That is the wildest thing I have ever heard of. I work for an agency, primarily in long term care. At the facilities I go to, most of the time there is not even an RN present in the building. What am I supposed to do, call in an RN from home to determine if a resident has a real headache or not? NOT! I think it is an insult to say that LPNs can't assess pain. Our LPN's are expected to do everything that an RN would do. True, we are not allowed to access PICC lines and such, hang blood (although once the RN hits the start button on the pump, I am on my own with it), or push IV meds. However, let me get an admit on my shift and try to defer the assessment to an RN, haha. I do full admissions and an RN will sign off necessary portions of it on her own time, often never seeing the patient. I assess pain on a regular (minutely, seems like)basis. I make MD calls, send residents out to the hospital when necessary, have had to go over a few MD's heads when I felt that my resident was not getting the proper care, start IV's, administer prn meds when I feel it necessary and just about everything else. Oh well, now that I have had a chance to vent, I will get off my soap box.