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DreamyEyes 6,926 Views

Joined Mar 2, '07. Posts: 474 (21% Liked) Likes: 156

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  • Oct 27 '12

    1. Novelist of espionage, thriller, and suspense books
    2. Freelance writer
    3. Reporter for a newspaper or magazine
    4. DJ of an oldies station or smooth jazz radio station
    5. Food critic
    6. Wine taster
    7. Traveling businesswoman
    8. Film critic
    9. Middle management government worker (for the guaranteed pension)

  • Jun 16 '12

    I have heard and read the same questions rather frequently. Heck, I am almost certain that you have probably encountered these very same questions, too.

    • What is an LPN?
    • What type of stuff do LPNs do?
    • Where can LPNs work?
    • What is the difference between LPNs and RNs?

    I will approach each of these questions separately with the genuinely heartfelt hope of clearing up some of the misconceptions surrounding LPNs.

    What exactly is an LPN?

    First of all, LPN is an acronym that stands for licensed practical nurse. Forty-eight American states and most of the the Canadian provinces utilize the title of LPN. The remaining two states in the union (California and Texas) use the acronym LVN, which stands for licensed vocational nurse. The Canadian province of Ontario refers to their practical nurses as RPNs, which is an acronym that stands for registered practical nurse. Despite the slightly different titles, LPNs, LVNs, and RPNs are one and the same. According to the Merriam Webster dictionary, a licensed practical nurse is defined as a person who has undergone training and obtained a license to provide routine care to the sick.

    What do LPNs do?

    Well, the answer to this question is highly dependent upon the state or province in which the LPN practices nursing. Some state boards of nursing, such as the ones in Texas and Oklahoma, have extremely wide scopes of practice that permit LPNs to do almost anything that individual facility policies will allow. LPNs in states with wide scopes of practice are usually allowed to perform most of the same skills that their RN coworkers can do, such as initiating IV starts, administering medications via IV push, maintaining central lines, and so forth. Other boards of nursing, such as the ones in California and New York, have narrow scopes of practice that severely limit what LPNs in those two states are allowed to do.

    In general, LPNs in all states perform nursing care such as medication administration, data collection on patients, monitoring for changes in condition, vital sign checks, wound care and dressing changes, specimen collection, urinary catheter insertion and care, care of patients with ventilators and tracheostomies, ostomy site care and maintenance, cardiopulmonary resuscitation (CPR), and finger stick blood sugar testing. Proper charting and documentation of nursing care is also the LPN's responsibility.

    The LPN works under the supervision of a registered nurse (RN) or physician in most states; however, the LPN is often the only licensed nurse present in many facilities. LPNs also supervise nursing assistants in certain healthcare settings. With the right mix of experience, LPNs can be promoted to administrative positions such as wellness directors, assistant directors of nursing, wound care clinicians, staffing coordinators, and case managers.

    Where can LPNs work?

    LPNs can and do work in acute care hospitals, although this type of employment seems to be on the decline in many regions in the United States due to issues surrounding scope of practice. LPNs also secure employment in nursing homes, hospices, home health, private duty cases, psychiatric hospitals, prisons/jails, rehabilitation facilities, group homes, clinics, doctors' offices, assisted living facilities, agencies, military instillations, and schools.

    What are the differences between LPNs and RNs?

    Well, my answer might generate disagreement, although I do not intend to offend anyone. Some would say that RNs have attained a wider breadth of educational experiences that include pathophysiology, pharmacology, leadership, research, management, legal/ethical issues, and team functioning. In most cases, the LPN has completed an educational program that is shorter in length than his/her RN counterpart. The RN typically initiates the plan of care while the LPN contributes and adds to it. Finally, the LPN usually earns less money than his/her RN coworkers, though this is not always the case.

    My overarching goal was to answer some of the most common questions that are asked about LPNs. The LPN is very much a nurse, as well as a vitally important member of the healthcare team. Together we can continue to facilitate more understanding regarding the role of the LPN to benefit our patients, colleagues, the public, and society as a whole.

  • Jun 16 '12

    I think safety is more linked to how much you sleep, not how many days you work. If you get your rest, you should be good

  • May 11 '12

    Fun post! Can't wait to hear responses!

    1. Pediatrics- It's where my heart is. I love children, I think they are so special. I love their imaginations and their innocence. PICU gives me a chance to use all my technical nursing skills.

    2. Labor and Delivery- I think there is something special about the miracle of birth and I love the supportive role of the nurse in L&D.

    3. Wound Care- I love the complexity of some wounds and the critical thinking component. I love that you have to examine the entire patient- home situation, diagnoses, symptoms, finances, etc. and come up with the best treatment plan.

    Where I would not like to work:

    1. Emergency- I like to build relationships with patients and be able to follow up.

    2. Rehab- just not for me

    3. Burn nursing- I couldn't handle seeing patients in so much unmanagable pain.

  • Apr 27 '12

    I work for a locked mental health facility and I love it!

  • Oct 21 '11

    short staffed, no supplies, same old complaints as always. But I have the kicker of all kickers.

    The call lights at my LTCF sound just like the phones at my local walmart!!!!!!!

    It's horrible. Finish a 24H weekend and stop by to get some dinner (cause i dont eat after work or take lunch breaks) and its like PTSD. All i hear is call lights! I thought i was going crazy till i realized what it was.

  • Oct 19 '11

    The best shift to work as a new grad, is the shift they'll hire you for.

  • Oct 19 '11

    Neither. I prefer my days off.

  • Oct 19 '11

    They are just killing me. Why is it that so many of them feel so entitled to sit in their aging parents rooms and just boss us nurses to HELL and back, while they sit there, fully able to do much of what we're doing for their parent, but simply do NOT have the time to do when we have other patients and issues to deal with. i MEAN -- can't they get mom up at least perhaps ONCE during the day? Does it have to be a nurse doing it every single time, ten times a day??

    I just came off a shift tonight where I literally waitressed all day long, making and fetching coffee and water and 100 millions cups of juice for these patients (because we're always short a tech) -- and a patient's daughter was literally screaming at nurses at change of shift to come in and do something or other for her mother. It was absolutely NOT an emergency. (She was actually screaming -- "Good thing it WASN'T an emergency!!" These people have been on our unit for over 2-3 weeks, running every nurse on the unit ragged. Their mother is far over 80 years old and is only going to head to weeks of rehab after being on our unit. They want a private nurse -- that is what they want and need. But they can't get that on a floor. I think their call light was on for perhaps five minutes, max.

    I am just SO tired of family members not understanding what we do -- and our managers from the floor to the corporate headquarters not backing us up to explain it to them. We are simply to treat everyone as our "family members" and go above and beyond 1000 percent of the time. Who goes above and beyond FOR NURSES??? DOES ANYONE???

    We have no private space to do our charting, we are like fish in a bowl for these family members. If they see you at the nursing station -- that's it. They are ON YOU like flies. If they don't have a reason to bug you, they will find one. So, you don't get your charting done on time and are left to stay after a shift for an hour.

    I am just so tired of it. So burnt out. Is it any wonder why they can't keep nurses for long? I mean -- come on, management -- take a LOOK at what you are doing to nurses nowadays. Put some LIMITS, please, on these family members. It is OUT OF CONTROL.

  • Sep 23 '11

    Quote from yousoldtheworld
    No, keeping the toenails clipped is expected of aides everywhere I have ever worked. The only exception is with diabetic residents, in which case the nurse has to do it. I can't imagine how expensive it would be to have a podiatrist come and clip residents' nails every time they need it.
    At my job no one is allowed to do it except the podiatrist. He doesn't come in often. People at my facility have some pretty gnarly toenails! I honestly don't know how I would clip most of them anyway, though. A lot of them are so thick it looks like you'd need a chainsaw to trim them.

  • Sep 2 '11

    So I am in LPN school and work as a Care Manager (fancy term as a CNA/Home Health Aide) in an assisted living place and I adore it!!!! I look foward to going to work each day and smile though every shift. I have been doing this for years and love it. When people ask me what field of nursing I want to go into I say LTC or Assisted Living and they look at me like I have two heads!!!!!

    Is that really that weird?? Yes, I know I won't get to use as many "technical" skills but I love hearing the stories, making the residents smile and being there because quite frankly some of them haven't seen their family in years and you are the only one who are there for them. And isn't nursing about caring?

    Oh and I float to dementia too and I LOVE it!
    Does anyone else feel that way? Do you think I am crazy?

    Also, Will I be doing much Bedside care as an LPN or will it be up to the CNAs? If i want to be doing much care what is better AL or LTC??

  • Sep 2 '11

    I liked to sit in random seats to throw people out of their comfort zones.

  • Aug 18 '11

    I am fed up with feeling that what I do is never enough. Never.

  • Aug 6 '11

    Quote from Jenni811
    When i applied as a new grad i felt like alot of places i was being taken advantage of. One hospital, for an ER position night shift i was being offered 18.50/hr part time. I know i'm new but i believe i'm worth more than that. I can't even make a living much less pay off my 4 years of college school loans.

    i turned it down.
    I firmly believe that no matter where you work in the US, an RN should not make less than $20/hr. Just my honest opinion.

  • Jul 9 '11

    OMG if I hear one more person call a brief a diaper..........................................