Not a real nurse?? - page 10
When I am in the capacity of charge nurse on my LTC unit , I find it humilliating and frustrating that I have to find an RN to sign off on my MD orders , and if we have a fall only they can do the... Read More
Apr 28, '05 by medicineladyI am a LPN in the state of NY and the only thing an RN can due that I can't, is hang blood. I have worked as charge nurse in LTC, dialysis, med-surg, wound care, psych, alzheimers, and at present Hospice. I am your bedside nurse for what ever my patient needs : meds, IV's, wound care, blood draw, adl's, feeding, trips to the potty, comfort care, hand holding, hugs, prayers, I am in constant assesment of all my pt's needs besides their nurse I am their advocate & if they can't speak up for themselves I will. I do my job as I would want someone to do for me or my family member. I do it with love and compassion not for the almighty $, if that is anyones main reason they should get a new job. I also do charting and help out where ever needed. we are completely computerized including our meds. I think LPNs with a certain amt of yrs/experience should be given a test to grandfather them in! I know that I have just as much knowledge /experience as some RNs. what I don't know is how to post or reply this is my 1st, and a certain person looking down her nose at LPNs seemed to hit my LPN nerve.
Apr 28, '05 by RN34TXQuote from 5FrSilasticI can tell you where my frustration came from.I think you are. The point is , that, the BON in each state decides that an RN is qualified to do this task. Rn's dont decide this, the facility doesnt decide this.The state government decides this. Why would you expect the same level of responsibility with less education/credentials?
I have a question, for all LPN/LVN's who have similar questions such as xmaxiex: In your opinion, which limits should be set on your scope of practice as an LPN/LVN, vs an RN?
Do you think you should obtain less education, but perform equal tasks?
Please do not read this as sarcastic, I am asking a serious question. I ask because every LPN I come across, and I realize this is just my experience, gripes about these issues, however, to me, it seems cut and dry. In my area, there is one LPN training course, the next state over, the total length of the program is 8 months. All are 3-4 YEARS in length, with at least an associates degree obtained, except for Diploma programs, which have 3 full years of clinical as well as college coursework. Where is the frustration/confusion coming from? Please help me understand your point of view........!!!!!!!
I was sick and tired of hearing how RN's functioned at some higher level that I ,as an LPN at the time, could never understand until I became an RN myself.
I got my RN and I'm still waiting to see what difference it makes in my patient care and how much higher I'm supposedly functioning.
I moved to ICU to get out of Med/surg hell, and although I've learned many new skills in ICU, I honestly believe that I could have learned them as an LPN and functioned just as well.
The frustration comes from having just as stressful and responsible of a job and getting paid a lot less. That's why I got my RN.
I understand that RN's have more education but why does it never seem to be noticeable at the bedside?
Why do people with more credentials have to tell you that they have them because you'd never notice otherwise?
I'll be more impressed with more letters after someone's name when I can actually see the difference instead of hearing someone brag about it.
I'd also like to add that an EC student was working as a student nurse on my floor and thought he knew it all. I asked him to start an IV on a difficult IV start patient, he was successful and I was happy.
But when he told me "You just need to know where to look when starting an IV" and went on and on about how he doesn't believe in central lines, etc. in front of my coworkers, I was too embarrassed to admit that I was also an EC grad because my coworkers were so disgusted at his arrogance and pompous attitude just because he started an IV for me.
I mentioned this for the benefit of the EC grad who's posting here frequently and keeps going on and on about how much more in depth the RN's level is, and how you can't see the difference between RN's and LPN's until you are an RN yourself.
That's a crock.
Apr 28, '05 by txspadequeenRN, BSN, RNi could not let this post go unattended. i will address your comments and attatcks on ,my lack of algebra skills when i return from algebra class. i have no insecurity with my job or nursing skills and i stilll think you suffer from a touch of rnitis. but good news, good news... with time it wears off....
are we not :deadhorse here.........
Quote from gn1974yes, i am saying that several of my class mates at my local community college did not make it through micro--and several of them were lpn's. i will also let you know that several lpn's did not make it out of my community college algebra class too! excuse me, becuase i may stand to be corrected, but, i believe in one of your posts you say you had taken like 30 some hours in remedial classes...then how on earth can you insinuate a community college is easy? jeez if it were so darn easy you should have whipped through those remedial math classes (point proves was it so easy???). i myself was one of those students who thought algebra would be my hang up for not going on (i used to hate math). i am not saying lpn's can't pass micro or algebra but i am saying it is tough and some don't pass it--essentially i am saying i put much effort into passing and moving on! always in life you will see success and failure. i initially started at my community college and took all the classes required for their adn program. i was accepted to their adn program but did not take that route due to family issues. are you also saying that community colleges are easy? i think mine was pretty tough. i had a friend going to local university after 2 years at my cc say it was harder than the university. no, i did not make it through the cpne without much study and mentoring from a preceptor at my work. there is no rnitis here. i do feel good about my accomplishments but i do not think i am better than anyone--my scope is different now--i am held to a different level of practice with greater responsiblity now. did i say i survived the cpne soley on my lpn knowledge??? nope i did not!!!!!! don't twist and make up things that weren't said. i think lpn's are great and will always be in demand. i integrated my new theory courses into my practice. i took my more in depth courses on assessing, gained increased theory and knowledge, and learned new skills while fine tuning others... and integrated those into daily practice with my patients. i asked the hows and whys i didn't understand and gained feedback from my academic advisors and preceptor. i took a on-line care planning class with excelsior and practiced every day for 6 months. i did not pass the cpne on lpn skills alone--i studied my butt off to learn new skills and theory and to integrate them into safe patient care. i logged umpteen hours in charting and care planning. i read many of the incredibly easy series cover to cover (fluid and electrolytes, iv therapy, assessing). you do not have a clue about the time and prep that i put into the cpne and no i really did not base it totally on my lpn skills--i learned independently, did some precepting, and learned using different texts and cd's that correlated with the nursing classes i took. since you have not taken the cpne or been with me on my individual quest to pass it you can't even come close to telling me what i learned to become an rn or where that learning expeience was obtained. you were not with me when i spent weeks making notes and writing them out after reading 100+ chapters in texts to make my notes and flash cards. i believe that you did not read the post correctly--i said that lpn's have not typically taken all the course work rns have that allow them to sit for the nclex rn--that has nothing to do with skills being up to par. i was talking from an educational stance not soley technical skills(although my mentor sure helped me with a lot of skills i wasn't exposed to as an lpn and gave me good rationales behind different skills and topics--geez the texts really defined so many rationales). i realize there are some techs out there that can put a foley in better than some rn's but by all means they aren't lpns or rns just because their skills are to par. i sense a wee bit of insecurity here (how is that for reflecting ) bottom line--lpn and rn are both nurses who deserve respect and recognition as nurses however their scope is not equal!!!
Apr 28, '05 by txspadequeenRN, BSN, RNYou just hit the reply and start typing......
Quote from medicineladyI am a LPN in the state of NY and the only thing an RN can due that I can't, is hang blood. I have worked as charge nurse in LTC, dialysis, med-surg, wound care, psych, alzheimers, and at present Hospice. I am your bedside nurse for what ever my patient needs : meds, IV's, wound care, blood draw, adl's, feeding, trips to the potty, comfort care, hand holding, hugs, prayers, I am in constant assesment of all my pt's needs besides their nurse I am their advocate & if they can't speak up for themselves I will. I do my job as I would want someone to do for me or my family member. I do it with love and compassion not for the almighty $, if that is anyones main reason they should get a new job. I also do charting and help out where ever needed. we are completely computerized including our meds. I think LPNs with a certain amt of yrs/experience should be given a test to grandfather them in! I know that I have just as much knowledge /experience as some RNs. what I don't know is how to post or reply this is my 1st, and a certain person looking down her nose at LPNs seemed to hit my LPN nerve.
Apr 28, '05 by GN1974Quote from txspadequeen921you singling out the LPN's not being smart enough to pass college courses at the CC level ...come on and you think we are arrogant......
I was pointing out that community college level course work can be challenging. I read in one of your posts on another board where you were taking remedial math courses--I added this to reinforce that community college is not always easy because if it were we would all be clepping out of college algebra and not needing any lower level math. I am not attacking your algebra skills because I have been there and stuggled through it at the community college level. For me, math has always been difficult and I really don't like it. I found your statement about community college level courses arrogant.
Apr 28, '05 by dkp59For some reason I got on this website today because i needed to vent. Most RN's talk about LPN's are not real nurses well I highly disagree. Maybe I don't have the education that an RN has but I feel I most LPN are much more caring than RN are. My work today has just got me upset and all this talk about LPN are not real nurses just topped it off.
Apr 28, '05 by Nurse RatchedQuote from SmilingBluEyesCan't sum it up any better than this.Your role and scope of responsibilites as an LPN (or RN, for that matter) is not as likely decided by your facility, as they would be by your State/Provincial Board of Nursing. Check and see what specifically those are. If you don't like what you are reading, maybe it's time to return to school? I wish you well. Far as I am concerned, LPNs/LVNs ARE "real nurses".
Closing this month's installment of RN's versus LPN's.