Hi, I work in the ER of my local community hospital. The facility never had LPN's in the ER before so 2 years ago they started a pilot program and hired 8 of us. We were on orientation for 3 months and after orientation was over, 4 of the LPN's that were still scared to death wre sent to the floors for med-surg exp. 3 of them quit and the last one moved away, we now have 4 of us with supposedly 3 more on the way and were treated not the best. The RN's in the Emergency Dept really at first didnt know what to do with us, no one really knew our job description including the LPN's, first we could do this, then we couldnt, then the nrse manager would look into things and never get back to us.....its nuts. As far as what I do now (I'm there 2 years) I start IV's, draw bloods, pass meds, assist doctors and surgeons at the bedside, get patients on the cardiac monitors, read and interpret EKG's and I assist in the Trauma room when needed for CPR and so forth. I did take and pass the ACLS class and I inquired about taking TNCC but was told no because i can not push IV drugs, I also in my facility can not hang blood, do an initial assessment or access ports. We were just allowed to discharge patients WHOOPIE!! anyway, hope this helped!!