What LPNs Can and Cannot Do in Pennsylvania
For many aspiring nurses, the practical scope of an LPN’s license can feel like both a stepping stone and a limitation, allowing hands-on care but always under someone else’s direction. Pennsylvania’s Nurse Practice Act draws a precise line, and knowing exactly where it falls protects patients, employers, and your own license.
Permitted Tasks Under State Law
Pennsylvania LPNs provide a wide range of direct patient care. They administer medications, oral, topical, intramuscular, subcutaneous, and inhalation, as ordered by a provider. They perform wound care, take vital signs, and carry out focused assessments and data collection to support the care plan. Patient education is also within their duties. With additional training, LPNs can administer immunizations, accept verbal orders, and engage in IV therapy.
IV therapy is permitted if the LPN has the requisite knowledge, skill, and ability, and works under the direction of an RN or authorized provider. An LPN who completes a board-approved IV curriculum may insert peripheral catheters, adjust fluid flow rates, and maintain, monitor, and discontinue blood products, provided facility policy allows it. However, LPNs may not insert central lines, initiate high-risk IV medications unless explicitly permitted, or initiate hemodialysis.
Prohibited Activities and Limits
The Pennsylvania Nurse Practice Act reserves certain actions for registered nurses and advanced practice providers. LPNs may not perform comprehensive patient assessments, develop nursing care plans independently, or prescribe medications. While an LPN can participate in care planning under RN direction, initiating a plan is outside their scope. Additionally, LPNs cannot delegate nursing tasks to unlicensed personnel; that responsibility falls solely to RNs.
Another key restriction: LPNs may not independently push IV medications without further certification; this task is generally limited to RNs or those with specialized credentials. The Board of Nursing also prohibits LPNs from supervising RNs, although facility policy may sometimes permit an experienced LPN to direct other LPNs.
Supervision Requirements
All LPN practice in Pennsylvania occurs under the direction of an RN or authorized provider. For critical or unstable patients, the supervisor must be physically present. For stable patients, supervision may occur via electronic communication, offering some flexibility. Pennsylvania’s membership in the Nurse Licensure Compact (NLC) since 2021 also simplifies multistate practice for LPNs who meet uniform licensure requirements.
As of 2025–2026, no legislative changes have altered the LPN scope of practice, meaning these boundaries remain current for anyone entering the field from Essington or elsewhere in the state.