Dec 28, '12 by nursel56 Guide
Quote from caringinpractice
Is anyone else concerned
, in an effort to save money that LPN's are being used as RN's. If that's the case then RN's are no longer needed. The BON guidelines between RN and LPN states that the LPN is supervised by the RN, however in this case there is NO supervison and management is permitting this violation of the BON nursing scope of practice to be allowed....the patient is assessed from the getgo by the LPN and the RN is bypassed in an effort for more pt's to be processed.
As I mentioned to the OP there, there are at least 50 different Scope of Practice laws and just as many separate state Boards of Nursing with their own rules and regulations. If a facility is tasking the LPN with those things that are within that state's LPN Scope of Practice they are not "being used as RNs". "Supervision" doesn't always mean there is an RN present at the time. Home health nurses are an example of that. Some LTCs require that the RN needs to be reachable by phone.
In any case the trend you are seeing is out of the norm at this time, due to the job market RNs are being hired to replace LPNs because they aren't paying them much more than the LPN. Lastly, I don't think your concern will get a lot of agreement here in the LPN Corner.
Last edit by nursel56 on Dec 28, '12