The 'De-Skilling' Of Nursing - page 9

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. 5
    Quote from neurorn6

    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.
    Agree.

    To Asytole RN they only thing you achieve by being divisive is ensuring your own demise. You have that kind of attitude nobodies going to run to your defense.

    Personally I've only ever worked outside a hospital in areas where LVN's are desired so I can't compare or contrast but I'm not seeking a hospital position either because why would I want to have to deal with the LVN vs RN fight every single day. I don't think unemployed RN's working for LVN pay is pushing me out of anything. My division stopped hiring them because it wasn't worth their while since they didn't stay for long and a new grad RN couldn't offer anything skill wise than an LVN couldn't for that position.

    When I was working ambulatory care they were actually phasing the RN's out of the clinic with the manager trying to find case manager positions for them. When it came down to it the RN's couldn't justify what made them worth the extra $$$.

    The two above situations were within the last year. But yet again the argument always comes down to RN vs LVN or SOP vs SOP *yawn* This is why we get nowhere.
    mc3, martinalpn, kitty13, and 2 others like this.

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  2. 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.
    RTs, PT/OT and the like are specialists that have billed for specific therapies. Nurses who perform specialized treatments/procedures can also bill separately. My department does.

    You should start your own nursing organization that makes the correct decisions then, I would join it
  3. 0
    Quote from neurorn6
    The ANA does nothing for the bedside nurse. It is a political organization that is worthless.
    I like their Code of Ethics.

    Know of any better nursing organizations that does help bedside nursing?
  4. 1
    Quote from Asystole RN
    Dislike it if you want but in reality there is a big rift. How many MAs have you encountered that call themselves a nurse? Most of the MAs I encounter introduce themselves as a nurse.
    An MA has no license and I do and a legal right to call myself a nurse in my state. Whether you think I should or not is irrelevant. Honestly I'm not going to get anyway discussing anything with you because your firm in you (somewhat misguided) opinion and no correspondence shall be entered into. I'll just put you on my list of first to be thrown under the proverbial bus.
    mc3 likes this.
  5. 2
    Asystole RN, for someone who obviously is well educated, you're surprisingly ignorant of the role of the LPN and of the legal definition of the word 'nurse'.
    mc3 and tothepointeLVN like this.
  6. 0
    Quote from BrandonLPN
    The ANA is NOT all inclusive. That's the point. They should call themselves the ARNA or something. Their current title for their organization is disingenuous and misleading. Of course, it's a free country and they could call themselves the Bolivian Clown League if they wanted to. And CNAs can't join a nurses association because they are not nurses. Now, if it was the American Healthcare Worker's association or something.....

    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?
  7. 0
    Quote from BrandonLPN
    Asystole RN, for someone who obviously is well educated, you're surprisingly ignorant of the role of the LPN and of the legal definition of the word 'nurse'.
    There is no federal law that protects the title of nurse, in those states that do a CNA, MA, or plumber can use the title.

    I personally do not care about the title nurse.

    For the record, I would LOVE a joint RN/LPN organization. When are you going to start one so I can join?
  8. 0
    Ok, this has drifted more than a little off topic....

    I think the real de-skilling of nursing occurred when "task oriented" became a dirty word. There's nothing wrong with assigning a single nurse to do a single task for a large group of patients. Sometimes this is more efficient. It doesn't preclude said nurse from using critical thinking skills or from seeing the big picture. I honestly think it's more a matter of ego. Many nurses would bristle at the idea of being assigned to be a "med nurse" or a "wound nurse". We need to get over ourselves and just get the work done.
  9. 0
    Quote from BrandonLPN
    Ok, this has drifted more than a little off topic....

    I think the real de-skilling of nursing occurred when "task oriented" became a dirty word. There's nothing wrong with assigning a single nurse to do a single task for a large group of patients. Sometimes this is more efficient. It doesn't preclude said nurse from using critical thinking skills or from seeing the big picture. I honestly think it's more a matter of ego. Many nurses would bristle at the idea of being assigned to be a "med nurse" or a "wound nurse". We need to get over ourselves and just get the work done.
    I agree with you.

    The ideal would be a one-to-one nurse patient ratio but in realty nursing is far too complex for a super-generalist. We need specialists who are fantastic at a particular field of nursing.

    I would rather have 10 specialists who are masters at what they do then a single generalist who can perform all 10 things adequately.

    See Brandon, we can get along.
  10. 3
    I am an RN in Australia.Having a strong union is the only way to go.We have some of the best benefits in the world as well as high wages, low pt/Staff ratio.6 weeks paid holidays,paid CE money and great working benefits.We mix our drugs,do our own ABGs.We don't rely too much on pt or rt.In ICU and the wards everything is done by the nurses.Including the ventilators settings, auctioning, ,ABG's,In recovery room.Nurses insert LMA's and have a lot more responsibiltys/scope of Practice than Nurses do in the USA.I'm licensed in the USA.I would highly recommend American Nurses to come work in Australia for one year.All nurses in Australia have Bachelor degrees but an ADN from the USA is licensed here as an RN.Scary days lay ahead for nursing in the USA if unions aren't able to be your voice.Absolutely silly to give our profession away so easily.


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