lpn as ADON? - page 2

by nd deb

16,144 Views | 51 Comments

Lpn as ADON? Just wondering how that works. Are they in charge when the DON is gone? That doesn't make sense because legally a lpn can't supervise Rns. Just wondering how a lpn can get by with doing resident admissions,... Read More


  1. 2
    I have never worked in a facility were the adon was a rn...they have all been lvn's. A lvn can supervise a rn in a admin capacity only...everyone seems to be getting all up tight over this issue and many many facilities use lvn's in this capacity....
    reeveslpn and Hospice Nurse LPN like this.
  2. 5
    I've been a staff nurse, a supervisor, an ADON, and now a DON. There is hardly ANY kind of supervision that doesn't have to do with CLINICAL issues.
    Merced, esperanzita, Juwon, and 2 others like this.
  3. 0
    From what I see there is a fine line.. The place I work at the ADON is in charge when the DON is gone on vacation.. I can't see how she is able to do initital assessments, supervise RN staff nurses. Another interesting thing I have seen as well is you got a patient who has a unstable angina diagnosis and you have a lpn working as the nurse who is in charge of the shift when the RN's are off duty.
  4. 1
    Are you saying that some ADON's actually work in a clinical way (working the floor, admission assessments, etc) LOL-
    esperanzita likes this.
  5. 5
    Yeah....that's exactly what I said. I worked the floor as the ADON doing admissions, discharges, transfers to the hospital...and guess what...I'm the DNS now and I STILL do those things when the nurses are busy.
  6. 1
    My DONs have always been very involved and can take a med cart with the best of them.
    Nascar nurse likes this.
  7. 0
    In Missouri, LPN's are hired as the ADON very frequently and pretty much supervise the RN's in every capacity in some facilities. Although, I really don't think this is legal other than in the administrative capacity, I don't think it ever gets checked out very often. And let me tell you, a lot of them get the swelled head real quick.

    What really irks some RN's is when an LPN gets their administrator's license, becomes an administrator, and then can legally supervise everyone.

    The facility where I work, the staff development person is also an LPN and frequently does write ups on RN's if need be, is in charge of their schedule, and numerous other things. I don't really agree with this but that's the way "it's always been"!
  8. 2
    The administrator's license does not confer any clinical skills to the administrator....so they cannot really 'supervise' nurses. They have the final say in the operations of the building, but the CLINICAL aspects belong to the DNS.
    noc4senuf and SuesquatchRN like this.
  9. 0
    Quote from CapeCodMermaid
    The administrator's license does not confer any clinical skills to the administrator....so they cannot really 'supervise' nurses. They have the final say in the operations of the building, but the CLINICAL aspects belong to the DNS.

    Ha Ha Ha... try telling that to some of the administrators and some of the AIT's I've been blessed to work with. They know it all, just ask them!
  10. 2
    You got that right! Our administrator doesn't hesitate to try and control every aspect of the building including nursing.
    DSkelton711 and montinurse like this.


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