LVN State of California Scope of Pratcie Rn vs LVN

Question 1

Physical Assesment

Answer 1

LVN: basic head to toe assessment cannot do initial full admission assessment
RN: YES

Question 2

Medication administration

Answer 2

LVN:ALL BUT IV
RN: YES TO ALL

Question 3

Nasogastric intubation

Answer 3

YES

Question 4

Bladder Catheterization

Answer 4

Yes

Question 5

Bladder Irrigation

Answer 5

Yes

Question 6

Nasal-Pharyngel Suction

Answer 6

Yes

Question 7

Deep Tracho-suction

Answer 7

yes

Question 8

Tracheostomy Care

Answer 8

Yes

Question 9

Chest Tube Care

Answer 9

yes

Question 10

Wound Care

Answer 10

All; RN YES

Question 11

Transcribe and Carry out orders

Answer 11

Yes

Question 12

IV Maintenance

Answer 12

LVN: may change tubing and bags of Fluids that DO NOT contain Medications
[ lytes, nutrients, minerals ok]

RN: Yes

Question 13

Maintain or Monitor Nursing Care Plans

Answer 13

Yes

Question 14

Initiate/ Develop Nursing Care Plans

Answer 14

NO- only RN can select nursing diagnoses.

LVN- can gather data, confer and participate in care plan development
RN- Yes

Question 15

Pronounce Death

Answer 15

LVN= NO
RN= YES

Question 16

Patient Teaching

Answer 16

LVN-Yes(RN assist with prep)

RN-YES

Question 17

Central Line Care

Includes PICCS-anything with direct access to right atrium

Answer 17

After IV certification course, may change dressing

RN= YES

Question 18

Phlebotomy

Answer 18

only after separate course- Licensure required prior to receiving certification
RN- YES

Question 19

Start IVs?

Answer 19

no = can change tubing and bags of fluid that do not contain meds. CAN NOT START
RN= YES

Question 20

Blood Transfusion

Answer 20

LVN- may monitor and collect data during only

RN= YEs

Question 21

ADMINISTER IV MEDS

Answer 21

NEVER IN CALIFORNIA AS AN LVN!!!!