®Nurse, MSN, RN 12,753 Views
Joined Feb 26, '08.
Posts: 1,136 (63% Liked)
This is my second time to post on this thread.
Having been an LPN (and an LVN) for numerous years before bridging to RN. Then having been an RN for about as many years while working in critical care, and then going on to get my MSN, I think I can speak to both sides.
What I found, is that if you put an RN and an LPN/LVN side by side and gave them the same tasks, they could each state that they did the same thing. The perception is that the scope of practice is the either the same, or extremely similar.
As you get more and more in to critical care, trauma, etcetera, the tasks that can be performed by both become more and more dissimilar. The perception is that the scope of practice is vastly different.
Depending upon where you stand within the spectrum of same-versus-different as noted above, you may have a different perception of RN versus LPN/LVN.
Just because you might know how to fly an airplane, does not mean that you can legally fly one. The whole purpose of having a license is to demonstrate competency to show that you’re capable. If you have an RN license, then you’ve passed a competency in order to call yourself an RN. If you have an LPN/LVN license, then you’ve passed a competency in order to call yourself an LPN/LVN.
I think the RN versus LPN/LVN debate centers around flying the airplane. (I’m talking in metaphors here.....) You can talk all day long about how you can fly one in this State, or that State without a pilots license, or that you can fly one at certain hours of the day, or under special weather conditions, or that you’re perfectly happy where you’re at with learning how to fly the airplane, or that someone just gave you a lot of money to learn how to fly an airplane. However, until you have demonstrated competency that you can pass the exam, there-in lies the rub; you are merely talking, and have not put your money where your mouth is. Not only that, but you snub your nose at those who have went through the effort to GET the pilots license to begin with.
Worst of all: You put yourself down, because there is nothing wrong with being an LPN/LVN.
Again, I have spent numerous years as an LPN, and then some more as an LVN. I speak from experience. I’ve endured years of hearing ALL of the disparaging comments that ignorant, rude, and hateful RN’s could think of to say to me. I’ve left work in tears at the end of the day, from the mean things that were said because I was not one of them.
Physicians, and ONLY Physicians have earned the right to call themselves Physicians. That is the title that they can legally lay claim to. Anyone who earns a Doctorate, be in PharmD, DNP, DNSc, PhD, etc, can call themselves a Doctor.
I dont like med surg. I like taking care if patients medically too. I hate being at a job and can't even use the bathroom. How do you enjoy a career like that. Thats why Im doing a year in med surg, then going to different department, either ER, OR, L and D.
I've been on numerous interview panels for ICU positions.
Be prepared to discuss how you handled a critical patient and what was wrong with them.
Talk about how you used your critical thinking to address your patients issues.
Good luck to you
I'll never be able to look at my laundry room linoleum floor the same way again. To think it was once a roll of cold linoleum.
Kaiser compiles the latest EBP into an algorithm that the RN uses, along with the nursing process and a heavy dose of critical thinking to work through the patient phone assessment in order to arrive at the safest outcome.
Even with all of the safe guards built in, if an RN doesn't explore the right symptoms, or has a lapse in "active listening skills", the algorithm will fail.
You utilize a combination of both to guide your advice.
You are forbidden from giving advice that is not listed within the established parameters. You cannot "go maverick" with a personal tried-and-true method of addressing an ill. You must only utilize the established evidence based practice methods. (i.e. honey for a continual cough, versus standing on one leg and holding your head back while jumping up and down).
There is precious little room for creativity, and it gets old, very quickly, taking call after call after call, while regurgitating a rote fix for someone's ills.
.....and then, there's the special little snowflakes (I don't want to go there....)
I applaud anyone going from LPN/LVN to RN.
I understand what struggles you have had to endure.
I don't know what "shands" is, I assume that is your place of employment.
I have a question for you: Could the Dr have been under the impression that you were a visitor/family member? ~ if so, I can understand the clarification "she is a CNA".
It is always best to ask questions/requests politely. I would have asked you to turn off the light in no different manner than if YOU were the Doctor.
I AM uncomfortable that this exchange happened in front of a patient. Next time, I suggest having a well-thought out discussion with the offender in private.
I have experienced nurse bullying on numerous occasions. The ones that I remember are: 1. An old nurse educator when I was in nursing school. 2. Old nurse at an assisted living facility. 3. Old nurse in a clinic setting. And probably more that I cannot recall at the moment. All three are old nurses who liked to "eat their young" as you may already know that term. I think to myself how immature they are compared to me (even though they are 30+ years older than I am). Bottom line.... the reason they are like that is because of pure jealously. Old nurses do not like when a younger nurse comes in the workplace for numerous reasons. Many of them def need to retire. Just my two cents
I am presently enrolled in direct entry CNL program. I already plan on working at the bedside after graduation. I know that my degree my bestow me with a BSN but I will need actual work experience. Personally, I think my program in no different than direct entry NP programs. Yes, I know that I will not graduate with a specialization. However, new graduates of direct entry NP programs ( depending on the setup of the program) will never have worked as a RN much less as an NP ( outside of school based clinical hours). Does that mean they are not competent? Not necessarily, they just need clinical work experience. Right now CNL is the new kid on the block and there is a bit of fear, misunderstanding, and lack of information where it is concerned.
As a CNL I will not be a nurse manager or unit leader. I will simply be making sure that all the people in the health care team are working for the best favor of the patient and other roles. I know I want to work at the bedside and eventually I know I want to become an NP but I plan on honing my skills on the floor. I think direct entry CNL programs are great for those who do not know what specialization they wish to enter or simply do not want to enter a particular NP field so early in their career.
When credentials are required, I sign my name according to how the AACN instructs that they be signed.
"What is the preferred order of credentials?
The preferred order is:
Highest earned degree
State designations or requirements National certifications
Awards and honors
why is this order recommended?
The education degree comes first because it is a “permanent” credential, meaning it cannot be taken away except under extreme circumstances. The next two credentials (licensure and state designations/requirements) are required for you to practice. National certification is sometimes voluntary, and awards, honors, and other recognitions are always voluntary".
Epigenetics: How large a role can Nurses play in shaping healthcare outcomes.
I'm the insensitive husband. My wife is a nurse that works in the float pool. She spends a lot time working in behavioral health and the medical floors.
She has been working 3-4 16 hour shifts per 2 week pay period lately.
She feels that since she is working 16 hour shifts, and a nurse that I should be more appreciative.
I see things different than her. I wish I could 16 hour shifts and have more days off. I will 4 days off to her 8-9 days off per pay period. I work 80 hours per pay period and she works 60-70 hours. I wish I could do that.
She will also explain to me how hard nursing is. In my mind, that is what she enjoys and is good at. Most of her issues with being a nurse is dealing with other nurses. It has nothing to do with the work itself.
I basically came her to see if I could get a better understanding of how she feels. To hear from other nurses that have done the same thing and how their spouses were.
Please don't hold back. I want your real thoughts. If I mad you mad, then tell me.
One poster made the comment that the impersonator worked in the position of a unit clerk. Could it possibly be that she was an LPN/LVN (nurse) who impersonated an RN?
I don’t know the skills mix in the hospitals of that region.
Where I live, it is highly feasible to have an LVN at the monitor, or working as a ward clerk, because the RN’s are the only ones who are assigned to patients in the hospital settings.
Advertise With Us