dialysis charge nurse in acute care facility an LVN?

What is your issue with it? That she is an lvn? Apparently if she has the position it is allowed. Rather than focusing on her degree, maybe see if you can learn something from her. She must have a lot of experience to be in the charge role. Your post came across as sour grapes, sorry if I misread it. But whether or not an LVN is allowed to do something in your state should be easy enough to look up, just curious why you would open a can of worms.

If the state regulation and the hospital policies allows LVN to be in-charge then there is really no problem with it. I know of many LVNs who are competent in their work more than some RN's so frankly I don't see any issues with it. remember it is not the initials after their names but rather the person him/herself that counts.

If one were to look on the BON website of the state that they are in, a number of them talk about competency and facility based scopes of practice. Combined with "LPN's in an expanded role" facilities determine what that role entails. Most BON websites will also reference their stand on LPN's in a charge role with RN's--and that also varies by state and facility. As licensed professionals, it is also clear on most BON regulations that an LPN is responsible for his/her own practice standard--in other words, we do not "work under the license" of an RN. So with all that being said, are you against this arrangement? On what grounds? Obviously this LPN has shown compentency in skills. Are you planning on applying there? Or are you just against the thought of an LPN in that type of role because......
I know in Massachusetts, it is stated in the LPN scope that we can do anything that a facility allows us to do (which dispels the "can't do pushes, can't do transfusions" myth--we can do it but will a facility allow us to do it) and that we show competency in.