Six Steps Decision Making Model for Determining Nursing Scope of Practice.

Search the Texas Board of Nursing website. Refer to Rule 217.11 Standards of Nursing Practice.

Review position statements#:

2a. #15.25 Administration of medications & treatments of LVNs

2b. #15.27 LVN Scope of Practice

2c. #15.28 RN Scope of Practice

2d. #15.3 LVNs engaging in IVT

Read the Six Steps Decision Making Model for Determining Nursing Scope of Practice.

a. Explain the primary differences between the RN and LVN Scope of Practice.

b. Using this Scenario-You are working as the RN Charge Nurse on the telemetry floor, in a large city, 500-bed acute care hospital. In this hospital, LVNs are certified to engage in IVT. You are short 2 nurses today which means you will be required to take 2 patients and the Staffing office is floating an LVN from the general medical floor to your floor. This LVN has certified to administer IVT. As the charge nurse, who has two patients, how would you ensure that the LVN that was floated in your unit is administering safe care throughout the 12hr shift? What steps could you take?

c. Describe a situation where you think it would be necessary to use the Six Steps Decision Making Model for Determining Nursing Scope of Practice.