Licensed Practical Nurses, or LPNs, have many overlapping responsibilities with Registered Nurses (RNs). Typically, starting IVs isn’t one of them. But can LPNs start IVs in nursing homes? And are there circumstances that allow LPNs to start IVs? Here is some insight.
Can LPNs Start IVs in Nursing Homes?
The specific state you reside in sets the guidelines for LPNs starting IVs. If you’re unclear about the exact guidelines in your area, talk to your supervising RN or another medical practitioner.
LPNs may, under an RN’s supervision, administer IVs, provided the LPN has the appropriate practice and documented education.
LPNs can’t administer antineoplastic agents or investigational drugs. However, they can monitor drug administration with RN supervision.
What Can LPNs Do?
So, what can LPNs do? LPNs can administer fluids, medication, Total Parenteral Nutrition (TPN), and blood or blood products. These are all administered via central venous catheters and central lines.
They may also access these lines for blood draws and the administration of emergency cardiac medications via IV push. If they follow strict guidelines and protocols that clearly state all policies and procedures, they are permitted to access lines for blood draws. LPNs should have a current ACLS certification. Blood or blood products should only be given with direct supervision.
An LPN can perform peripheral venipuncture (to start an IV or draw blood,) and flush peripheral, PICC, and central lines in certain situations as well. LPNs need to complete an annual instructional program and have documentation of satisfactory completion of these programs on file with their employer. The employer should also maintain written policies on file for these procedures.
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CynaMed provides staffing solutions to the greater Pittsburgh area. For more information, contact us to learn more about a variety of nursing topics, including the differences in RN and LPN nursing duties.