Responsibility and Accountability (Controls on LPN Practice)

Meeting Professional Standards

Click on an answer below to receive feedback.

You are an LPN working on an acute surgical ward. A physician orders an IV for a client being prepared for emergency surgery. You have completed additional education to start IVs. Can you start the IV?

 

A: Yes, if I have successfully started 10 IVs.

That’s not correct. CLPNBC limits and conditions require LPNs to successfully complete additional education to start IVs. Employers then determine what kind of additional education is required and develop policy to explain what LPNs may do in their workplace. See the Controls on LPN Practice pyramid and Professional Standard 1: Responsibility and Accountability

B: I can only start an IV on a client who is going for an elective procedure.

That’s not correct. CLPNBC limits and conditions require LPNs to successfully complete additional education to start IVs, but CLPNBC does not specify the type of procedure the client is undergoing. Employer policy further explains what LPNs may do in their workplace. See the Controls on LPN Practice pyramid and Professional Standard 1: Responsibility and Accountability

C: Yes, if my employer policy supports LPNs to start IVs.

Correct! Employers develop policy to explain what LPNs may do in their workplace. Individual LPNs are responsible for ensuring that they are competent to carry out an activity. See the Controls on LPN Practice pyramid and Professional Standard 1: Responsibility and Accountability

D: I can only start IVs if I had IV education in my entry-level PN education program.

That’s not correct. LPNs start IVs after successfully completing additional education. Employers determine what kind of additional education is required and develop policy to explain what LPNs may do in their workplace.Controls on LPN Practice pyramid and Professional Standard 1: Responsibility and Accountability

 

Government, CLPNBC, employers and LPNs work together to ensure the public receives safe, competent and ethical care by placing specific controls or boundaries on practice. See the Controls on LPN Practice pyramid.