General Forums >> Ask A Nurse >> lpn in hha postion

Rate

lpn in hha postion

144 Views
4 Replies Flag as inappropriate
Photo_user_blank_big

2 posts

back to top

Posted 5 months ago

 

I am a recent LPN graduate. to build my experince and to gain hours I work also as a HHA in a home care environment. I became concerned with a statement from management that i was over concerned with medication of my clients. I think it was in regards to my telling the RN there maybe an issue with a clients medication and to pass it to their doctor. My clients know I am a LPN and sometimes ask me to look at their medication. I also find it a great study process to learn. My question is, what are is the LPN responsability when in an HHA shift? Am i legally responsable if the client takes the wrong medication? Am i allowed to go over their medication if requested? I've observed clients forgetting to take their medication and also taking the wrong dosage or medication. I would not have know that if i had not reviewed their medication. Should I not show interest in what the client is taking or ignore it? I would assume being an LPN, if I know they are self medicating wrong I must say something but the management's comment makes me wonder about that.

Me_in_cocceticut_max50

26691 posts

back to top
Rate

Rate This | Posted 5 months ago

 

sfur, Hiya and Congratulations on your recent LPN....Now for the issue at hand..LPN's are to do just as any other LPN in any other facilities.. No more, no less.. Of course they are under the direct supervision of the RN..Be that as it made, you have been trained to do as you are doing because you are legally responsible when you are with the client..Any errors would be to your responsiblitiy.. So in that case, I'm not exactly sure what the management is c/o about.. It sounds to me that you are very conciencence and should continue in the smae manor. Have you tried setting up a meeting to see exactly what they are fussing about?  As an educator myself, I always tell my students that you will get into more trouble if you do or don't do, if you knew better.... Best of luck to you..Please keep us posted.. Teresa

Photo_user_blank_big

2 posts

back to top
Rate

Rate This | Posted 5 months ago

 

Thank you your kind words and response. So , even though I am not responsible for his medication has an HHA, is it ok to look at a client prescription if they ask you too and too make the cleint and my RN aware of any issue if I see them performing it incorrectly? Does being a licensed  LPN make it mandatory I  should know a client medication even if im in the HHA position that day?  I dont know if management just simply doesnt like me and is thinking of things to write me up on. she didnt state a specific shift or client. I think this issue was mentioned in regards to a last minute shift i was called to fill. It was an LPN shift but we were not to dispense medication, the wife was. I was not even presented the orders for his medication. The client has later stage demenia and the wife may have or may not have it also. However, i brought to the attention of my RN the fact the wife had forgot to give his medication that day(sitting on the table in a weekly pill planner not dispensed). When i asked the wife what the medication in the dispensor was she couldnt tell me what the pills were, yet she fills it. The client was having hourly sundowner violent episodes for 13 hours straight. The wife had adminster two other pills just as i was taking report. I was able to see what that medication was has it was sitting on the table and looked at it for my own information since he exihibited violent behavor. I feel the comment the management made was disparaging to me and am worried she will put it in my record. However , I wanted to know if i was out of line for asking about the medication and also relaying the information, even though it was not my responsibilty to dispense them.

Me_in_cocceticut_max50

26691 posts

back to top
Rate

Rate This | Posted 5 months ago

 

sfur, I'm not sure what state you are in, but I think they all forllow this rule.. No matter what position you are working in, you still will be held to the expectations of a nurse..This is in any case..You have the educational background and are licensed, so if you know better, then you are ultimately responsible..As far as your employer goes, Is there an agency in your area that can check up on this type of management , or you need to make a decision whether or not you may want to stay... Contact your BON and ask the same question.. I feel comfortable to say, I think they will advise you the same information.... Teresa