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Phasing out LPN's.



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No. 40
from Midwest4me
Old Dec 22, 2004, 11:27 PM

"Any nurse, RN or LPN, who would take a position using Med Aides might as well start Law School at the same time because eventually she will be needing a good attorney"

Well....as an LPN with 19 yrs' experience(most of which was in LTC) I've usually HAD to take jobs in LTC since many hospitals would rather hire CNAs instead of LPNs. I do (and did) realize the enormity of responsibility of "overseeing" CMAs in their duties as well as my many other duties. I got fed up with no breaks, no lunches and 2 hrs' overtime every shift (at times without pay) to get my work done and finally left it for state-serviced group homes with just 3-5 clients and 3-4 staff! What a wonderful blessing my job now is! LPNs are generally not appreciated and I so wish I'd continued on for the RN but at 46 yrs old am just too tired(and feel too old) to do it.
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No. 41
Old Dec 22, 2004, 11:43 PM

Originally Posted by Hellllllo Nurse
I think that CMAs should be phased out, or never should have existed in the first place. I believe that only a licensed nurse should pass meds.
I COULDN'T HAVE SAID IT BETTER MYSELF ! BRAVO !
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No. 42
Old Dec 23, 2004, 10:42 AM

I agree with Hellllo nurse. And since JCAHO makes such a BIG hairy deal about safe med passes, enough to encumber us with Emar and other such horrible systems that are breaking our backs----all to increase our "safety" and "5 rights compliance"---- then it is blatantly obvious; CMAs not only should, but MUST be phased out, not LPNs.
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No. 43
from MZachry
Old Dec 23, 2004, 11:23 AM
Updated Dec 23, 2004 at 12:11 PM by MZachry

Originally Posted by Hellllllo Nurse
I think that CMAs should be phased out, or never should have existed in the first place. I believe that only a licensed nurse should pass meds.


As an RN, I hate being responsible for unlicensed persons' actions. The people who thought up CMAs should have to be responsible for them.
Are you talking about medical assistants or medication aides?

I am a CMA, Medical assistant, not a medication aide, and actually take some offense to your opinion. (Yes, you are entitled to it, and am glad you posted it. ) However, I loved my job as a CMA, and received a letter from a physician/pt that I administered the most gentle injection that he had ever received. This was a great boost to my ego.....Dr.'s don't write thank you notes like that very often...at least not to my knowledge.

Also, it was under my belief that CMA's are under the Dr.'s responsibility, not a nurse's.

I DEFINATELY agree that some facilities give TOO much responsibility to CNA's, med aides, and CMA's. There are some things that only RN's should be allowed to do!!!!


Maybe after I get my RN license, and actually practice nursing, I'll feel the same way you do. Right now, I can only comment from the CMA's point of view.


:Reindeer:
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No. 44
Old Dec 23, 2004, 12:05 PM

Default That is nuts!
I am an LPN student and I am outraged that i'm spending almost $9,000 for my license and $250 for my boards and they want CMA's to do what I'm spending over $9,000 to do?! This is horrible! I live in PA but going to school in NY and I planned on getting my NY license because it's a higher standard. I just can't believe the things they are doing to nurses!
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No. 45
from LPN1974
Old Dec 23, 2004, 12:20 PM

Originally Posted by angelic_cherry03
I am an LPN student and I am outraged that i'm spending almost $9,000 for my license and $250 for my boards and they want CMA's to do what I'm spending over $9,000 to do?! This is horrible! I live in PA but going to school in NY and I planned on getting my NY license because it's a higher standard. I just can't believe the things they are doing to nurses!
But it's about money....med aides are cheaper than LPNs.
I think it's awful, too.
I have been a nurse for 30 years, and to tell ya the truth, I've never been in a facility where they used med aides, but the thought of it makes me angry too.
I think where Arkansas is using them most right now, is in these group homes for Develpmentally/Disabled people.
But I have a problem with that, too. Those people can't read, and therfore cannot follow the label instructions as ASBN requires.
I just do not know how they are getting away with it.
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No. 46
Old Dec 23, 2004, 12:30 PM

Originally Posted by LPN1974
But it's about money....med aides are cheaper than LPNs.
I think it's awful, too.
I have been a nurse for 30 years, and to tell ya the truth, I've never been in a facility where they used med aides, but the thought of it makes me angry too.
I think where Arkansas is using them most right now, is in these group homes for Develpmentally/Disabled people.
But I have a problem with that, too. Those people can't read, and therfore cannot follow the label instructions as ASBN requires.
I just do not know how they are getting away with it.
It's always about the money, and it always will be. I don't agree with it, nor do I really except it. I wanted to be a chef and could've made more money doing that, but I chose nursing because I want to help people not just make them fat LOL. But I'm so frusrtated already and I only started school in Sept. The things I've seen CNA, LPN and RN's do shock me. And they know I'm a student and they look at me and tell me "This is what you shouldn't do." What kind of message are they sending to us students?!?! It makes me so mad and I have to place to say anything either.The people are getting paid to take care of these people, not "forget" them.
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No. 47
Old Dec 23, 2004, 12:46 PM

Default phasing out nursing position
I completely agree that nursing positions both RN and LPN are being pushed aside to some extent to less experienced medical positions. I live in Western Washington and I have noticed that traditional RN positions are being replaced with medical assistants.

For example my kids Dr's office instead of having a pediateric RN there to talk to about meds and such I am confronted with a MA. I have a major problem with that. At my Doc's office, I called in with a question about a medication I was taking (I'm a CNA nursing student by the way) and asked to talk with the Doc's RN, I was put through to a MA. Now where I live MA'S have 9-12 months education for certification. The MA told me to call and talk with the pharmacy, who by the way didn't fill the script the doc's office did. So I call a pharmacy, they tell me to talk to the doc who prescribed it. By the way the doc is never available, so I had to go to the internet and my handy-dandy pill book for the info.

Now I knew where to find the info, but what about the uneducated medicaly ignorant community who still thinks doc's are gods? If I have a medical question I want it answered by a nurse who knows what they are doing not a drop out tech school grad.

I also agree that LPN positions are being screwed and the responsibility dumped on RN's. There is a hospital group in Tacoma Wa who just laid off all their or most of their LPN'S the RN's are now doing the job of two ppl and getting paid the same as before and the patients are suffering.

Patient health care is taking a back seat to the corporate bottom line, and there will be diasterous consequences because of it.
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No. 48
Old Dec 23, 2004, 12:54 PM
Updated Dec 23, 2004 at 12:56 PM by Hairstylingnurse

Originally Posted by angelic_cherry03
It's always about the money, and it always will be. I don't agree with it, nor do I really except it. I wanted to be a chef and could've made more money doing that, but I chose nursing because I want to help people not just make them fat LOL. But I'm so frusrtated already and I only started school in Sept. The things I've seen CNA, LPN and RN's do shock me. And they know I'm a student and they look at me and tell me "This is what you shouldn't do." What kind of message are they sending to us students?!?! It makes me so mad and I have to place to say anything either.The people are getting paid to take care of these people, not "forget" them.
Unfortunately the message they are sending you is that they are living in the real world and sometimes that is how things have to be done. It is one thing to be a student and quiet another to be working as a nurse. That is pretty standard though in most careers. You learn to do things one way in school and another in the real world. I'm also a hairdresser and if I cut your hair the way I was taught in cosmetology school,you wouldn't leave the house for a month . Nursing school is more accurate in it's teachings than that, but you'll definantly have to pick up quiet a few shortcuts when you have as much responsibility as you will have once you graduate. And as far as the phasing out of LPN's, I don't see where they can afford to phase out any of us with the nsg. shortage.
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No. 49
Old Dec 23, 2004, 01:33 PM

How does a person become a Med Tech? Thanks.
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