as the initiating nurse.
----- Original Message -----
Sent: Monday, February 23, 2004 12:07
PM
Subject: Re: LPN's Role in MDS
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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