Re: Blurred Boundaries: Should we eliminate the distinction between RNs and LPNs?
Thank you everyone for your insightful ideas and opinions.
I think where some of the confusion regarding my original question of "should we merge the LPN and RN programs" is because the roles are VERY similar where I live. I am being trained to be an LPN in Alberta, Canada.
Regarding scope differences, some of the things people have mentioned include:
- IV meds, initiating IV sites, etc
- Management positions
- Thinking critically
- Assessing clients
The LPN program in Alberta is quite extensive and thorough. On average, it takes about 3 years to complete the program.
In Alberta, IV therapy has just been added to the LPN's scope. As soon as I start working in hospitals, I will be trained on siting IV's, giving IV meds, etc. The whole shebang!
In addition, I have been trained to think critically and creatively - to think outside of the box, link symptoms to help determine our patient problems, and so on. In Alberta, LPN's are a vital part of the assessment team! We are trained to think critically and assess our patient's health status, interpret lab results, coordinate with OT, physio, specialists, radiography, research and give medications, and so on.
I am presently being trained to be in leadership and management positions. To be head nurse/charge nurse, unit manager, etc. LPN's in Canada are allowed to have management positions.
Perhaps it isn't this way in the USA yet?
So, being that the gap between the LPN and RN scope in Alberta is starting to close, this is why I propose merging them somehow.
My initial idea would be to eliminate the LPN and RN training programs all together, and begin an entirely new nursing program.
The graduates of this program would no longer be labeled with LPN or RN, but have a new title.
I propose this be done so that future generations of nurses would be considered equal to one another, practice in the same scope, and eliminate confusions re: differences between the two brands of nurse.
I also like the idea of making it easier for LPN's to bridge and become an RN.
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