From: "Corey Ali" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> Subject: Re: LPN's Role in MDS Date: Tue, 24 Feb 2004 20:29:56 -0500
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 -----
From: Tendercare
To: [EMAIL PROTECTED]
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 ----- From: Dorothy Wolfe To: [EMAIL PROTECTED] 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 [EMAIL PROTECTED]
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-----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
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