What's the difference between a CNA II and an LPN in NC???

  1. 0
    I am sure this is probably a stupid question to most of you but, I can't really find the difference between and LPN and a CNA II?? I see several ADN programs that say "Eligible for NAII" after the second semester in the ADN program. Is that considered an LPN or not? Otherwise, I am totally confused because I don't see when you become eligble to be an LPN vs. an ADN in alot of the two year programs. Please help this newbie understand.

    Thank you in advance!
    Maggie

    Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  2. 21 Comments...

  3. 1
    A CNA is a certified nursing assistant, an LPN is a licenced practical nurse....the big difference is the word "licensed". An LPN can give meds, take responsibility for his/her own patients and can not practice without this license. A CNA may do procedures but does not give meds and is held to a much different level of responsibility. Usually a CNA takes a 6 week or more course at a hospital or technical school, while an LPN is usually a year or so long. As far as at what point in the ADN program you are eligible for LPN boards, I don't have that answer. I do know of some students who have done that though. I also know of some who have completed RN programs but have been unable to pass RN boards but successfully passed LPN boards. The advisor at the ADN school should be able to clarify some of this for you. Good luck.
    katbaxt7 likes this.
  4. 1
    Quote from Maggie in NC
    I am sure this is probably a stupid question to most of you but, I can't really find the difference between and LPN and a CNA II?? I see several ADN programs that say "Eligible for NAII" after the second semester in the ADN program. Is that considered an LPN or not? Otherwise, I am totally confused because I don't see when you become eligble to be an LPN vs. an ADN in alot of the two year programs. Please help this newbie understand.

    Thank you in advance!
    Maggie
    Maggie - I have recently asked the same question. Having just recently taken a management position, I have several CNAII's working for me. I really need to understand what they could and could not do .... I went to the North Carolina Board of Nursing website and printed the nurse practice act for proper reference. According to the nurse practice act, there is a very big difference between the two levels.

    While the CNAII can do many procedural things that the LPN can do, the responsibility for these procedures still falls to the RN. If the LPN were to complete these task, they are held to a higher level of practice based on their LPN licensure. In addition, the LPN level has a more advanced standing in NC than I am use to. According to the nurse practice act, the LPN can do IV push medication, and can do far more complex procedures. In many cases, the LPN can function very closely to the RN level with the exception of some areas (one being assessment).

    Hope this helps.
    katbaxt7 likes this.
  5. 0
    a cna to can do all 24 skills listed on the cna 1 list plus these 10 skills: oxygen therapy, removal of fecal impaction, and sterile dressing change on a wound over 48 hours old, urinary catheters, nutrition activities, suctions, trac. care and elimination procedures. the nc board of nursing as allot of information...i am applying to lpn school in the fall but taking a na 2 course in may through the cont. edu. dept. of the same college hoping to get a job while in school...a part time one…so i can have so floor hours when i graduate…
  6. 0
    as one poster has basically stated, cna2's aren't used that much in nc, because you can get a lpn for a little bit more an hr and they can do so much more.
  7. 0
    The LPN holds a nursing license and is working in the capacity of a licensed nurse.
  8. 0
    Quote from Dixielee
    A CNA is a certified nursing assistant, an LPN is a licenced practical nurse....the big difference is the word "licensed". An LPN can give meds, take responsibility for his/her own patients and can not practice without this license. A CNA may do procedures but does not give meds and is held to a much different level of responsibility. Usually a CNA takes a 6 week or more course at a hospital or technical school, while an LPN is usually a year or so long. As far as at what point in the ADN program you are eligible for LPN boards, I don't have that answer. I do know of some students who have done that though. I also know of some who have completed RN programs but have been unable to pass RN boards but successfully passed LPN boards. The advisor at the ADN school should be able to clarify some of this for you. Good luck.
    I had a patient who is also a nurse suggest becoming an LPN after the first year of my ADN program. I spoke with one of my instructors about it and she said you can no longer take the NCLEX-PN to become an LPN halfway through an ADN program. I guess what I'm wondering, is how long ago did the ADN students you know take the NCLEX-PN?
  9. 1
    Quote from ItsTheDude
    as one poster has basically stated, cna2's aren't used that much in nc, because you can get a lpn for a little bit more an hr and they can do so much more.
    NA II's are definitely being used in NC...especially in the hospitals.
    PatMac10,RN likes this.
  10. 0
    Yes cna 2 are used but they aren't being paid much more than cna 1. I have been both and am a LPN,going for RN. Want to now they complete difference. Go the NCBON.
  11. 0
    Quote from raymonsgal
    a cna to can do all 24 skills listed on the cna 1 list plus these 10 skills: oxygen therapy, removal of fecal impaction, and sterile dressing change on a wound over 48 hours old, urinary catheters, nutrition activities, suctions, trac. care and elimination procedures. the nc board of nursing as allot of information...i am applying to lpn school in the fall but taking a na 2 course in may through the cont. edu. dept. of the same college hoping to get a job while in school...a part time one…so i can have so floor hours when i graduate…
    nc has in my opinion some of the most confusing nurse practice acts. before i came here i would have never guessed cna's had levels. i don't care what ahs been taught to them but a can can't possibly know the how and why about trachs,foleys,and ivs. i hear in the hospital they can hang iv fluids. btw,an rn is responsible for what an lpn does too,according to the practice act.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top