How many BSN's want to work in LTC?

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Specializes in SICU.

I was reading another thread about the firing of LPN's from a hospital and someone made the comment about the problem being that not everyone is a BSN.

So, seeing that the BSN's that I work with don't even intend to be floor /unit nurses for very long. They all talk about going on to become managers, clinical specialists, Nurse Practioners or CRNA's. How many nurses that have either been BSN prepared or are currently going the BSN route would want to work as a floor nurse in LTC? The job that LPN's currently do in the majority.

Would BSN's be willing to work the LPN jobs at LPN wages? If no LPN's, ADN's existed. :confused:

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I am currently working as a CNA at an LTC for the summer. When I finish nursing school with my BSN, I would not want to work at an LTC facility. To me, it seems monotonous. When the residents get sick they are usually sent out to the hospital. We don't even have a crash cart. I also worked at a hospital for 21 months as a CNA. I prefer the hospital environment to the LTC's.

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I would love to work the floor in a LTC facility when I am done with my BSN. I have heard so many times "don't do it" because everybody says you lose skills. I have thought about it and with many specialties that a BSN can go towards, aren't you likely to lose some sort of skills? I have been a CNA in a LTC and I absolutely loved the residents that I took care of (each had their part in my :redbeathe).

As for working for LPN wages (not knocking anything about LPNs)-no. I attend a private college and there is no way that I could or would want to pay back the student loans from the types of wages that I have seen posted.

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Specializes in SICU.

I am not talking about BSN's working as DON's or ADON's in LTC but as floor nurses.

What I am wondering about is IF the ANA ever got what it has been wanting and there was NO LPN's or ADN's, only BSN's. Would they be willing to do the job currently done by LPN's? There is no way that care facilities can increase pay dramatically and stay in business. So pay would have to stay the same, the job would be the same. Any takers!!

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I am not talking about BSN's working as DON's or ADON's in LTC but as floor nurses.

What I am wondering about is IF the ANA ever got what it has been wanting and there was NO LPN's or ADN's, only BSN's. Would they be willing to do the job currently done by LPN's? There is no way that care facilities can increase pay dramatically and stay in business. So pay would have to stay the same, the job would be the same. Any takers!!

The ANA is a funny thing. In America, we load up our degrees with many additional breadth courses that aren't really applicable to the work that is performed. The main problem that the ANA has had is in defining what a BSN may have from a job performance perspective that an ADN does not. Because of the RN licensure on a state by state basis, the BSN criteria is more important from a magnet status or statistical perspective than from a functional one. When one wants to define a degree requirement, one must also be able to measure the degree requirement on a border across border basis. Perhaps someone can shed light on whether a BSN from the UK, Canada, Phillipines or Mexico is better than an ADN from the United States?

In recent years, the impaction of nursing schools in the United States has created an unprecedented level of competition in ADN programs that did not previously exist. I'd be curious how the various degrees from various countries compare.

Without artificial barriers to entry, etc. the pay scales would be based upon market forces. In the United States, nurse practice acts, collegiate requirements, the health and pharmaceutical establishments, all work toward manipulating the system and creating an artificial economic model. In the United States, strong Nursing Unions act as a collective bargaining unit. Limitations to a schools growth and curriculum, limit the number of new grad nurses. Limitations to H1B visas additionally impact pay.

Consider the cost of a nurse in the United States. In your calculation, consider the finders fee, visa processing, movement costs, etc. that a hospital must pay. Now compare the cost of a local nurse to that figure. The effect of a nursing shortage with that of a comparison of a foreign nurse will increase the probability that a hospital will increase the wage to a local nurse. Supply and demand.

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Would BSN's be willing to work the LPN jobs at LPN wages? If no LPN's, ADN's existed. :confused:

Seems like LTC is not too popular...

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I am currently working as a CNA at an LTC for the summer. When I finish nursing school with my BSN, I would not want to work at an LTC facility. To me, it seems monotonous. When the residents get sick they are usually sent out to the hospital. We don't even have a crash cart. I also worked at a hospital for 21 months as a CNA. I prefer the hospital environment to the LTC's.

Depends on the LTC facility. On my floor we have trachs, O2 patients, j-tube, g-tubes, etc. It is busy and you learn alot. We also have 5 beds down on the 2nd floor for acute residents. I think the only thing you might not be able to keep skilled on is IVs.

To the OP. I am an LPN working on my RN, I will eventually be getting BSN. I don't intend to be doing bedside nursing at that point. I might stay in my facility as managment or other facility, but not to pass meds. I will have about 7-8 years of bedside nursing under my belt at that time and will be ready to move on. Most BSN students I meet are not looking at LTC as an option and I don't believe most LTC facilities can afford to hire them for bedside nursing.

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