Editing Infection Control and Safety – LPN Flashcards (section)

== Reporting and Scope ==

;What findings must the LPN or LVN report promptly to the registered nurse?
:'''New or rising fever, chills, new confusion, increasing wound redness or purulent drainage, foul-smelling or cloudy urine, new shortness of breath or falling oxygen saturation, a suspected exposure or break in precautions, and any client whose condition is worsening.'''
;What may the LPN or LVN do independently in this subject, and what belongs to the RN?
:The LPN or LVN applies standard and transmission-based precautions, performs sterile procedures within state scope, monitors stable clients, applies and monitors restraints per policy, '''reinforces''' teaching, and documents. The registered nurse performs the '''initial assessment, creates and evaluates the plan of care, and provides initial teaching'''. The '''state nurse practice act''' governs scope.
;What may unlicensed assistive personnel do?
:Hand hygiene, applying PPE, transporting, positioning, ambulating, hygiene, and taking and reporting vital signs. They may '''not assess, teach, or decide precautions'''.
;What is done with an incident or occurrence report?
:It is completed as an '''internal quality improvement document'''. Document the client's condition and care factually in the medical record, but '''do not chart that an incident report was filed''' and do not place a copy in the chart.

[[Category:Infection Control and Safety]]
[[Category:Licensed Practical Nurse (NCLEX-PN)]]
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