Periodically requests are received by the Iowa Board of Nursing to clarify tasks or skills which fall within the scope of practice of a licensed practical nurse. Some tasks require additional education and training with documentation of skill in the nurse's personnel file. The following list is a guideline. The licensed practical nurse (LPN) may:
- Insert NG tubes and feeding tubes which do not need guide wires for insertion.
- Reinsert a gastrostomy tube in an established tract.
- Remove sutures and staples.
- Perform sterile CVP dressing changes.
- Participate in the nursing process, consistent with accepted and prevailing practice. The RN is responsible for the initial assessment.
- Perform a patient history.
- Irrigate a urethral catheter. May not irrigate a nephrostomy tube.
- Perform continuous ambulatory peritoneal dialysis exchanges with RN assessment of client at least every 24 hours. LPN may add medication to the dialysate.
- Draw blood samples for routine testing when prepared to do so and practicing in accordance with agency policy.
- Perform cardiac monitoring on a telemetry unit.
- Monitor clients receiving mechanical ventilation with assessments verified by an RN.
- Perform tracheal suctioning.
- Receive telephone, verbal and written physician orders and process the same according to institution policy.
- Perform glucometer readings.
- Reduce a prolapsed rectum or uterus.
- Monitor the patient receiving total parenteral nutrition.
- Irrigate and remove a suprapubic catheter and reinsert a suprapubic catheter in a well-established tract.
- Reconstitute Rocephin with diluent containing Lidocaine.
- Assist a physician in an E.R.C.P. examination.
- Under the supervision of a physician, perform facial exfoliation and therapeutic acne treatments.
- Perform nasal suctioning.
- Administer newborn hearing screening test.
- Administer and evaluate tuberculosis skin tests.
- Monitor continuous subcutaneous infusions with an RN assessment every 24 hours.
The scope of practice for the licensed practical nurse in regard to provision of intravenous therapy and renal dialysis are identified in 655 IAC Chapter 6.