Guidelines : Effective utilization of RNs and LPNs in a collaborative practice environment

Based on the best available current evidence, decision makers need to consider the key differences in the fundamental values of the professions, knowledge base, critical thinking skills, and the inherent qualities of RNs and LPNs to ensure the appropriate utilization of each of their services in the practice setting. [...] Consultation results in one of the following actions: a) the nurse receives advice and continues to care for the client, b) the nurse transfers an aspect of care to the consultant and, c) the nurse transfers all care to the consultant. [...] The scope of practice of an individual RN or LPN may be constrained by education, experience, and the authority given to that particular nurse to perform all of the functions outlined within the definition of the practice of nursing (RN Act) and the practice of practical nursing (LPN Act). [...] The scope of practice for registered nurses includes all elements found within the scope of practice of the licensed practical nurse, the core of the nursing process, as well as the requirement of specialized skills, expert knowledge and professional judgment or, in other words, competency to manage complex care. [...] Determining the appropriate care provider requires that the RN make decisions and coordinate care based on an analysis of the overall plan of care and context of practice - the clients’ needs, the practice environment and the individual capacity of the nurse.