I recently wittnessed an LPN mixing vanco and was wondering if this is within their scope of practice. When I asked the nurse she responded with " I don't know, but I have been doing it a long time". I understand that they cannot hang an initial antibiotic, but can hang subsequent infusions. With the subsequent infusions they mix the antibiotics with use of a vial adapter, but this is not always the case with vanco. Vanco doses vary based upon trough levels so we often have to reconstitute and then further dilute. Our policy is not that specific.
Also I was wondering about LPN's and PICC line care. I was just informed that an LPN flushed a PICC line and I was under the understanding that they were not allowed to access PICC lines. Is there something new with IV certification that allows them the ability to access PICC lines?
Thank you for your input.