LPN-RN partnership in nursing-a gentle reminder - page 2

A Gentle Reminder..... Hello RN, it's me LPN. (Not JLPN..JUST an LPN.) Don't look behind you, I'm not there. Don't look down, I'm not there either. Look beside you, that's where I am. We're on... Read More

  1. by   leesonlpn
    kaknurse - great reply. It seems part of your job is almost "babysitting" the lpn"s work.In british columbia the lpn's are responsible to work in their own scope of practice. We no longer work under the supervision of an RN. I don't know how else I can promote the RN/LPN working relationship as a partnership. If it is accepted as such, the patient can only benefit. Unfortunately, the postings of this letter have disappeared in various places throughout the hospital. Good thing I carry extra copies in my bag. I have shown it to various RN's who did not find the article offensive, and if anything felt it was too bad it had to be addressed at all. Other RN's have told me they did find it offensive, and I know two that removed it. Those two RN's are very difficult to work with. They increase my workload as they delegate all shift, things they want me to do for their patients, (put so and so in a wheelchair, get a sputum spec, put so and so on a stretcher, take so and so to the bathroom etc. )regardless of the fact I have my own patient workload to contend with. It is frustrating, and I don't know what the answer is. I guess their are team workers, and anti-team works in any profession. It seems more visible and delicate in health care though.
  2. by   Stormy
    Very well said!
    I have only worked with LPN's for 5 out of my 22 years of nursing. It was a very difficult adjustment for me at the time. I automatically assumed that we would all work as a team, but I found that the LPN's were not necessarily on the same page as I. I found there was a lot of turf protection. They were used to working the floor on their own while the charge nurse sat at the desk doing paperwork, and the med nurse did meds and looked after IV's. My priority was getting done what had to be done, and joining the LPNs on rounds to do patient care. I was told on more than 1 occasion that my help was not needed. I persisted, and they eventually came around and welcomed having the extra pair of hands.
    There has been turf protection evident as LPNs expanded their scope of practice, where some RNs felt threatened.
    Personally, I like to work as a team, which includes the unit clerks, ward aids, orderlies, LPN's, RN's. Nursing functions much more effectively that way!
  3. by   RNforLongTime
    Leesonlpn,

    Funny thing is though, that hospital that I used to work at is in PA, Erie Pa to be exact and I have an Aunt who is an LPN at a different Erie hospital and I asked her if her work had to be co-signed by an RN and she said no. So that policy is just that specific hospitals policy not a State Board of Nurisng Law.

    I am all for not having to "baby-sit" an LPN as you described in your post above. It made for a tougher day because of that hospitals STUPID RULE!!

    I learned a LOT from an LPN who knew Diabetic care inside and out and was never afraid to ask her questions. Then there were a few other LPN's on that unit (an in-hospital Skilled Care Unit) who refused to take responsibility for anything and tried to pass the buck so to speak to the RN in charge. All in all though, I enjoyed working with the LPN's and miss having them around in the Acute care setting which I now work.

    We are ALL nurses and it is ALL of our jobs to care for the patients!!

    Kelly
  4. by   Janice8551
    leesonlpn:
    I just wanted you to know that here at our hospital, and paritcularly on the floor I work on, we work with the paired caring model. !-LPN and 1-RN work TOGETHER. We are partners (I've been with my partner RN for almost 9 years now) and take our assignments together. What I might miss she'll pick up and what she might miss, I pick up. We both do the vital signs and the charting. We both wash and feed patiennts. We both give enemas and supps and we both put in the caths! As our skill overlap can be as much as 70% at times, we both COMPLIMENT each other. We are a fine tuned machine!!!! We've had both RN and LPN students on the floor(a busy acute medical floor) and they all say that they feel this system seems to work very well. With such a high staff turnover it' good to know that when you come to a floor as a casual there will be someone to work with side by side who can give you that helping hand for a lift, ransfer, etc. Just thought you'd like to know!!!
  5. by   MRed94
    What a cool idea, Janice.

    Too bad they don't do it like that elsewhere....



    Marla
  6. by   Nan341
    Hey Leesonlpn Good job and well put. I think you speak for the whole nursing population on that one. My cap off to you. (even though I haven't worn it in years) Have a nice day
  7. by   betts
    Nursing Bulletin Board > General Nursing Discussion > A LPN said too me...

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    betts
    Senior Member

    Registered: Oct 2001
    Location: Spotsy
    Posts: 97
    A LPN said too me...
    This statement was made too me by a staff LPN.

    She stated; "I'm only an LPN".
    I replied; "No, you are a Nurse"!
    LPN; "You're a RN aren't you?" Yes,so...
    But I'm just a LPN.
    NO! You are a Nurse!

    The only difference between us, concerns Legalities. The reason you're not allowed to do certain procedures isn't that you're not smart enough or capable, it's a legal issue.
    Their are some procedures that you're not trained for or requires a RN too do but don't think that you're any less a Nurse because of it.
    LPN; I've never had anyone in management say that to me before. You have now. What makes a person a good nurse is whats in their Head and Heart.
    We shared tears,and a hug.

    Keep your Head and your Heart going in the right direction and you will not have to worry about your Feet.
  8. by   mtgirl63
    Excellent!!!!!!! And I might add, for those of us that work in LTC, this applies to the LPN (and or RN)and CNA working as a team as well --- they are not "just CNA's" , they are our eyes and ears and hands in many ways!!
  9. by   prison_goddess
    How very true. It is a very wonderful posting. I have an RN that I work with that is great as long as I refere to her has "masa charge." Thankyou for the uplifting note.
  10. by   prison_goddess
    How very true. It is a very wonderful posting. I have an RN that I work with that is great as long as I refere to her has "masa charge." Thankyou for the uplifting note.
  11. by   leesonlpn
    I've copied this letter numerous times and have started giving it the the bsn. undergrades and their instructors. Some students read it, others are disinterested. I'm trying to nip it in the bud early.
  12. by   Marijke
    You are absolutely wright, I apologize for any RN's who treat LPN's rude. Nobody deserves to be treated like that. It is almost as if RN's adopt poor behaviour from dr's. Nursing is and should be teamwork, where there are no higher and lower powers, just team members taking care of the patients and eachother.
  13. by   Grace Oz
    12 comic sans purple

    greetings from australia. i think you have articulated perfectly the need for us all to work cohesively. no room for bickering & inflated ego's in the nursing workforce.
    in australia we are called enrolled nurses. i believe that's the equivalent of your lpn. e.n's are the most abused members of the nursing workforce here in oz. we get put into & pulled out of the "closet" as the need suits the particular health facility! one minute we are expected to do the job as equal to an rn, next, we're being told, "no, you can't do that"! very confusing, and, unfair!...e.n's in australia work under the direction & supervision of the r.n. that's law all over the country. some hospitals allow you to have autonomy & treat you with respect & acknowledge your skills, knowledge etc. others.....less so. i've been an enrolled nurse for 34 years! i'm still nursing in acute care hospitals as an agency nurse. what a great website this is. came across it by pure good luck. g'day to all from down under!

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