yrs ago, my facility hired an lpn as a nm.
the bedside nurses were all rn's.
a few times, the nm intervened on a family member's behalf, telling me/us to administer certain meds/amts after she got the order from the md.
i and we, refused.
i/we explained to the md, our concerns and he dc'd all orders...
the nm hadn't told him the entire scenario...
only the family's concerns.
we (rn's) ended up going to our med'l director, sharing our concerns.
she ended up being fired and no further lpn's were hired.
it has nothing to do w/one being superior to the other.
but it does have to do w/knowledge base and a comprehensive understanding of pathophys...which rn's are supposed to be educated on.
some day, maybe adn nurses will have to answer to bsn nurses.