should a RN be a med tec for a LPN - page 3

by nowim clean

My wife is a RN at a ltc facility and sometimes they will have her med tec when she does it is for a LPN, now I understand a LPN is never to be over or supervise a RN, so shouldn't the LPN be the med tec. My comes home and tells... Read More


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    I guess I could sort of see this scenario happen if your wife was in orientation with the LPN to learn the med pass part of the job. I have oriented new RNs on the med carts in the past. Then they move on to other phases of learning the job.

    The other scenario is if your wife was one of those unfortunate RNs who cannot find work and was hired into a facility to work as a med tech until something else opens up.

    Other than that I don't understand the situation.

    As an aside, when I was in school for my LPN, we spent an entire clinical rotation on a med/surg floor doing nothing but assessments. Then we had to continue on with the rest of the dPIE in order to pass that rotation. So although we cannot do them as working LPNs (except in LTCs where there is an RN signing off, which is a whole different can of worms) we do learn how to do them, or at least, I did.
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    I've bumped myself down to a CNA or LPN duties when needed. I've worked with other nurses that might not have been able to do the LPN work or CNA work. I was still accountable for the staff and residents at the RN.

    Yes...it makes sence to have to delegate downward? Or that the LPN should maybe fill in as the the CNA or med tech but it doesn't always have to be.
  3. 0
    I'm not sure I'm getting the bumping yourself down to LPN duties. Don't you all pass meds and take care of patients?
  4. 1
    [QUOTE=CapeCodMermaid;6034111]I'm not sure I'm getting the bumping yourself down to LPN duties. Don't you all pass meds and take care of patients?

    Thank you CapeCod,
    When I began my nursing career in 1990, actually when I started working as an rn in a ltc facility in 1992, our ADON was a LPN. She was in charge of all of the staff, and sometimes I felt belittled by her due to being a fairly new nurse, and her familiarity of the facility as she was there 9 years, however she left in 1992 and I was promoted to ADON. As ADON and a RN there were tons of times that I worked as a CNA when they were short staffed etc... In a long term care facility sometimes there arent any other options whos going to do this or that. You have to work with what youve got and do the best you can. Sounds to me like this lpn you are talking about may have some insecurities about her own prof. status or may be jealous of your wife for having her RN. (Women working with other women sometimes can get ugly.) Unprofessional but true. What I'm trying to say is that it isn't uncommom for lpns or rn's or adon's or dons and sometimes even administrators to work as a cna, med aid, etc...Actually I believe that a good boss should work in all nursing depts so she/ he understands what the cnas have to do and what they have to go through when theyre short of staff etc...I was a cna for 5 years after graduating form high school and i remember having nurses or management walking over the entire nursing home to tell me a res. needed to go to the bathroom or was soiled. I had an admin. point to a kleenex on the floor as we both walked by it, she was closer to it and say, " pick that up". I felt like a peon, slave when in actuality cnas are the reason our homes survive. Also, it is up to the charge nurse whether that be an rn or lpn working with an rn to schedule the staff to what they will be doing during the shift. Its kind of hard to give you the correct answer to your question as only your wife knows if the lpn is out of line in what she is asking your wife. Who ever is acting as charge nurse is who the cnas and med aids need to answer to. And yes, if the charge nurse is the lpn then yes, the nurse acting as a med aid should answer to the lpn. This is according to my state however where i was working as rn.
    michelle126 likes this.
  5. 0
    Quote from CapeCodMermaid
    I'm not sure I'm getting the bumping yourself down to LPN duties. Don't you all pass meds and take care of patients?
    Guess I didn't say that right. Not really bumbing down, but into a different position. When we have a third nurse or extra nurse, 1 RN normally takes desk duties and acts as the charge/ supervisor. (we always have at least 1 RN on duty for all shifts) If there are 2 RNs..one would have to take a cart BUT lets say that the LPN might not be able to work the carts (I worked with one that sprained her ankle and really couldn't call off) I bumped myself from the desk and took her cart. LPNs are able to do just about everything the RN can, I just did the RN duties and cart.
    What I'm trying to say is that nothing is beneath us or them...there shouldn't be an us or them in LTC
  6. 1
    I have seen LPN's who are Unit Managers and RN's working the floor as the "charge nurse". It sounds weird, but in that case the Unit Manager was "in charge of the unit duites" but the RN was "in charge of the unit"...clear as mud???? The RN preferred the direct hands on care and did not want the unit manager duties. The LPN was not "supervising" the RN, the RN basically reported to the ADON, and the LPN reported to the RN and they really consulted each other ....it sounds crazy but it worked. However, that being said to satisfy the legalities of the whole thing...the LPN was actually the one who knew everything that was going on and exactly what to do about everything ( all the unit manager stuff and a great deal about the residents). The RN was very knowledgeable and professional as well but was really only part-time,and the LPN was better at "being in the charge capacity" because she had been there 100 years and ran a tight ship. The RN would do the assessments, though, and they both worked together to take care of their residents and had a great unit.
    student forever likes this.


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