Are LPN/LVNs a dying breed? - page 8

Hi all.... I know this topic has probably been around before, but I was hoping some of you seasoned LPNs could comment on what you think about the future of LPN/LVN nursing. I'm planning to... Read More

  1. by   ErJoe79
    I feel as if we LVN/LPNs in florida, for that matter Miami-dade and Broward counties have the same problems. Most hospitals are or have already phased out lpns. What's left is, as someone already mentioned above, staffing (which has good pros and cons, depending on season and facility needs), home health care, nursing homes, etc. At the hospital were I work I can do almost everything an RN does except push iv meds, pull out cvps, and a few other technicalities. I've been hearing the term "Let's Play Nurse" or "Low Payed Nurse" used very frequently in my facility. And that's also another factor. At least here in south FL, and particularly my facility, I do almost everything an RN does for a fraction of the salary. Honestly? I don't think it's fair at all. Personally, it is my opinion that an aditional year of school is worth the over all upgrade you get when you became an RN. Besides, high specialty areas such ER/Trauma, Chemo, and others are not avaliable to LPNs. And if one has plans for further education, such as PA's ARNPs , or CRNAs, it's mandatory. But that's another story.
  2. by   NEVER3
    During clinicals at the Hospital, you couldnt tell the RN's from the LPN's on many floors. They worked together, and the RN did any push meds for the LPN & Blood IV's. In this day and age I hope No Nurse is Phased out, lord knows we need every single Nurse we have, alot of Hospitals and LTC Facilities give incentives to LPNS ...To return for their RN.
  3. by   ErJoe79
    "...alot of Hospitals and LTC Facilities give incentives to LPNS ...To return for their RN"

    Isn't that the same as phasing out? You might call it whatever technical term you want, but if for whatever reason hospitals decide not to employ lpns anymore then all we're left with is home health, nursing home, staffing agency, etc.

    We're subject to an ever-changing environment. Specially how the economy is doing these days I ask you guys: what's better, to have a paycheck based on $15/hr as an lpn (at least where I'm currently employed) or go to school for one more year and have many more doors open to you? Let's face it, higher oportunities, as well as higher learning, are not available to lpns.
  4. by   kstec
    From what I gather, the scope of practice has been narrowed over the years for the LPN's, which contributes to the phasing out. How can we as LPN's ban together and get our scope of practice broadened back to where it used to be. Here in Illinois they just took our IV certifications away from us. I think the states assume that by narrowing our scope that we will go back and get our RN. But in realty, the LPN's who have been nurses for a long time and the ones of us who can't afford to, just aren't going to do it, or we're just going to quit nursing all togethers. Don't the states realize that by narrowing our scope and making us a burden on the RN's even though we have our own license to protect that they are only contributing to the nursing shortage. I've contacted the BON and got nowhere. Even they say if you don't like the scope of practice, go back to school. I wonder what legislators I would have to contact and what the process would be like to get some positive changes for the LPN's. It sad to think that years ago we were an assest, now to some facilities the BON has made us a burden. It would be interestng if all LPN's quit, what would the healthcare field be like then. I guess those places could replace LPN's with the imaginary RN's that there aren't enough of. Just a thought....... I, of course, don't want to be able to do everthing that RN's do, that's why I'm not a RN, but I want to be able to work to my (once was) full capacity.
  5. by   NEVER3
    My encounter with being an LPN on a med surg floor found me & my coworkers answering call bells, giving bed baths, walking pts, feeding some, passing a small amount of meds, making beds...toileting, emptying urinals and bed pans....very sledom was there an acute case that required an RN to assit an LPN, Like I stated above you couldnt tell the difference, they worked as a team. On the note of higher pays I'm sure there are several seasoned RNs that arent paid nearly enough for their skills, If an LPN chooses to do ER Or another type of Nursing in that scope, she or he should go on for their RN...Naturally and most of the younger people that want those positions started as a LPN to decrease their costs of schooling. I'm hardly worried about being phased out as a Nurse, Im more concerned about finishing my RN degree & winding up behind a door and becomming a secretary, until Im needed by floor staff to help, Id much rather be an LPN and keep my hands on with my residents. Im practical in realising that I chose my family before my career and Im quite happy about that decision and will forever be. I can see the light and know its more of a concern to us older Nurses that eventually the Hospitals will have more younger RNs & less middle aged LPNs. Im sure life will go on and we'll be around for a while. In closing of all my years in this field I never did it for the money.
  6. by   mmravin2b
    first off what state will you practice in? you felt like a glorified sitter with too many expectation on you then you may want to review your reasons for choosing nursing.......it is a tough career in illinois. i can not speak for the other states. heck i can not even find a specific scope of practice for lpn's in my state. i have been an lpn since 1985.
  7. by   mmravin2b
    in answer to the scope of practice being lessened over the years in illinois.... i would just like to find the scope of practice for lpn's. i have practiced since 1985. frankly i have had about enough of references like are you an rn or just one of those pill nurses (as if that is all we do). we have been devalued in the publics eyes and it is a shame for we are more valuable than that. i am not inclined at this time in my life to go back to school and really do not feel i should have to. i have a question if someone would care to address it. in illinois is it within the scope of practice for lpn's to draw blood for lab work? i am hearing conflicting information and can not find anything in writing or articles....would appreciate the advisement...thanks
  8. by   lpnflorida
    http://www.idfpr.com/Forms/Memo/041508LPNIVissue.pdf Lpn link regarding iv's in the state of Illinois

    the link below I think has the actual scope of practice I just don't have the time to go through them all
    http://www.ilga.gov/commission/jcar/...0sections.html
  9. by   kstec
    From what I understand as of this year all IV's are off limits to LPN's. We used to be able to be certified, but that is now null and void. The LPN's at my facility are no longer able to start IV's or hang any premade iv's. The scope is getting smaller and smaller and more confusing. I work in a LTC facility and am aloud to do admissions, discharges and assessments. I just took on a prn position doing homecare and I'm not allowed to do admissions. Why is that? Maybe I'm only competent in a nursing home? Heck, I don't know. That's exactly why I'm going back to school this Jan. I've heard one to many times, you're an LPN, you can't do that. I don't want to go back right now, but my sciences will expire soon and I sure in the heck don't want to take them all over again. So back to school I go.....
  10. by   NEVER3
    Quote from mmravin2b
    first off what state will you practice in? you felt like a glorified sitter with too many expectation on you then you may want to review your reasons for choosing nursing.......it is a tough career in Illinois. i can not speak for the other states. heck i can not even find a specific scope of practice for LPNs in my state. i have been an LPN since 1985.
    I'm not clear on if you are suggesting that I insinuated that I felt like a babysitter...perhaps you were not replying to my post. I was making a reference to the differences in Nursing duties...to which there are many. I never felt like a babysitter never....I clearly stated that while working on the med surg floor we only had 5 maybe 6 Pt's with alot of common tasks to accomplish, in other words nothing really requiring an RN to assist an LPN....We worked together as a team. Many things that are allowed in the Hospital for a Nurse may not be in a LTC facility..and vice versa. I just recently had my 5th stick in my LTC on a very ill resident and it was a good stick, Ive attempted 5 and got all on 5 different residents. I pass meds, do tx's, alot of charting, alot of pottying when time allows....thus now I have 22 or more residents to care for, and whatever they need and whatever I'm allowed to do which is quite alot..I do and enjoy doing. I take phone orders, fax orders, talk to doctors and families, pass meals, etc etc...Im very fulfilled. Not mentioning new problems that arise...ie skin tears, open areas, changes in LOC, G Tubes, Breathing tx's, suctioining....my day is long and I chose Nursing because...I wanted to be a Nurse, I will continue to do all that is expected of me and learn everyday, and I'm also planning on my RN by 2010...to which I'm doing now, and hope I can continue on for a very longtime. I feel as is every Nurse is a vital importance to our ever growing population, and come to the table bringing their skills and dedication with them, so in closing I'm sure we will all be here for quite sometime.
  11. by   3rdparty
    If LVNs are dying out, then schools would probably have to drop their LVN programs. That would be unfortunate, wouldn't it?
    Last edit by TheCommuter on Nov 19, '08 : Reason: removed unapproved link
  12. by   3rdparty
    I'm sorry.
    Last edit by TheCommuter on Nov 19, '08 : Reason: removed unapproved link
  13. by   atlantagal
    What is a LTC Facility?

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