Nursing Issues Panel

1
Nursing Issues Panel

• Nancy Neuman, RN, Regional Nurse Consultant
• Michael Farias, RN, Shriver Job Corps Center
• Debbie Vierra, RN, Delaware Valley Job Corps
  Center
• Region 1 Health and Wellness Conference
• San Juan, Puerto Rico
• May 14, 2004

2
Overview
This panel will look at some nursing standards of
practice to make sure Job Corps centers are
following current State Board practices in the
state in which they are located
3
General Statement
Topics discussed will represent areas of health
care practice, particularly nursing practice
4
General Statement (continued)
All center health services and providers shall
follow their states accepted Professional
Standards of Care and remember that they are
subject to prevailing state laws. (PRH-6 6.12,
R5)
5
Role of License Practical Nurses (LPN)

• LPN may perform most nursing duties under the
  direct supervision of a registered nurse (RN)
• The Standards of Practice ratio for all Job Corps
  centers located in Region I is 12 (1 RN for
  every 2 LPNs)

6
Role of License Practical Nurses (LPN) (continued)

• See Standards of Practice documents for each
  state in the region
• RN (physician or dentist) must be in the unit at
  the time duties are performed by an LPN

7
Unit Doses

• Under the law a RN may pour a single dose from a
  multiple dose bottle and give it to a client per
  the written order of a physician or dentist
• Legal under a RN license

8
Unit Doses (continued)

• The RN may not pour multiple doses and give them
  to the patient to take later on as this
  constitutes a dispensing function under the law
  to be performed by a pharmacist, physician, or
  dentist
• In an emergency, a RN can give a single dose
  medication to a patient and/or get a verbal
  telephone order from the the physician or dentist
  (written order is latter attached to the verbal
  order)

9
Unit Doses (continued)

• SOP reviewall SOPs for rules and regulations
  regarding student medications
• Safety implicationspros and cons regarding
  students having their own OTCs

10
Unit Doses (continued)

• Implementation
• Cost
• Documentation

11
Unit Doses (continued)

• Interdepartmental coordinationcenter director,
  finance, transportation, security, RAs
• Community linkagescontract with a 24-hour
  pharmacy service, local pharmacy for emergency
  services

12
Unit Doses (continued)

• Ensure you become familiar with and follow your
  states pharmacy requirements
• Order single bubble doses or treatment doses from
  Perry Point