Can the licensed practical nurse administer or recommend over-the-counter (OTC) drugs without an order from a physician?

It is not within the scope of practice of a licensed practical nurse to administer or recommend OTC drugs. The licensed practice nurse must work under the direction of an authorized health care practitioner or under the direction and supervision of a registered nurse. Orders for OTC drugs or devices may be done using standing orders from an authorized health care practitioner or a registered nurse as identified in the nursing care plan. See the NCQAC Standing and Verbal Orders Advisory Opinion for guidelines and recommendations.