A highly experienced licensed practical nurse (LPN) has provided care on an acute medical unit for several years
A registered nurse (RN) who is new on the unit has asked the LPN to flush a client's central venous catheter (CVC), a task that is outside of the LPN's scope of practice but one that he has often witnessed and feels confident in doing safely. How should the LPN respond to the RN's request?
A) Flush the CVC after ensuring the RN is aware of the LPN's qualifications and job title
B) Inform the RN that he cannot flush the CVC because it is outside of his scope of practice
C) Flush the CVC this time, but inform the RN that he cannot do so under normal circumstances
D) Ask the RN to observe his technique while he flushes the CVC
Ans: B
Feedback:
Someone with the required skill to do a procedure does not automatically have the right to do it. Because the nurse is personally and legally responsible for what he or she does at all time, for his or her own protection and the protection of his or her client and employer, one should never perform nursing acts beyond his or her approved competencies.
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