Quote from xmaxiex
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 assessment. No wonder they treat us as if we are not " real " nurses.
I have reread your frustration many times since you first posted it. I have read the responses and I have to admit, I am still at a loss. What state are you in?
I can only think it has something to do with your facility and the administration not understanding BON regulations.
Many people believe the LPN can not work unless and RN tells them what to do. This is very untrue. Did you know that no RN can "delegate" a task that you are not permitted by your state BON to do. That being the case, there is nothing an RN has to delegate to us as we can work within our scope without the RN. We work under the direction of the MD, RN, etc.... the MD orders provide that direction.
Now, in acute care facilities, there has to be an RN on the unit, and in LTC or home care, there has to be an RN available, but s/he is there as a resourse for the LPN since it is assumed (and usually is the case) has more knowledge than the LPN.
At my hospital there are shifts that go by that I do not communicate with the RNs any more than they communicate with each other, that usually joking around as we pass in the med room and that kind of thing.
I take my own orders, assess my own pts (our state requires an RN assess each pt for admission purposes - we have an admission nurse for that, so she usually does all the admission assessments) contact the Doc if something is amiss, etc.
In Ohio LPNs can not give push meds or start blood so I sometimes have to ask a co-worker to give me a hand with these things, but that is not the RN delegating anything to me, s/he is simply performing a function the state prevents me from doing.
I think I need to know what state you are in so I can avoid that one on my next move (we love to move fron state to state to get to know all about our great country)
Oh I am going on and on again. That's why I haven't responded, when I am at a loss I ramble all sorts of thoughts; but I just have to know what state you are in?!