Why LPN?? - page 2
i often wondered why some people choose to become an lpn verses an rn, or why go for a 2 year program and just not go for 2 more years to get your bs? especially with the threatened lpn layoffs, the... Read More
Mar 26, '01Most of the time I can't tell an RN from an LPN unless they ask me to do something that they aren't licensed to do. In the best circumstances, we all work our butts off and try to help each other out. The layoffs of LPN's must be regional. And there will always be some manager with a wild hair that decides "everyone must have a bachelors degree to work here!" So I have to do an IVP for an LPN - so what? In return he/she is probably going to have to show me how to work some strange pump. Careers are a personal choice and very often dictated by one's geography and circumstances. We need everyone of us.
Mar 26, '01I'm really interested where it is that LPN's can't find jobs? In my area it is no problem, and the pay is wonderful. Hey Suzy...the saying goes if you can't say anything nice, don't say anything at all. Guess I'll follow my own advise. I am so tired of this debate. It is on here in some form or another pretty often. Oh and Ann Landers says when someone asks a question that is anoying you are supposed to say: Why would you ask? Have a nice day.
Mar 26, '01Well, aside from the two insecure individuals, I read some great responses that helps me to understand and think about things. For some of you, this argument is "old", well maybe for some of you who have been in the profession that long, but I have only been a nurse for 3 years, so sorry if I am behind your times. Apparently Iris and "realnurse also" seem to think that LPNs are just abdundant everywhere because they are abdundant in thier small corner of the world. Well if that were true, then I guess I wouldn't have to post this question and I could simply ask the LPNs that I work with....oh, wait, that's right...WE LAID ALL THE LPNS OFF!!! But according to realnurse and Iris, that just can't be so. Hmmmmm...how peculiar.
On to some intelligence here; I liked the question that was posed of "why go for your BSN or MSN, why not be an MD," it made me think about my own choices and why I chose them. It also makes me understand LPNs more. I've only worked with one or two in my 3 years, luckily for me they weren't Iris or Realnurse. It's nice to understand the full scheme of healthcare delivery. Thanks for the intelligent feedback - apparently a few seem to be threatened with challenges.
Mar 26, '01Originally posted by mustangsheba:
Most of the time I can't tell an RN from an LPN unless they ask me to do something that they aren't licensed to do. In the best circumstances, we all work our butts off and try to help each other out. The layoffs of LPN's must be regional. And there will always be some manager with a wild hair that decides "everyone must have a bachelors degree to work here!" So I have to do an IVP for an LPN - so what? In return he/she is probably going to have to show me how to work some strange pump. Careers are a personal choice and very often dictated by one's geography and circumstances. We need everyone of us.
Mustangsheba , well said . I agree with you 100% .
[This message has been edited by ucavalpn (edited March 26, 2001).]
Mar 26, '01I am really thankful that most of the RNS I work with do not think like wesley.What happen to team work?My classification concerns the same work for LVNS and RNS and we both work well togeather. I make 4600 a month with full benifits and retirement. The best part is my patients are glad I'm there so what it gets down to I really don't care what wesley thinks because I know I get the job done and support my family very well.
Mar 26, '01To "the boss:,
You mentioned very respectfully that you do the same things as the RN, only they get paid more. I would like to point out two things:
1. This kind of statement is what prompts me to pose the question that I did. Think about that for a moment.
2. I would like to also respectfully state that I think RNs do a LITTLE bit more or have some more qualifications...even compared to the most seasoned LPN. At least I would hope so, seeing as we get paid more and had to go to school longer. I've never understood the so widely varied educational tracks for nurses, and frankly neither do the patients at times. That is why I think this is a worthy discussion, at least worthy enough for an internet bulletin board.
Mar 26, '01I have been an LPN for 28 years.I have always felt that I was an important part of the health care team. I have been very fortunate to work with wonderful nurses, RN and LPN. At the time I became an LPN my hospital was primarily staffed with LPN's. I recieved a very comprehensive education. I have worked L&D,worked as a scrub nurse, first assist in surgery,public health,long term care,OB/GYN office.I can do everything a RN does except hang blood. In my area now there is a trend to get LPN's out of the hospital.Due to circumstances beyond my control I have been unable to obtain my BSN. At this point in my life I have realized that it is no longer important to me. I have a great job and am very well compensated.I have noticed that nurses now do not seem to work as well together as they once did. I think it's very sad because we all need each other.We need to be more supportive of each other.Our goal should be to provide the best possible care for our patients.
Mar 26, '01I can honestly say that I have learned a ton from the LPN's that I've been priveledged enough to work with during school. Come to think of it, every one of them has been extremely professional as well as helpful to this clumsy student Seriously though, there are 2 LPN's in particular whom I have had the pleasure of working with on more than one occasion and they absolutely rock! Both have over 15 years experience, are all smiles at work, and are enthusiastic about helping contribute to the development of new nurses. They are both completely happy doing what they do and both the patients and the students in contact with them are very lucky indeed. Just wanted to add my $0.02.
"The highest reward for man's toil is not what he gets for it, but what he becomes by it."-Johan Ruskin
Mar 27, '01Originally posted by hannabear1:
I have been in the nursing field for 7 years. I started out as a CNA which I obtained through a job-training program paid for by the state. It was the only way I could afford training. After a few years working in geriatrics, I felt I needed a change, to do more than what I was doing. So I decided to go back to school. It was a struggle-having to work and manage school at the same time. I worked in SICU with heart patients for a little while during school until after the third semester of an ADN program and obtained my LPN license. I did finish the program but was able to work as an LPN with better pay. I have since then been continuing to work as an LPN through an agency which is very good pay, and I am able to make my own schedule and not have to deal with the politics that go on within the facilities. Right now I am struggling to try and pass my RN state boards. I am working with geriatrics because in my area the hospitals do not hire LPNs. I have been at one facility pretty regularly over the past few months-I actually am a former employee there so it makes it nice to see familiar faces. As I am there, they have RNs, LPNs, CNAs, and Unit Aides. To tell you the honest truth, I don't really see a big difference between an LPN and an RN-there are LPNs there who are in charge because there aren't enough RNs. In my opinion, if it weren't for LPNs, who would fill the positions to take care of the people? also I feel that LPNs are a big help to RNs in that they save RNs a lot of time. I know that working as an LPN until I pass my boards will only increase my understanding and respect of how important LPNs, CNAs, and Unit aides are. It is definitely true that we are all here to help take care of our clients, to work as a team-THAT IS THE POINT!! So all you veteran LPNs and new LPNs-don't ever let anyone tell you that it is a waste of time.....
I wonder what would happen if RNs/LPNs/LVNs/CNAS/PCAs/CMAs/Tech/etc...were able to see each other as helping hands, and team members. This may have been the last time I see those caring people, but I certainly will never forget them giving me the chance to be of assist to them, and the pts, they care for. P. S....they even fed me good too...LOL! This is the second time, I have been fed by the staff at this hospital, where you couldn't tell who was the unit secretary, the RN or LPN, unless you read the name tags. The last time, It was roasted garlic chicken(roasted while we got our pts. settled at the beginning of the shift), mashed potatoes, homemade bread, fresh green garlic salad, with cake, and drinks provided. At this hospital, they do the RN/LPN partner deal. The RN, does the assessments, and the LPN, does the IVs, IVPB, and meds, except IVP. But because I haven't went through this hospital IV therapy program, I couldn't do anything with the IVs. This RN or any of the others, had no problem working with me, as you see above, they did everything they could to see that I wanted to come back. Wouldn't it nice, to have this kind of attitude when you go somewhere? This hospital in an effort to keep me coming to them, has even garaunteed a weeks worth of shifts, because I objected to being cancelled so close to the shifts, and was refusing to take shifts there. Thankfully, someone doesn't feel we're useless, and still want us. Nice feeling..:-)! Best wishes to all who are continuing your education, and to those who are comfortable where they are, I say more power to ya!
[This message has been edited by Brownms46 (edited March 26, 2001).]
Mar 27, '01Hi Suzy K!I just read the boss's post and now I am really confused.I always thought the LPN was the same as an RNA here in Canada.RNA meaning Registered Nursing Assitant.Is LPN Liscenced Practical Nurse?Do they work under the direction of an RN?(ie Rn's cover their patients for meds,extensive drsg's ,iv's and meds?)If this is true then I don't understand.According to the boss she has started iv's in hundreds of neonates up to elderly?Where I work only RN's can start iv's and work in intensive care(where neonates would be).Only Dr's "run codes".Is she serious?Do LPN's run codes in the US?I am not slamming the boss but I am very confused.She sounds like she runs the ER?Considering the money theboss makes and the LPN qualifications and responsibilities I wonder what the difference is between LPN and RN in the US?Shorter course,more money?RUN CODES?Please clarify this for me.I'm scared to ask on the other post.Thanks!
P.S. In response to your original question I worked with an excellent RNA the other night and asked her the same question,she told me she loved the patients so much she wanted to focus on them and not all the extra bull@#$(ie paperwork,Dr.s,orders,etc)She's great and I understand and respect her.
Mar 27, '01Lynn: What LPN's and RN's can do is dictated by the nursing act in their state and the protocols of the hospitals in which they work. There is a great deal of difference from state to state it seems. I run into discrepancies in the same hospital, depending on which floor you're working.
Mar 27, '01Lynn-
You weren't the only one confused with "the boss". I am not familiar with LPNs that appear so highly functional as her. The few LPNs that I have worked with could only do post-partum, not labor patients, could not start IVs and certaintly did NOT work in the critical care areas, especially our NICU. In fact, the LPNs charting needs to be co-signed by the RN responsible for her. In our state, LPNs work directly under the supervision of an RN. RNs, as you know, can obviously do the skillsets like injections, etc, but only RNs can do full out assessments, evaluations, education. But it is "the boss's" statement, like I said, that prompted me to ask this question. If she does the exact same thing as an RN, but gets paid less, what is the point?? But, like I said, I admire LPNs and find them valuable, but I think many RNs would argue that they do alot more than simply "get paid more."
Mar 28, '01As Tracey said, in Canada the term is RNA or, more recently, RPN. We also have HCA's (Health Care Aides) and PSW's (Personal Support Workers), but only RN's and RNA's are licensed and have to write provincial exams.
In homecare, RN's do admissions and handle all IV's and central lines. About the only other thing they can do that the RNA's can't is IM injections. Some RNA's can do IM's but for them it's an "added skill," requiring a special certificate. RNA's also need special certification to do sterile dressings and PO meds.
RNA's are also not supposed to look after patients who are unstable, in the words of the Guidelines to Practise their patients must have "a predictable outcome." This leaves a lot of room for interpretation, and means they can handle just about anything in the way of wound care, palliation, diabetic patients, etc. (What we wouldn't give for a few more RNA's right now!!) I have a lot of respect for our RNA's and feel that they get a bit of a rough deal. Many of their calls are only coded for 30 minutes, which means they have to work a lot harder during the day to cover their caseload, and may see as many a 14 or 15 patients. Add to that the fact we don't get travel time, only mileage, AND they get paid less to start with.
College guidelines also permit RNA's to supervise IV's that are strictly for hydration (again, this is an added skill). When i was in hospital for surgery in October, an RNA was looking after my IV, and the RN only came in when she needed to hang an antibiotic.
What determined my choice? I guess I wanted more money, so I went for my RN. As I was an older student, and had to support myself, it was a tough call, and I seriously considered going for my RNA instead. If I'd had a family to support, I probably would have needed to go that route. It just would have been too time-consuming otherwise.
I did not want to do the BSn, because I already had a bachelor's degree in biology and another in education! Now, that is going to be the required entry point to nursing, starting with this year's students.