The 'De-Skilling' Of Nursing - page 11

by TheCommuter 33,172 Views | 240 Comments Senior Moderator

What should be our greatest concern for the future of nursing? We must fear the day if (or when) registered nurses (RNs) and licensed practical nurses (LPNs) will be less needed in healthcare due to systematic de-skilling of the... Read More


  1. 0
    Quote from neurorn6
    Welcome to the new Nursing. We had let for profit and nursing organizations devalue nursing for years. While RT and PT can bill separately, we continue to be listed under bed and board. Yet, we have to carry malpractice insurance because we are professionals. We have let the ANA make decisions for us, which has done more harm than good for nurses across the board.

    Computerized charting has taken us away from the bedside, customer service has us acting like waitress instead of professionals and administrators think that we are a dime a dozen. Yes you can replaces us but you can't replace our experience.

    I have worked all over this country. I have worked in the NE, out west and in the south. I have worked Union and Non Union and For Profit and Non Profit. There is a huge difference across the board. The one thing that does stay the same, is that unless nurse come together under one banner, we will fall by the wayside.

    We need to come together, LPN, LVN, RN, BSN and so forth. If we don't stand together, then we have on one to blame but ourselves.


    Absolutely! We're only hurting ourselves and look at what's happened.............
    mc3
  2. 3
    I get the desire for standardization, but there's benefits of having a multi tiered system. I actually think there is some merit to the idea of *forcing* nursing to be a career taken on a step by step basis. A requirement to get into a LPN program is having worked for a year first as a CNA. A requirement to get into a RN program is having worked for a year as a LPN. Thus no new RN could possibly step into a RN job without already having solid nursing experience. Nursing schools do such a pi** poor job of preparing nurses for the real world, some real world experience could only help.
    GeneralJinjur, gummi bear, and SHGR like this.
  3. 0
    Quote from Asystole RN
    Maybe they do not see you as a nurse... :kiss

    To be fair, the organization predates LPNs. Why don't you start your own all inclusive association?
    Could you explain to me why LPN's shouldn't be included. Honestly, are our goals different? Do we both not want to take care of and help patients? Then all nurses would be working together on these issues. One powerful voice. Sorry, but your remarks remind me of a Jr. High School clique (i.e. why don't you go hang around with the other kids that are more like you....)
    mc3
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    Quote from mc3
    There is no "Aide" in Licensed Practical Nurse. One assists the nurse, the other is a Nurse!!!



    mc3
    Splitting hairs.



    We can debate this further on at the next professional nursing organization meeting...oh wait.



    Just kidding.
  5. 0
    Quote from mc3
    Could you explain to me why LPN's shouldn't be included. Honestly, are our goals different? Do we both not want to take care of and help patients? Then all nurses would be working together on these issues. One powerful voice. Sorry, but your remarks remind me of a Jr. High School clique (i.e. why don't you go hang around with the other kids that are more like you....)
    mc3
    I think LPNs should be allowed to join ANA, I also think CNAs should be able to too.

    I do not believe this will ever happen though because, although similar, our occupations are too different with the main difference being in educational preparedness. The current trend in registered nursing is to eliminate the ADN and Diploma nurses in favor of the BSN nurse, just think of what the opinion on LPNs is.

    Considering that LPNs have been around how long now and they have not formed a national nursing organization themselves, I do not think there is much interest.
  6. 1
    Quote from BrandonLPN
    I get the desire for standardization, but there's benefits of having a multi tiered system. I actually think there is some merit to the idea of *forcing* nursing to be a career taken on a step by step basis. A requirement to get into a LPN program is having worked for a year first as a CNA. A requirement to get into a RN program is having worked for a year as a LPN. Thus no new RN could possibly step into a RN job without already having solid nursing experience. Nursing schools do such a pi** poor job of preparing nurses for the real world, some real world experience could only help.
    Brandon, I agree with you that nursing school typically does not provide real world experience. However, at least in my state to my knowledge, one is not required to have prior nursing experience to become a nurse-particularly at the ADN, BSN, or MSN levels. In fact, as I write, there are people entering the nursing profession that have no intention of "wiping butt" beyond their schooling. They seek to go into administration or specialize in non-physical contact areas.

    It's all about getting that buck for many people who enter nursing. Even though most bedside nurses do not feel they're getting well-compensated, nursing does provide a decent wage and some measure of security depending on where you work and who is in top management.

    To mitigate any problems with your step by step recommendation, nursing could go back to the days of old when nurses worked as "techs" in between semesters (back then it was a source of free help; I would not recommend no pay today) or nursing internship programs could be established.
    gummi bear likes this.
  7. 0
    Quote from kellieskorner
    and we inject cardiac medications,mix potassium infusions, scope of practice and safety measures sometimes checked 4 times.Takes longer but makes you think and not just hang what pharmacy gives you.Almost gave a lethal dose one time in the US that I checked prior to hanging from pharmacy.Found an error.
    <br>
    <br>
    In the ER that I worked in Pharmacy did not mix our drugs we, the nurses, did. I cannot tell you how many times I mixed dopamine, dobutamine, bi-carb, nitro drips, antibiotics, drips for diabetics, caffeine drips, and so many others that I do not remember them all. We pushed meds for rapid intubations, mixed anti-venom drips and gave meds for cardioversions. All this in the ER but the one I was most afraid of was levophed. My first overdose I had to push methylene blue with only a drug book to tell me how. No one in the hospital had experience with that one. I guess that is one reason I really liked my ER, we nurses really did everything except suture and that was because the hospital would not let us not because it was beyond our scope per the state nursing board.
    Last edit by Dragonnurse1 on Aug 26, '12 : Reason: quoted wrong section
  8. 1
    Quote from Mijourney
    To mitigate any problems with your step by step recommendation, nursing could go back to the days of old when nurses worked as "techs" in between semesters (back then it was a source of free help; I would not recommend no pay today) or nursing internship programs could be established.
    I could not agree more with the part I bolded. Nursing is far too complicated to be able to provide a truly adequate and quality hands-on experience within nursing education. I believe that nursing would do well to copy the physician model of education where there is a theory part of the education and then a formal residency portion.

    Leaving residency up to the individual hospital to determine the length and quality provides for mixed results.
    GeneralJinjur likes this.
  9. 0
    i totally agree. PT doing wound care is really foreign to me. And for some reason I feel like with the concentration their schooling is directed towards, wouldn't wound care be out of their scope of practice? Of course they could incorporate it, but the thought their primary goal was to help rehabilitate the patient?
  10. 1
    Quote from Asystole RN
    Splitting hairs. We can debate this further on at the next professional nursing organization meeting...oh wait. Just kidding.
    I can't tell if you're being serious or facetious. Do you really think saying there's a difference between CNAs and LPNs is "splitting hairs"?
    mc3 likes this.


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