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What Is An Lvn In Healthcare?

What Is An Lvn In Healthcare
What Is an LVN or LPN? Job Description & Career Guide Now more than ever, nurses are essential to our nation’s health and well-being. If you enjoy taking care of people and making a difference within your community, a career in nursing may be your calling! Depending on your interests, there are many entry-level nursing careers for you to choose from.

A position as a licensed vocational nurse, for example, pays well, requires minimal education, and gives you valuable experience in patient care. Some can even help you prepare to become an RN. So what is an LVN nurse and what does an LVN do? Use this guide to learn how to become an LVN and why it’s such a valuable, rewarding job that can open the door to your RN career.

As a licensed vocational nurse, you’ll provide patients with quality care and comfort measures under the supervision of registered nurses (RNs). This includes performing numerous clinical tasks and offering basic care and assistance to patients in a variety of settings, such as hospitals, medical offices, and long-term care facilities.

Chances are you’ve interacted with numerous LVN nurses during your own medical care. LVN and LPN (licensed practical nurse) are used interchangeably to describe this role because they’re essentially the same occupation, so the term will be used interchangeably in this article as well. Both jobs entail the same duties and have identical education and licensing requirements.

Basically, the sole difference between an LVN and an LPN is where they work. Vocational nurses practicing in Texas and California are typically called LVNs, whereas their colleagues in all other states use the LPN title. As an LPN nurse, you’ll be trained to assist registered nurses and physicians and provide a wide range of patient services.

  • Monitoring and recording vital signs
  • Updating patient charts
  • Offering bedside care
  • Assisting in nursing care
  • Dressing wounds
  • Administering medications
  • Organizing medication of patients
  • Providing meals
  • Cleaning and managing medical equipment and instruments
  • Starting intravenous (IV) fluids

Registered nurses also use the data and observations you’ll collect to guide their patients’ treatment plans. So you’ll be an essential part of each patient’s well-being and a valued member of the healthcare team. And if you’re interested in taking on a leadership role, vocational nurses can sometimes move into supervisory roles overseeing other nursing aides and assistants.

  • Or you can leverage your LVN experience and.
  • Licensed vocational nurses have a lot of options as to where they work.
  • If you love working with the elderly, then practicing at a nursing home is an excellent fit.
  • Or if you’d like more roles and responsibilities, along with typically higher pay, then seeking work in a hospital is a great option.

Here are the most common places LPNs work:

  • Public and private hospitals
  • Physicians’ offices
  • Nursing homes
  • Residential care facilities
  • Schools and universities
  • Military organizations
  • Correctional facilities
  • In-home healthcare

Another tip: If you’re looking for more autonomy without constant supervision, practicing as a home health nurse or within a nursing home is a good choice. In either scenario, you’ll be able to spend more time with patients and make a greater impact. An LPN nurse earns more than other health technicians and technologists, as well as the above the annual average salary for all U.S.

  • Occupations.
  • According to the (BLS), the median average salary for a licensed practical nurse is $47,480—with the lowest 10% earning less than $34,560 and the highest 10% earning more than $63,360.
  • This also breaks down to a median hourly wage of $22.83, which is fantastic pay for an entry-level healthcare position or nursing care job.

Of course, your salary will be affected by what region, state, or city you reside in (depending on the cost of living), as well as what clinical setting you choose to practice from. For example, nursing and residential care facilities typically pay the most, whereas physician offices usually pay the least. With a nationwide, the outlook for LVN employment is good. The BLS predicts a 9% job growth rate over the next 10 years, which is well above the average growth rate for other U.S. occupations. One of the reasons for the high demand is to take care of our aging baby boomers population as their healthcare needs will grow.

  1. Also, many chronic conditions, including obesity and diabetes, are on the rise, and vocational nurses will be needed to help provide patient care.
  2. Lastly, more procedures are being done in outpatient care centers, making it a requirement to employ LVNs in these settings.
  3. Becoming a licensed practical nurse additionally opens the door to other employment opportunities, such as—which has a similar job growth rate and a $25,000 annual increase in pay, on average.

Education requirements. Becoming an LPN is a fairly quick process and requires these three steps:

  1. Earn your high school diploma or GED.
  2. Enroll in an LPN program—completion typically takes one year. These programs are offered by community colleges, technical schools, and through online courses. Completion of this program will demonstrate you have the specific skills needed to perform the job duties for an LPN role.
  3. Pass the (NCLEX-PN) exam and apply for your professional LVN certification. This exam will help you become licensed and qualified for job opportunities.

What’s great about becoming a LVN jobs is that you can get your feet wet in the nursing field to see if it’s the right career for you. Being licensed for this role will help you get experience and be prepared for the next step in your career. You’ll also earn a good wage and gain valuable credentials in an LVN license that you can apply if you want to take the next step to become an RN.

  • WGU also offers numerous and, making earning an advanced nursing degree—and continuing to progress your career—more affordable than you think.
  • LVN skills.
  • In addition to the training and education listed above, successful LVN candidates (and future RNs) should have these soft skills:
  • Communicative—excellent written, verbal, and interpersonal communication skills are essential.
  • Observant—being detail-oriented helps to ensure patients receive the right care at the right time.
  • Compassionate—you’ll need empathy for the people you’re caring for.
  • Friendly—being personable with patients and your coworkers is a large part of the job.
  • Patient—it can be stressful at times working with sick or wounded people.
  • Flexible—no day is exactly the same in the healthcare world, so you must be able to go with the flow.
  • Strong—you’ll often need to perform physical tasks for long periods of time.

Vocational nurses care for a broad spectrum of patients, which is why they need to be caring, responsible, and accountable individuals with solid time management skills. If you’re looking for a stable entry-level position with the potential to grow into more senior healthcare and nursing roles, becoming an LVN is an ideal choice.

  1. Yes, it can be challenging at times, but it’s also extremely rewarding.
  2. So follow the path we’ve outlined in this guide to take the next step in your careerand life! Our focus on your success starts with our focus on four high-demand fields: K–12 teaching and education, nursing and healthcare, information technology, and business.

Every degree program at WGU is tied to a high-growth, highly rewarding career path. Which college fits you? Want to see all the degrees WGU has to offer? : What Is an LVN or LPN? Job Description & Career Guide

What is the role of an LVN?

The Licensed Vocational Nurse (LVN) functions under the direct supervision of the Registered Nurse (RN). The LVN provides nursing care to patients of all ages; from pediatric to geriatric, within the LVN scope of practices – as delegated by the RN. Sedentary- generally not more than 10 lbs.

What is the meaning of RN or LVN?

When it comes to nursing, both Registered Nurses (RN) and Licensed Vocational Nurses (LVN), also known as Licensed Practical Nurses (LPN) in some states, are invested in patient care and play a vital role in patient recovery. However, there are also many differences between the professions of RN and LVN. Let’s take a look at some of the biggest differences between these two types of nurses.

How much do LVNs get paid in California?

LVN Salary in California

Annual Salary Monthly Pay
Top Earners $73,931 $6,160
75th Percentile $63,160 $5,263
Average $59,340 $4,945
25th Percentile $46,513 $3,876
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How long does it take to become a LVN in Texas?

What Is An Lvn In Healthcare Our nursing certificate program, designed to be completed in one year. What Is An Lvn In Healthcare The LVN program is approved by the Texas Board of Nursing (BON). It’s a certificate program designed to prepare entry-level practitioners to provide direct care to patients of all age groups under the supervision of a registered nurse or licensed physician.

Emphasis is placed upon the ability to make sound judgements based on the knowledge of scientific principles and the ability to utilize technical skills in a variety of settings. LVN programs are offered at Gainesville, Corinth, Bowie, Graham, and as an online hybrid. The program is 12 months in length.

Upon successful completion, you will be awarded a certificate of completion and are eligible to take the National Council Licensing Examination – Practical Nurse (NCLEX-PN). You’re expected to be a member of the profession on a health care team providing patient-centered care and an advocate for patient safety.

How much do LVNs make in Los Angeles County?

Salaries by years of experience in Los Angeles, CA

Years of experience Per hour
Less than 1 year $32.04
1 to 2 years
3 to 5 years $34.92
6 to 9 years

What can an LVN not do in Texas?

Initiation of CPR – A Nurse’s Duty to Initiate – Is current CPR certification a licensure requirement for nurses? No. The Texas Board of Nursing (Board or BON) does not require CPR certification for licensure renewal; however, employers may have specific requirements for maintaining current CPR status as a condition of employment.

  • Nurses should use their professional judgment when deciding whether or not to maintain current CPR certification, taking into consideration whether they are employed in patient care settings in which CPR may be necessary to resuscitate and stabilize a patient’s condition,
  • Nurses have a responsibility to maintain continued competency in nursing practice through educational opportunities that promote individual professional growth,

Do all nurses have an obligation to initiate CPR for a client? Does the Texas Board of Nursing have rules that establish a nurse’s duty to initiate CPR? Yes. All nurses have an obligation or duty to initiate CPR for clients who require resuscitative measures,

In all healthcare settings, nurses must initiate CPR immediately in the absence of a client’s do-not-resuscitate/out of hospital do-not-resuscitate order, A do-not-resuscitate/out of hospital do-not-resuscitate order is a medical order that must be given by a physician; and, in the absence thereof, it is generally outside the standards of nursing practice to determine that CPR will not be initiated.

The initiation of CPR does not require a physician’s order in the absence of do-not-resuscitate/out of hospital do-not-resuscitate order. In general, the Texas Nursing Practice Act and Board rules and regulations establish a nurse’s duty to initiate CPR and require every nurse, regardless of expertise, specialty, or practice setting, to provide safe and effective care for clients,

  1. What is the role of the licensed vocational nurse (LVN), registered nurse (RN), and advanced practice registered nurse (APRN) in initiating CPR in a witnessed arrest?

In the absence of a do-not-resuscitate/out of hospital do-not-resuscitate order from a physician, all nurses should initiate CPR immediately in a witnessed arrest, regardless of healthcare setting. CPR should continue and the physician should be notified of the client’s change in condition, to include the current life-saving interventions being provided to the client.

Does the BON have a position statement that addresses the RN’s role in the management of an unwitnessed cardiac or respiratory arrest in a long-term care facility? Yes,, Registered Nurses in the Management of an Unwitnessed Arrest in a Resident in a Long-Term Care Facility, The purpose of this position statement is to provide recommendations and guidance to clarify issues for compassionate end-of-life care for residents residing in long-term care facilities only,

This position statement is specific to long-term care facilities and is not to be construed as applicable to other healthcare settings in which nurses are employed. In the case of an unwitnessed resident arrest without DNR orders in a long-term care facility, determination of the appropriateness of CPR initiation should be undertaken by the registered nurse through a resident assessment; and, interventions appropriate to the findings should be initiated.

After assessment of the resident is completed and appropriate interventions are implemented, documentation of the circumstances and the assessment of the resident in the medical record are required. Are nurses expected to perform CPR on clients with obvious clinical signs of irreversible death ? Board Rule 217.11(1)(A) requires all nurses to know and conform to the Texas Nursing Practice Act and Board rules and regulations as well as all federal, state, or local laws, rules or regulations affecting the nurses’ current area of nursing practice.

Additionally, nurses should know and follow their facility, agency or employer’s policies. The American Heart Association recommends that all clients receive CPR immediately unless attempts at CPR would be futile, such as when clients exhibit obvious clinical signs of irreversible death.

Obvious clinical signs of irreversible death include decapitation (separation of head from body), decomposition (putrefactive process; decay), dependent lividity (dark blue staining of the dependent surface of a cadaver, resulting from blood pooling and congestion), transection, or rigor mortis (body stiffness that occurs within two to four hours after death and may take 12 hours to fully develop).

Does the Texas Board of Nursing have purview over the pronouncement of death? No. The Board of Nursing does not have purview over physician practice, employment settings or the laws regulating the pronouncement of death in Texas. Additional information on Texas regulations regarding pronouncement of death may be found in the,

  • Is there a difference between the decision to initiate CPR and the decision to pronounce death? Yes.
  • The decision to initiate CPR for all nurses should be a spontaneous clinical decision and nursing intervention for a client in cardiac or respiratory arrest,
  • Delay in initiating CPR can be critical to the outcome of CPR.

CPR should not be delayed to review the client’s medical record or chart in search of physician orders for do-not-resuscitate/out of hospital do-not-resuscitate documentation. Employers and nurses should take a proactive approach to ensure that healthcare setting policies are in place to ascertain a physician’s order for resuscitative status upon admission.

Additionally, the care plan should be updated, as appropriate, if there are changes to the physician’s order concerning resuscitation status of the client. Easy access to the most up-to-date physician’s order regarding resuscitation status is imperative. Can an RN or an APRN pronounce death? Texas statutes, rules and regulations outside of the Board’s jurisdiction govern who can pronounce death, and only those legally authorized to pronounce death may do so (i.e., physician, justice of the peace).

Texas regulations regarding pronouncement of death may be found in Texas Health and Safety Code Chapter 671 and Texas Administrative Code Chapter 193 (Texas Administrative Code, Title 22, Part 9, Chapter 193.18) Texas Health and Safety Code Chapter 671 requires the facility, institution, or entity to have a written policy that is jointly developed and approved by the medical staff or medical consultant and the nursing staff, specifying under what circumstances an RN can make a pronouncement of death in order for an RN to pronounce death.

An RN and/or an APRN can pronounce death when a patient is not receiving artificial means of life support and has a properly documented do-not-resuscitate/out of hospital do-not-resuscitate physician’s order if the employer has policies and procedures in place to acknowledge that the RN and/or APRN may pronounce death.

Fundamentals Of Nursing For LPN / LVN: Chapter 1 – Nursing And The Health Care System | LPN Student

An RN may not sign a death certificate under any circumstances. However, an APRN may sign a death certificate under the following circumstances:

  • The patient has executed a written certification of terminal illness, has elected to receive hospice care, and is receiving hospice services from a qualified hospice provider; or
  • The patient is receiving palliative care.
  • Can LVNs pronounce death or accept an order to pronounce death in Texas?

No. The Board of Nursing addresses the Role of the Licensed Vocational Nurse in the Pronouncement of Death. Licensed vocational nurses (LVNs) do not have the authority to legally determine death, diagnose death, or otherwise pronounce death in the State of Texas.

  1. What additional references are available should be considered when establishing policies and procedures for nursing staff in my facility?
  2. In addition to the current American Heart Association Guidelines for CPR & Emergency Cardiovascular Care, the Board website () may provide assistance and serve as a resource in developing policies and procedures to further support safe practice with regard to CPR. The Board recommends employers consider the following references when establishing policies and procedures in the healthcare setting:
  3. Revised 2018
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How much do LVNs get paid in Texas?

$41,773 is the 25th percentile. Salaries below this are outliers. $66,397 is the 90th percentile. Salaries above this are outliers.

What does BSN mean for nursing?

What Is a BSN? – BSN is an undergraduate degree which stands for Bachelor of Science in Nursing, Completing a BSN program is one way to start your career in nursing and obtain your RN license. While technically all BSN graduates are RNs—at least if they take the RN licensure exam and practice nursing—all RNs aren’t BSNs.

What is the highest LVN can make?

LVN Salary. $47,500 is the 25th percentile. Salaries below this are outliers. $64,500 is the 75th percentile.

What is the highest salary for LVN?

How Much Do LVN Jobs Pay per Month?

Annual Salary Weekly Pay
Top Earners $75,500 $1,451
75th Percentile $64,500 $1,240
Average $57,753 $1,110
25th Percentile $47,500 $913

How long is LVN school in California?

Program Length: Full-Time 12-14 Months of Training. Part-Time 18-20 Months of Training.

How long does a LVN license last in California?

Application for Renewal The purpose of the Board’s licensing program is to protect the health, safety and welfare of California consumers who receive health care from LVNs and PTs. The Board ensures that its licensees possess the skills and abilities necessary to practice safely, and that they maintain knowledge of current trends and techniques in the practice of nursing.

Active License – VN and PT licenses are considered “active” when the license is current (not expired or delinquent) and the 30 hours of continuing education requirements have been met. Inactive License – A license is placed on inactive status when the renewal fee is paid and continuing education requirements have not been met.

The licensee cannot practice with an inactive license. To activate an “inactive” license, the licensee must submit proof of thirty hours of continuing education during the preceding two years. Renewal – LVNs and PTs are required to renew their license every two years.

Satisfactory completion of continuing education is required for an “active” license in addition to a social security number. Licensees must also certify under penalty of perjury, whether they have been convicted of a crime since they last renewed. Renewal notices are mailed 6 weeks prior to the license expiration date.

The renewal fee must be received on or before the expiration date in order for the licensee to continue to legally work. Delinquent Licenses – A delinquency fee is assessed if the renewal fee is not paid within 30 days after the expiration date. A licensee may renew a delinquent license any time within 4 years of the expiration date by submitting payment of all accrued and unpaid renewal fees in addition to any fees due upon renewal of a delinquent license along with proof of continuing education, a social security number, and conviction statement.

  • Expired Licenses – A license which is not renewed for 4 years expires.
  • An expired license cannot be renewed, re-issued or reinstated.
  • The licensee is required to submit a new application and retake the licensure examination to receive a new license.
  • Continuing Education – After the first renewal, LVNs and PTs are required to certify under penalty of perjury, completion of 30 hours of CE within the two years immediately preceding the date of renewal.

Courses must be related to the licensee’s scope of practice. The licensee must retain the provider certificate for a period of 4 years and produce it if audited by the Board. A random audit of the current active licensed population is conducted. When audited, licensees are required to submit copies of the provider certificates.

  1. Those who have misrepresented CE compliance are referred to the Enforcement Unit for disciplinary action.
  2. Have you moved? Address change requirements Reminder!! If you have changed your address since becoming licensed by the Board, Business and Professions Code Section 136(a) requires that you notify the Board, in writing, within 30 days of the change.

Failure to do so will result in unnecessary delays in receipt of your renewal forms, renewed license, and other important correspondence from the Board. Please send your change of address in writing and include your name, license number, old address and new address.

Are LVN in high demand in California?

CA trends – state and national trends predict a 21% increase in LVN jobs in California by 2024. Approximately 3,240 job openings per year. $72,000 per year.

Can you work as an LVN without a license in California?

In order to practice as a Licensed Vocational Nurse in California, you must be licensed by the California State Board of Vocational Nursing and Psychiatric Technicians.) Equivalent Education and/or Experience.

Can an LVN work independently in California?

LVNs may not practice independently but they can perform specified procedures without the onsite physical presence of a supervising doctor or registered nurse.

Can a California LVN work in other states?

How to Transfer Your LVN License to Another State What Is An Lvn In Healthcare Are you getting ready to move to another state and need to know how to transfer your licensed vocational nurse (LVN) license? LVN licenses are issued by states, and if you wish to work in a different state from where your license was issued, you will need to have your license transferred to the new state. However, just how does one go about this?

Can an LVN pronounce death in Texas?

15.20 Registered Nurses in the Management of an Unwitnessed Arrest in a Resident in a Long Term Care Facility – The Texas Board of Nursing (BON) has approved this position statement, only applicable to long term care settings, in an effort to provide guidance to registered nurses (RNs) in long-term care facilities and to clarify issues of compassionate end-of-life care. In 2002, The Texas Nurses Association (TNA) through its Long Term Care (LTC) Committee identified that RNs were concerned about the inappropriate initiation of cardiopulmonary resuscitation (CPR) when a resident without a “do-not-resuscitate” order (DNR) experiences unwitnessed arrest. There is a growing sentiment on the part of the long-term care nurse community that the initiation of CPR would appear futile and inappropriate given the nursing assessment of the resident. The nursing community generally considers that initiation of CPR in such cases is not compassionate, and is not consistent with standards requiring the use of a systematic approach to provide individualized, goal directed nursing care, This position statement is intended to provide guidance for RNs in the management of an unwitnessed resident arrest without a DNR order in a long-term care (LTC) setting, This position statement also addresses the related issues of:

  • Obligation (or duty) of the RN to the resident;
  • Expectation of supportive policies and procedures in LTC facilities; and
  • The RN role in pronouncement of death.

These related issues are addressed in this position statement because the BON is often required to investigate cases of death where it appears there is a lack of clarity about a RN’s obligation when there is no DNR order. The BON will evaluate cases involving the failure of a RN to initiate CPR in the absence of a DNR based on the following premise: A DNR is a medical order that must be given by a physician and in the absence thereof, it is generally outside the standard of nursing practice to determine that CPR will not be initiated.

  1. However, there may be instances when LTC residents without a DNR order experience an unwitnessed arrest, and it is clear according to the comprehensive nursing assessment that CPR intervention would be a futile and inappropriate intervention given the condition of the resident.
  2. In the case of an unwitnessed resident arrest without DNR orders, determination of the appropriateness of CPR initiation should be undertaken by the RN through an assessment of the resident, and interventions appropriate to the findings should be initiated.
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Assessment of death in which CPR would be a futile and inappropriate intervention requires that all seven of the following signs be present and that the arrest is unwitnessed: Presumptive Signs of Death

    1. The resident is unresponsive;
    2. The resident has no respirations;
    3. The resident has no pulse;
    4. The resident’s pupils are fixed and dilated;
    5. The resident’s body temperature indicates hypothermia: skin is cold relative to the resident’s baseline skin temperature;
    6. The resident has generalized cyanosis; and

Conclusive Sign of Death

There is presence of livor mortis (venous pooling of blood in dependent body parts causing purple discoloration of the skin).

There may be other circumstances and assessment findings that could influence a decision on the part of the RN not to initiate CPR. However, evaluation of the prudence of such a decision would occur on a case-by-case basis by the BON. Documentation After assessment of the resident is completed and appropriate interventions are taken, documentation of the circumstances and the assessment of the resident in the resident’s medical record is required.

  • Description of the discovery of the resident
  • Any treatment of the resident that was undertaken
  • The findings for each of the assessment elements outlined in the standards
  • All individuals notified of the resident’s status (e.g., 9-1-1, the health care provider, the administrator of the facility, family, coroner, etc.)
  • Any directions that were provided to staff or others during the assessment and/or treatment of the resident
  • The results of any communications
  • Presence or absence of witnesses

Documentation should be adequate to give a clear picture of the situation and all of the actions that were taken or not taken on behalf of the resident. Even if the RN’s decision not to initiate CPR was appropriate, failure to accurately and completely document can result in an action against a nurse’s license by the BON.

  1. Furthermore, lack of documentation places the nurse at a disadvantage should the nurse be required to explain the circumstances of the resident’s death.
  2. RNs should be aware that actions documented at the time of death provide a more credible and accurate clinical description.
  3. Documentation that is absent, incomplete or inaccurate reveals gaps in care, requiring the nurse to prove actions not appropriately documented were actually taken.

As stated in Position Statement 15.2, The Role of the Licensed Vocational Nurse in the Pronouncement of Death, it is beyond the scope of practice of the LVN to legally determine death, diagnose death, or otherwise pronounce death in the State of Texas.

  • Failure to monitor the resident’s physiologic status;
  • Failure to document changes in the resident’s status and to adjust the plan of care based on the resident assessment;
  • Failure to implement appropriate interventions which might be required to stabilize a client’s condition such as: reporting changes in the resident’s status to the resident’s primary care provider and obtaining appropriate orders; and/or
  • Failure to implement procedures or protocols that could reasonably be expected to improve the resident’s outcome.

Care Planning and Advanced Directives Proactive policies and procedures, that acknowledge the importance of care planning with the inclusion of advanced directives, are also important. Evidence indicates that establishing the resident’s wishes at the end of life and careful care planning prevents confusion on the part of nursing staff and assures that the resident’s and family’s wishes in all aspects of end of life care are properly managed. The admission process to long-term care facilities in Texas requires that residents be provided information on self-determination and given the option to request that no resuscitation efforts be made in the event of cardiac and/or respiratory arrest. Facilities are required to have policies and adequate resources to assure that every resident and resident’s family upon admission to a long term care facility not only receive such information, but have sufficient support to make an informed decision about end of life issues. It is further expected that advanced care planning is an ongoing component of every resident’s care and that the nursing staff should know the status of such planning for each resident. The Board recognizes that end of life decisions on the part of residents and families can be difficult. However, the Board believes that principled and ethical discussion about CPR with the resident and family, is an essential element of the resident care plan. RN Role in Pronouncement of Death Texas law provides for RN pronouncement of death, The law requires that in order for an RN to pronounce death, the facility must have a written policy that is jointly developed and approved by the medical staff or medical consultant and the nursing staff specifying under what circumstances an RN can make a pronouncement of death. It is important that nurses understand that the assessment that death has occurred and that CPR is not an appropriate intervention are not equivalent to the pronouncement of death. Texas statutory law governs who can pronounce death, and only someone legally authorized to pronounce death may do so. If the RN does not have the authority to pronounce death, upon assessment of death the RN must notify a person legally authorized to pronounce death. Conclusion This position statement is intended to guide RNs in long-term care facilities who encounter an unwitnessed resident arrest without a DNR order. It is hoped that by clarifying the responsibility of the RN, and using supportive facility policies and procedures, registered nurses will be better able to provide compassionate end of life care. Qualifier to Position Statement The BON evaluates “failure to initiate CPR cases” based on the premise that in the absence of a physician’s DNR order it is generally outside the standard of nursing practice not to initiate CPR. Consequently, RNs who decide not to initiate CPR must assure themselves that not initiating CPR complies with their respective standards of practice, when their assessment determines that not all seven signs of death are present. Depending on the circumstances, a nurse’s failure to initiate CPR when not all seven signs are present may constitute failure to comply with standards of nursing care. This position statement is limited to situations when all seven signs are present and should not be construed as providing guidance on the appropriateness of not initiating CPR when not all seven signs are present. References Texas Health and Safety Code §§ 671.001-671.002 American Heart Association. (2020). American Heart Association CPR&ECC guidelines. Retrieved from (Approved by the Board of Nursing on October 24, 2002; Revised: 01/2005; 01/2007; 01/2008; 01/2011; 01/2012; 01/2013; 01/2014; 01/2016; 01/2018; 01/2019; 01/2020; 01/2021) (Reviewed: 01/2006; 01/2009; 01/2010; 01/2015; 01/2017; 01/2022) Return to top


What is an LVN allowed to do in California?

Established in 1951 (Vocational Nurse Program) and 1959 (Psychiatric Technician Program); the Board is responsible for administering the laws related to the practice of licensed vocational nurses and psychiatric technicians. In 1970, the Psychiatric Technician certification was changed to a licensure program based upon passage of Senate Bill 298.

Licensed Vocational Nurses (LVNs) provide basic bedside nursing care to clients under the direction of a physician or registered nurse. The LVN utilizes scientific and technical expertise and manual skills. Duties within the scope of practice of an LVN typically include, but are not limited to, provision of basic hygienic and nursing care; measurement of vital signs; basic client assessment; documentation; performance of prescribed medical treatments; administration of prescribed medications; and, performance of non-medicated intraveneous therapy and blood withdrawal (requires separate Board certification.) Psychiatric Technicians (PTs) provide care for mentally disordered or developmentally disabled clients under the director of the services.

The director may be a physician, psychologist, rehabilitation therapist, social worker, registered nurse or other professional personnel. The PT utilizes scientific and technical expertise and manual skills to provide care and training for clients with mental disorders and developmental disabilities.

Can LVNs initiate care plans in California?

LVNs are not authorized to perform several key elements of the nursing process, such as, initial and ongoing patient assessments (synthesis, interpretation and evaluation of data); the formulation of a nursing diagnosis; the initiation of a patient care plan; the implementation and/or assignment of interventions and