nurse predjudice


  1. can someone PLEASE tell me what te real difference between a LPN, RN adn,RN bsn, and RN diploma?
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  2. 6 Comments

  3. by   wildcat
    the difference is the amount and type of education/training. The more you go to school and learn the more you can do.
  4. by   sparrow
    Diploma RN have 3 years of school in a hospital based school. Classes are 11 months out of the year. Lots of clinical. In my case I had 8 hours of clinical M-F and then attended classes in the evening.

    ADN have 2 years, college based. Usually summers off (not always). Clinical experience is usually 2 mornings a week.

    BSN is 4 years, college based. First two years are usually liberal arts (English, Literature, etc.) Last two years are nursing theory and clinicals.

    Now, we all take the same board exams and can do the same things. A lot of hospitals don't differ in salary. Some give token differences, usually anywhere from $.25 to $1.00 more an hour. Difference such as a BSN come into play for management jobs, and entry level for certain certifications. However, I'm a hosptial based diploms grad who made nationals on state boards (back when we got real grades, rather than pass or fail. Nationals showed you fell into the upper 10% of those tested in the US) and I'm certified in IC, WITHOUT a BSN. In fact, in my state, Licenced Practical Nurses are allowed to do almost everything a registered nurse can do but write MD orders and give IV push drugs!!! So, goes to show you, we're really all the same, JUST NURSES.
  5. by   mable
    I would like to clarify some comments made about BSN nurses. I am currently in a BSN program at a major university and can say for certain that my first 2 years of education did not consist of liberal arts classes such as English and literatre. I took a total of 2 English classes, which is a state requirement for anyone obtaining a bachelor's degree. On the contrary, I received an extensive biological and social science background that I know gave me a wonderful understatnding of the human body and mind, both inside and out. As far as the nursing courses go, I certaintly know how to give an enema and foley. As a matter of fact, my nursing procedure knowledge encompasses many more complicated procedures than that. Currently, I have a job offer from a very large and reputable hospital in their L&D department. They obviously felt I was adaquately prepared! I believe all RN's, regardless of education, have the potential to be great at what they do. What I don't understand is why some RN's who were not BSN prepared fell the need to look down upon those of us who are.
  6. by   sparrow
    I am most certainly not looking down on you or any other BSN's. But I am accurately stating what I have observed about those new grads that I have been in contact with. Most had great difficulty putting into action what they had learned. It took varing amounts of time with each before something finally "clicked". Sometimes that never did happen. I will say that this was not with every new grad, but I can say it did not occur with one experience with just one school! Several of those I knew and worked with have been at several local hospitals and one actually told me (long after she left our hospital) that she had left nursing because, she said, she just didn't seem to be able to pull it together! My question is: how did this person get through school (I do know none of those programs are easy!) and pass state boards? It makes me think that either you are a born nurse (regardless of your education) or you are not and no amount of preparation can change that!
  7. by   jbw
    At the risk of making people angry, I just have to say how tired I am with the ongoing conflict and angst associated with the issue of entry into practice. It was a divisive issue in the early 70's when I was president of a state nurses association and here we are almost 30 years later and we as a profession still cannot get beyond the "I am just as good as you are" when it comes to educational preparation. We say we are a profession yet we are we still saying that an adn is as good as a diploma as a BSN. If we look at most other health care professions such as social work, nutritional services,physical therapy, occupational therapy etc, BS plus masters degree is the requirement...the primary profession that nurses interact with is the medical staff and they are prepared at the doctoral level...all of us are so concerned about the future holds for us as a profession but such a large number of us still hang onto a BSN can't do the technical skills right at the time of graduation..we need to get over this. We have such big issues to deal with, cant we please resolve this one!!!
  8. by   deanrn
    While I see some valid points being made here, I've got to say that I've always found the debate a bit silly. I started as an LPN, earned my ADN,am pursuing my BSN after a few years of working, and plan to obtain my MSN. More preparation IS better, peoples lives depend on how much we know and how well we know it. This doesn't mean that a Master's will make me a better ICU nurse than an LPN who's been there for 20 years. It does mean that (hopefully) my scope of abilities and knowledge of concepts will be greater than hers.
    In my few short years, I have had the opportunity to mentor a number of new grads to the floor. In my experience,new grad grad Diploma nurses are without exception the most clinically prepared. New ADNs are generally well prepared, but lack confidence. New grad BSNs are most often possessed of an entirely undeserved sense of superiority which is generally a barrier to orientation. Also, fewer new BSNs last on the floor for more than 6 months. Once successfully on the floor for a few months, however, the differences are indistinguishable.
    With apologies to Dennis Miller, this is just my opinion, I could be wrong.

    [This message has been edited by deanrn (edited July 29, 1999).]

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