canadian lpn not a "nurse"? - page 5

by char1976

11,797 Views | 55 Comments

Hello all, let me begin by saying I am in the lpn program and loving it. The other day, I was told by a presently employed lpn that lpns are just NOT nurses. She firmly told me that the world "nurse" was protected by the... Read More


  1. 0
    Just curious...how long is the LPN program? RPN in Ontario and it is a lot longer that it used to be.
  2. 0
    Found the following re. the LPN's scope of practise:



    In the new legislation, which may come into force in the fall of 2002, LPNs with Basic Authorization will be able to continue to perform restricted activities that are within their current scope of practice, including:

    • Administering subcutaneous injections
    • Removing nasal pharyngeal suction catheters.
    • Inserting and removing oral pharyngeal suction catheters.
    • Inserting and removing urethral catheters.
    • Inserting vaginal suppositories and ointments.
    • Inserting vaginal catheters.
    • Inserting rectal suppositories.
    • Inserting devices for the purpose of administering medications or
    solutions for the purpose of elimination.
    • Removing nasal gastric tubes
    • Inserting tubes for feeding.
    • Inserting anticoagulant medication into established peripheral ports
    or locks.
    • Administering diagnostic imaging contrast agents.
    • Administering nitrous oxide as ordered, under supervision.

    LPNs with Additional Authorization will be able to continue to perform all
    activities requiring Basic Authorization plus:

    • Starting intravenous lines
    • Inserting nasal gastric tubes.
    • Inserting or removing instruments, devices, fingers or hands beyond
    the cartilaginous portion of the ear canal for the purpose of syringing
    ears.
    • Inserting or removing instruments, devices, fingers or hands beyond
    the point in the nasal passages where they normally narrow.

    LPNs with Advanced Authorization will be able to continue to perform all
    activities requiring Basic Authorization and Additional Authorization plus:

    • Removing a portion of a corn or callus in the performance of foot care
    • Inserting sponges, irrigation and suction devices, mechanical
    retractors or fingers as retractors into an incision, under supervision.
    • Inserting anticoagulant medication into established central ports or
    locks.
    • Applying casts to set or reset a fracture, under the supervision of a
    physician.
    • Inserting and removing orthopedic devices, under the supervision of
    an authorized practitioner.

    The CLPNA has proposed new restricted activities that LPNs may perform:

    (i) Intramuscular injections: LPNs who graduated after June 2001 are
    proposed to be able to complete this restricted activity in the future with "Basic Authorization." LPNs who graduated prior to June 2001 will
    require post-basic education.
    (ii) Intradermal injections: a training program will be piloted in June 2002 for LPNs to complete this restricted activity as an "Advanced Authorization."

    Reference: http://www.clpna.com/HPA.pdf
    Last edit by Jay-Jay on Nov 13, '06
  3. 0
    Quote from loriangel14
    Just curious...how long is the LPN program? RPN in Ontario and it is a lot longer that it used to be.
    It is 2 years long (4 semesters).

    I think it used to be a year and a half.
  4. 0
    We don't have LPNs or LVNs in Quebec. We have registered nurses and registered nursing assistants. RNAs can or cannot give medications depending on the institution. In our Palliative care residence, the RNAs give narcotics and can do the narcotic count.

    To be an RN here, it is a 3 year college diploma or a university degree. To be an RNA, it is a 2 year program offered at adult education in local high schools. The older RNAs graduated from hospital programs.

    When I began working as an RN in the early 80s, their scope was much more limited. They couldn't insert bladder catheters, let alone give meds.
  5. 0
    JayJay that's the scope of practice in Alberta. Every province has a different scope. To through more mud into the water, every hospital in Alberta then decides which of the skills within our scope we can utilize.

    I have the IV start credits but am not permitted by my employer to start an IV under any conditions as they have restricted it to an RN skill.

    Just through it out there LPNs were the first to sign the Health Professions Act that is mentioned in the opening paragraph. Hence the title of our governing body "College of LPNs of Alberta", just as its the "College of Physicians and Surgeons", etc.
  6. 0
    Quote from loriangel14
    There must be some fundamental differences betweenLPN and RPN.RPN now is 2.5 years .
    Many courses are being lengthened to include first year arts credits (English, Sociology, Psych). This is believed to help with the "diploma" status granted at the end of the course and to help facilitate entry into bridge programmes if that is the route a PN graduate wishes to pursue.
  7. 0
    yeah I guess you are right.My course included those in the five semesters.
    We had a representative from the rpn assoc. of Ontario speak to our class and she said that educating employers on the scope of practice for rpns is part of the rpnao duty.She said it takes much persuasion to get them to change policies regarding what they will allow us to do. I am still a student but I can imagine that would be frustrating to not be allowed to do something you were trained to do.
  8. 0
    In Ontario RPN's are nurses and allowed to use that title. In regards to practicing within the full scope of RPN practice, it depends on where you work. Some hospital and LTC's are quite restrictive and others aren't. This may change with time as the shortage of RN's grows, but who knows. I know that at this point in time, many hospitals in Ontario are hiring mainly RN's but I think that you still get to use lots of skills in LTC's as the patients in them seem to be much older and sicker. JMO.
  9. 0
    I live in Ontario and the RPN will be more commonplace in hospitals soon.

    The floor I work on has 3 sister units... 2 are more critical care and hire RN's only and 1 is a geriatric unit and has RPN's. They are now hiring 8 new RPN's to float on all 3 units. So RPN's are starting to pop in places where it was normally RN's before.

    I am in the RPN program and its 2 years... alot of the girls i work with said they only did one year...The school I am in is using the old 2 year RN program as the RPN program. So I am doing the program they did when it was only 2 yrs in length.

    I have seen some incompetent nurses come out of our BScN program here with absolutely crap clinical skills and no bedside manner.
  10. 0
    Oh me! When I was in training in 1983 a working RNA (we were known as Registered nursing Assistants at that time--now RPN) asked me what in the world was I doing there and that they were "phasing out RNA's anyway" and I'd never "find a job". There is always somebody who knows everything. In fact there is one on every unit. I'm in my 24th year of nursing now and I've always been employed except when I took fourteen months off because I wanted to. You are a nurse! me_ewe


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