Question:

I work in a outpatient endoscopy center, and we give conscious sedation to

our patients before the procedure. We have MAs starting IVs and one LVN

actually working in the procedure room giving IV push medications. Isn't

that out of the scope of practice of an LVN? I didn't think LVNs could give

IV push meds under any circumstances, or is it different in a doctor-run

practice?


Answer:

 

There is a scope of practice for all nurses in each state. While scope of practice varies somewhat from state to state, it is usually fairly standard in most states. I have never heard of LPNs/LVNs being able to give IV push meds. However, it is something you can easily verify.

The standards are the standards under any circumstances. In other words, if licensed vocational nurses (LVNs) can't give IV push meds according to their state scope of practice, that would apply to any practice setting, unless there is a stipulation, such as "only under the direct supervision of an RN or MD."

Unfortunately, there are instances in some practice settings where individuals are allowed and encouraged to practice outside of their scope of practice. Of course that does make it safe or ethical — not to mention legal.

You can call your state board of nursing and check that out.