Licensed Practical Nurse-MSH

The practice of nursing as a Licensed Practical Nurse is defined as performing tasks &

responsibilities within the scope of supportive & restorative care; medication administration and

specialized tasks under the direction of a Registered Professional Nurse of licensed or otherwise

legally authorized physician or dentist.

A. Clinical/Technical/Service
in the application of the nursing process to an assigned group of patients.
those behaviors which reflect the scientific knowledge judgment and technical skills of a Licensed Practical Nurse
job duties under supervision of a Registered Professional Nurse.
a competent level of approved skilled nursing care tasks and procedures using approved technical skills related to vital signs pulse oximetry venipuncture starting standard peripheral IVs only (not midlines or long peripheral lines) urinary catheter insertion/catheter care; and simple dressings remove/discontinue a peripheral line.
IV fluids provided completion of annual competency IV therapy training.
patients receiving blood and blood products and TPN under the direction of the RN who administers the transfusion.
recommendations in the application of the nursing process.
in planning and administers direct patient care including activities of daily living (ADL).
point of care testing including blood glucose.
nursing procedures as defined in the nursing procedure manual.
medication as defined in nursing policy. ALL routes except cannot administer medications IV push/bolus (except for a Normal Saline or heparin flush) or via a central line. LPNs do not administer chemotherapy or immunotherapy.
cannot administer first dose of an IV drug. The RN will administer the first dose of an IV drug and assess for side effects after which the LPN can administer subsequent doses.
working exclusively in chronic outpatient hemodialysis settings may under the direct supervision of a Registered Professional Nurse (RN) and after completing an approved hemodialysis training and competency program perform dialysis-related tasks as permitted by the New York State Education Department (NYSED) Office of the Professions and 10 NYCRR 700.4(b). See Section D for more details regarding role of LPNs in the Outpatient Hemodialysis setting.
This exception does not permit independent practice or unsupervised access to central venous lines.
in patient assessment after the RN has completed the initial patient assessment including pain management.
out medical and nursing orders. Cannot accept verbal orders or carry out RN standing orders.
reports and records observations on assigned patients within the EMR.
and reports any signs and symptoms of change in a patients condition to the appropriate person.
in health teaching to patients and families following the RNs development of the teaching plan.
an environment that promotes optimum physical and emotional comfort.
purposeful hourly care checks and supports the patient experience in accordance with Relationship Centered Care Professional Practice Model
supplies and equipment necessary for carrying out the plan of care is identified and communicated by the charge nurse/designee.
specified data to the patients medical record.
the knowledge and skills necessary to provide care based on physical psychosocial educational safety and related criteria appropriate to the age of the patients served in assigned area.
Age Specific Competencies (Neonate/Infant Pediatric Adolescent Adult Geriatric)
physical behavioral and emotional characteristics typical for the age group.
approaches based on patient age-specific needs and responses to treatment.
care for patients based on age-specific needs.
communication techniques which are age appropriate.
demonstrates an awareness of the goals of the Nursing Department
the patient experience to achieve safe and quality care.
to changing departmental needs reflects awareness of institutional needs.
management meets needs of unit/department.
hospital policies and regulatory standards of care.
changes in nursing practice of practical nurses and policy through the appropriate leadership person or nursing committee.

B. Organizational/Managerial
in the Nursing Department Quality Improvement Program/ activities.
patient/employee confidentiality in the management of information.

C. Educational/Professional Development
in the development of other staff members.
regulatory licensure and annual health assessment requirements.
in patient care conferences.
nursing care standards through participation in workshops in-service programs and staff meetings.
competence through participation in continuing education and other appropriate experiences.

37.D. Communication/Relationships
a professional courteous and respectful attitude in dealing with patients families and significant others.
courtesy professionalism and respect during interactions with all members of the hospital staff and extended community.
to the leadership person of the unit
direction assistance and support to auxiliary staff.
in interdepartmental and intergroup communication to provide a continuity of patient care.
in departmental committees as assigned.
to the MSHS legal and ethical standards.
be required to perform other duties as assigned.

D. LPNs in the Outpatient Hemodialysis Setting
An LPN can practice in the chronic hemodialysis outpatient department under the direct supervision of an RN. The LPN will participate in educational programs on a regular basis including initial orientation and continuing in service training to care for patients with central venous access devices (CVAD). The training should include a written examination and competency demonstration.
A Hemodialysis LPN may:
Administer bolus of medications by IV push in a chronic outpatient hemodialysis treatment center excluding first dose administration which is administered by an RN.

The RN will access and care for patients initial catheter use. Subsequently and following the MSHS CVAD care policy the LPN can:
Identify and set up supplies necessary for accessing a CVAD.
Initiate treatment with a CVAD.
Draw blood specimens from a CVAD.
Perform CVAD dressing change and exit site care.
Monitor and adjust flow rates of central venous catheter access device/line.
Intervene if there is a catheter/blood line disconnection or other complications associated with a CVAD.
Provide CVAD care at the end of dialysis treatment.

• A. Completion of educational program for licensure as a LPN.
• B. Successful completion of required New York State Department of Health LPN IV Therapy Initial Program for the demonstration of competence in the performance of intravenous therapy/blood administration procedures as part of Centralized Orientation.
• C. Successful completion of annual unit-based review & update program in procedures associated with intravenous therapy.
• Appropriate experience in a health care setting preferred
• Licensing: Name: LPN Issuing Agency: New York State Department of Health
• Name: Basic Life Saver (BLS) Issuing Agency: AHA

Collective bargaining unit: SEIU 1199-MSH