1. MINNESOTA NURSE PRACTICE ACT SCSU NURSING STUDENTS Vanessa Albright Elise Fortier Sarah Heins Licensed Practical Nurse (LPN) Scope of Practice

2. OBJECTIVES Review new changes in the LPN scope of practice Briefly review LPN and RN scope of practice differences Review curriculum changes at St. Cloud Technical & Community College Discuss current LPN department differences within the St. Cloud Hospital Suggestions & Recommendations for practice

3. CHANGES New changes effective August 1st, 2013 Last revision over 40 years ago! Purpose of scope revision? Key components Definitions Practical Nurse Scope (Handout)

4. SCOPE STATEMENTS Practice of Practical Nursing (LPN) Practice of Professional Nursing (RN) The performance, with or without compensation of those services that incorporates caring for individual patients in all settings through nursing standards recognized by the board at the direction of a registered nurse, advanced practice registered nurse, or other licensed health care provider and includes but is not limited to The performance, with or without compensation of those services that incorporates caring for all patients in all settings though nursing standards recognized by the board and includes but is not limited to

5. ASSESSMENT Practice of Practical Nursing (LPN) Conducting a focused assessment of the health status of an individual patient through the collection and comparison of data to normal findings and the individual patient's current health status, and reporting changes and responses to interventions in an ongoing manner to a registered nurse or the appropriate licensed health care provider for delegated or assigned tasks or activities Practice of Professional Nursing (RN) Providing a comprehensive assessment of the health status of a patient through the collection, analysis, and synthesis of data used to establish a health status baseline and plan of care, and address changes in a patients condition

6. ASSESSMENT Practice of Practical Nursing (LPN) Conducting a focused assessment of the health status of an individual patient through the collection and comparison of data to normal findings and the individual patient's current health status, and reporting changes and responses to interventions in an ongoing manner to a registered nurse or the appropriate licensed health care provider for delegated or assigned tasks or activities Practice of Professional Nursing (RN) Providing a comprehensive assessment of the health status of a patient through the collection, analysis, and synthesis of data used to establish a health status baseline and plan of care, and address changes in a patients condition

7. CARE PLAN Practice of Practical Nursing (LPN) Participating with other health care providers in the development and modification of a plan of care Practice of Professional Nursing (RN) Collaborating with the health care team to develop and coordinate an integrated plan of care Developing nursing interventions to be integrated with the plan of care

8. PROVIDING CARE Practice of Practical Nursing (LPN) Determining and implementing appropriate interventions within a nursing plan of care or when delegated or assigned by a registered nurse Implementing interventions that are delegated, ordered, or prescribed by a licensed health care provider Practice of Professional Nursing (RN) Implementing nursing care through the execution of independent nursing interventions Implementing interventions that are delegated, ordered, or prescribed by a licensed health care provider

9. EVALUATION Practice of Practical Nursing (LPN) Assisting in the evaluation of responses to interventions Practice of Professional Nursing (RN) Evaluating responses to interventions and the effectiveness of the plan of care DELEGATION Practice of Practical Nursing (LPN) Assigning nursing activities or tasks to other licensed practical nurses Assigning and monitoring nursing tasks or activities to unlicensed assistive personnel Practice of Professional Nursing (RN) Delegating nursing tasks or assigning nursing activities to implement the plan of care

10. SUPERVISION OF NURSING Practical Nursing involves monitoring, but professional nurses are responsible for supervision and monitoring Supervision of nursing is an RN function only ACCOUNTABILITY LPNs and RNs have accountability for the quality of care delivered, recognizing the limits of knowledge and experience; addressing situations beyond the nurse's competency; and performing to the level of education, knowledge, and skill ordinarily expected

11. Practice of Professional Nursing (RN) Design and implement teaching plans based on patient need, and evaluating their effectiveness Teaching the theory and practice of nursing Practice of Practical Nursing (LPN) Provide health care information to individual patients EDUCATION

12. COLLABORATION Practice of Professional Nursing (RN) Collaborating and coordinating with other health care professionals in the management and implementation of care within and across care settings and communities Providing health promotion, disease prevention, care coordination, and case finding Practice of Practical Nursing (LPN) Collaborate and communicate with other health care providers

13. POLICY DEVELOPMENT Practice of Practical Nursing (LPN) Providing input into the development of policies and procedures Practice of Professional Nursing (RN) Participating in the development of health care policies, procedures, and systems Practical Nursing (LPN) and Professional Nursing (RN) Promote a safe and therapeutic working environment, as well as advocate for the best interests of individual patients ADVOCACY

14. CURRENT RESEARCH Search Engines CINAHL PubMed Medline Centranet Key Terms Used Licensed practical nurse LPN scope of practice LVN scope of practice Licensed vocational nurse RN vs LPN

15. LPN EDUCATION Meeting with Jan Richardson, RN, MA LPN Nursing Instructor St. Cloud Technical & Community College Curriculum Changes Teaching Scope Focused Assessments Head-To-Toe Assessment Graduates feel prepared

16. DEPARTMENT DIFFERENCES Emergency Trauma Center LPNs practice at the top of their scope Float Pool Depends on the unit and the team youre working with Medical and Other Seasoned LPNs more reluctant to change I wouldnt want to change things Benefit from educating RNs on LPN scope Some things get lost when RNs delegate too much

17. SUGGESTIONS & RECOMMENDATIONS Pair up with a department Find similarities/differences in how you utilize LPNs Unite new graduate LPNs with seasoned LPNs Learn from each other Develop general hospital-wide LPN scope policy

18. SUGGESTIONS & RECOMMENDATIONS Develop a committee RNs and LPNs from each unit Discuss scopes and unit differences Orientation/Education Discuss RN and LPN scope of practice upon hiring RN will review RN scope of practice & LPN scope of practice LPN will review LPN scope of practice Education day regarding LPN/RN scope of practice

19. REFERENCES Anonymous LPN Interviews. February & March 2014. Minnesota Board of Nursing. Nurse Practice Act- Minnesota Statute Section 148.171 (2013). Retrieved from:http://mn.gov/health-licensing- boards/images/NPA_2013_Combined_Definitions.pdf Minnesota Nurse Practice Act. Minnesota Board of Nursing Webinar (2013). Retrieved from: http://mn.gov/health-licensing- boards/nursing/practice/npa-toolkit/ https://www.revisor.mn.gov/statutes/?id=148.171 Richardson, J. (2014, March 24). (V. Albright, interviewer)