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libran1984 8,774 Views

Joined: Aug 3, '11; Posts: 590 (38% Liked) ; Likes: 685
Registered Nurse; from US
Specialty: 4 year(s) of experience in Emergency Nursing

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  • Dec 20 '17

    My hospital's ER was so impressed with all that I learned in 1 year of correctional nursing as an LPN that now I'm one of the few exceptions to the "no LPNs in the ER" rule.

    Corrections was the best decision I ever made after school. It was the most difficult job I could have ever imagined, but 11 months and 1 week of that business made me fast, efficient, and perfected my triage and assessment abilities beyond that which no amount of schooling could have prepared me for.

    Then again, I also clearly laid out with diagrams, monthly schedules, and vividly animated retellings of my experiences in corrections that forced my hiring managers to see how valuable my experience was. It all depends on the twist with which you entail your correctional job duties to your prospective, non-corrections employer.

  • Nov 13 '17

    I work at a hospital as an LPN. I am a nurse with nursing responsibilities. Sad fact of the matter, new grad LPNs in a hospital (should they be lucky enough to get one) will start off at $14.36/hr. My hospital said my previous work experience did not count/factor into the pay scale because it was not acute care / hospital experience.

    The following wages are for LPNs without work experience, fresh from school.

    Hospital: $14.36/hr
    Behavioral health: $~17-ish/hr
    Methadone clinics: $15.50/hr
    Rehab (Kindred): $21/hr
    LTC (American Senior community): ~$17-ish
    Corrections (Corizon): $14.69/h ($18.50 as prn)
    grp home (Warner transitional): ~$19-$20/hr
    Assisted Living (The Stratford): $19.5
    St. Vincent clinic float pool: $17/hr
    Agency (Maxim): $16-$19/hr

    That's all I know from previous job offers I've received or have actually taken.

    Oh and for the RNs I know of (without experience)....

    St. Vincent: $21.6/hr
    Community: $22.5/hr
    Wishard: $20.50/hr (after one year: immediate jump to $21.5)
    IU health: ????
    Kindred (rehab): $29/hr
    Corrections (corizon): $21.75 or maybe it was $23ish/hr- don't remember.
    Agency (Maxim): $25-30+

    I hope this helped compare pay rates in Indiana. I'm kinda a snoop when it comes to these things b/c i like to know how much I'm getting rolled over now as an LPN vs what it will be like when I'm an RN.

  • Oct 21 '17

    for only $5-$10 more an hour...??? Wow.... that's just ridiculously low reimbursement for the amount of paper work you have to do to try and cover yourself.

  • Sep 28 '17

    I graduated from LPN school and 3 days later took my NCLEX.

    Within 40 days I was starting my first job at a prison. My base was $14.69 with $1.50 after 4pm. Hours were 6a-6p and they let me choose my own set schedule due to such a staffing shortage. Monday Wednesday and Friday. It was awesome!!! My average paycheck was approximately $863 after taxes.

    I bought a computer! I paid off my car 1 full year early! I have no student loans because I went through a cheap cheap community college and received and EXCELLENT education!

    However, I wasn't happy with my job. I felt like I did so much but was so underpaid. I then went PRN. I dropped my benefits and set schedule. My pay was increased to $18.50 with shift differentials still applicable. There was a dire need for weekend work which paid $1.00 more / hr. Eventually I picked up every saturday and sunday and then a third day as needed.

    The increase in pay really made the job much more palatable. The experience was invaluable and I eventually landed an ER LPN position at a local hospital. Even now I'm like "Shut the front door, I'm an LPN doing REAL nursing in an ER!!" I mean, have you seen my posts? I don't think I have even one post that doesn't have me talking about being an ER LPN! HAHAHAAHAHAH!!!!! FREAKING LOVE IT!

    The pay was actually even better at the hospital because the shift differentials are more and weekends are 20% more vs. $1.00.

    I now LOVE LOVE LOVE LOVE LOVE my job. I am weekend option and make $20 / hr with all my differentials averaged into the 2 days / week. I gained like 50 lbs (not too happy with that, but man... that restaurant food is soooo good). I have ACLS, PALS, TB, and CPI certifications!

    Seriously... the year prior to becoming a nurse, I barely broke $12,000 for the whole year. It was AWEFUL! I did nothing but serve tables for mean, fat people who didn't know how to tip properly or teenagers who were so angst over their newfound faith that their version of a tip was to leave a card telling me how God hates gay people.

    Being an LPN has been amazing for me. I will be an RN soon and make even more money (hopefully not gain anymore weight). I figured it out, if I were a Weekend Option RN, it'd be like $36/hr. PHEW!!!

    Rags to riches!! YES! PS- i forgot to mention, i'm going to be making an offer on my first house tomorrow!

  • Sep 3 '17

    I must agree with you. I believe permanent records ruin lives and foster ill-will, hinder personal and professional growth, and promote recidivism. It is truly a rare thing for a person to ever grow beyond the label.

    I would like to see a change too.

  • Jun 29 '17

    The best way to avoid the worst nursing homes is to get your RN.

    otherwise you can try asking these...

    Ask what sort of acuity levels you will be working with.

    Ask what the nurse to patient ratio is? (don't worry tho, you'll have TONS of help the management will say. Also add 2 more patietns minimum on to what ever number they give you) I truly feel anything over 10 patients per nurse is ludicrous unless the patients are TRUE assisted living classes- however, most assisted living facilities i'm familiar with still hold residents who need complete and total assistance and no way should they be in assisted living.

    Its all about the money, man. That's why LPNs work in these places because they know we are the "low paid nurses" and they can get away with paying less than they would for an RN.


    just steer clear. Otherwise next thing you know you'll be forced to put an NG tube down a guy with esophageal verices and you'll cause excessive bleeding and he'll expire. Then the DoN will blame it all on you because you should have known he had the esophageal verices, but the patient was non-verbal so how were you to have known? His chart is all paper and its not even mentioned on his Dx's except for 300 pages into the chart where it was inexplicably left out in more recet Dx's....

    Then the medicare charting is terribad. Computerized charting, you say.... no no no... ugh.

    I honestly don't know what to tell you Jasmine other than I can imagine no worse job than being in LTC.

    One guy I dealt with had a terrible MRSA infection in his leg and was at the rehab center to help heal it up. I asked my supervisor why the pt was unable to move his upper extremities and why is Level of consciousness was down the toilet. The nurse responded, "I think he had a stroke sometime". Upon further investigation, the hospital discharge assessment made him out to be A/Ox3 with full RoM except for his affected lower extremity. Because there was no charting EVER in regards to the computer and all the MAR assessments had been put into a storage box no one was able to tell when the pt became the way he is now. So what happened to him? It obviously happened while in rehab!

    My first nursing job was ~$14/hr. That's like 2-3 dollars more than most CNA's and in many cases less.... if these LTC centers could just pay all the LPNs $14/hr and staff extra nurses, then patient safety and satisfaction would go up, and nursing retention would increase (as long as year raises of up to 4% were provided to allow financial growth) because it would offer valuable skills in a safe environment because let's face it, most of us got into nursing to help people.

    I'd always heard how terrible the nursing pay was and then I became an LPN so I wasn't overly surprised when I began making $14/hr.


    Jasmine, I'll be coming back to this post to see if anyone else has better advice to offer you. I'm sure I'm just scaring you. I apologize, but I've been scarred by the LTC experience as well as most other LPN jobs I've ever had. I love being an ER nurse but I'm not often referred to as a nurse by my co-workers but rather a "non-RN" and that just grates me. At the LTC centers where I am considered a nurse, I feel that I actually harm the patients through neglect since I can't assess them or offer them the emotional support they frequently need.

    Find a clinic job, girl! Find a clinic job!!!!

  • Jun 29 '17

    I hate LTC. I hate it with an undying passion. I truly feel if it were my only resort I'd just leave nursing altogether.

    In my experience, my patients were not "stable".

    I never had proper supplies let alone hand sanitizers.

    Orientation was pointless ( 2 eight hour shifts and ur on ur own)

    The charting was redundant to the point of sheer ludicrous.

    Everything was on paper and then expected to be transcribed to the computer.

    Hours were watched like a hawk for fear u go over.

    You never left the med cart.

    The MARs are illegible.

    The meds are disorganized and u are encouraged to steal from other resident's supply to fill an empty med slot for another resident.

    Med pass should be but a medium chunk of the day, not all of it. If I were actually at my computer and not in my iPhone I would write very precisely every thing, in detail, that is wrong with many LTC settings.

    The environment is toxic and leads to... No, encourages poor nursing care.

    On a side note, this has only been my overall impression of LTC from observation and experience.

    I look at LTC centers where LPNs are few to none and the staffing seems much better. Get this.... In a pediatric LTC center for rehab (and some hospice) there were no LPNs, but instead an all RN staff and QMA's who passed meds. The RN approved PRN meds for the QMA, she did all the charting, VS's, assessments, and treatments. The RN never had more than 8 patients at a time.

    Now why are the RNs making more and doing less? Why are her patient ratios so much smaller? Why does she have someone dedicated to med pass so she can do the appropriate work required of her position.

    I, an LPN, had to deal with brand new strokes straight from the hospital who were total care pts. Ppl in recovery for post op open heart, ppl who would regularly be placed on bipap (srsly), and ppl with god awful infections of varying kinds and at least half are on IV vanc and merripenem (!!!) thru their PICC lines. How am I supposed to deal with meds, new admits, treatments, ADLs, blood draws, daily weights, accuchecks, more meds, and spontaneous colostomy seepage when I, an LPN am responsible for 16 patients and btw, WHERE is the foresaken handwashing station!!!!!????

    That's not even that bad. My friend went to a diff LTC center for her LPN to RN critical care clinicals and some dude was on Levophed- and he was awake!!! Seriously, the same "levophed leave 'em dead" stuff. This is the kind of stuff LPNs have to deal with in LTC.

    Yes yes- someone is going to say that isn't the typical LTC experience. That is correct. Many LTC facilities hold are not SNF's, or rehab, etc. it's just an elderly, frail, person who needs a little guidance and reminder to take all their meds- but that has not been my experience.

    And working in the ER, when I get report from a LTC nurse, it generally results in a lot of eye rolling. Seriously who continues to give Norco's for a fever to a dialysis pt and then wonder why she's become lethargic. /facepalm

    I hate LTC. I feel very strongly on this subject and believe "hate" is sufficient to convey the amount of contempt I have for LTC.

    God bless all the nurses who work there because I cannot.

    Sorry this tangent kept going on and on