2 hospitals to drop licensed practical nurses

  1. the changes at mercy and unity hospitals are meant to improve care, but unions say the remaining nurses will be stretched too thin.

    all 90 licensed practical nursing jobs at mercy and unity hospitals in the northern suburbs are being eliminated by next year, drawing criticism from unions that say the move is based more on saving money than improving quality.

    the coon rapids and fridley hospitals, which operate as one business, said the move to remove the licensed practical nurses (lpns) was part of a plan to put more care-giving directly in the hands of the more highly trained registered nurses (rns).

    full story: 2 hospitals to drop licensed practical nurses [minneapolis star tribune,mn]
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  2. 450 Comments

  3. by   Marie_LPN, RN
    "They have been essential members of the patient care team," O'Connell said. "We look forward to continuing to work with them in other parts of our organization."
    Oh, yes, nothing says "essential member" like elimination.

    And i find it pretty pathetic that the RNs weren't given a voice in this decision, either.
    Last edit by Marie_LPN, RN on Nov 22, '05
  4. by   TheCommuter
    My heart bleeds for the LPNs who will be phased out of the hospital positions as well as the RNs who will likely be spread thin as they perform the bedside duties of the phased-out LPNs in the very near future.

    It is imperative that I secure my future by bridging over to an RN program within the next one to three years.
  5. by   Marie_LPN, RN
    If it wasn't for wanting to teach eventually, i'd stay right where i am, nurse-wise.
  6. by   michelle95
    You know what, Marie? I would have, too. I had better jobs and was happier as an LPN.

    Or, maybe it's the area I've moved to. I dunno.
  7. by   N.S.46
    My father had to be put in the hospital yesterday. The hospital he's at does not have any LPN's, they have gone to PCT's (Patient Care Technician). I asked one of them what is the difference between them & a NA. She said they do everything the LPN's used to do; tx, drsg. changes, inserting caths (that bothers me :uhoh21: ), tube feedings :uhoh21: , etc. I'm not sure I'm comfortable with that.
  8. by   fergus51
    RNs try to protect their jobs from LPNs, LPNs try to protect their jobs from PCTs, PCTs try to protect their jobs from NAs.... and the hospital administrators just keep counting the money they save.
  9. by   Marie_LPN, RN
    tube feedings
    TUBE FEEDINGS????? :stone What a nightmare.
  10. by   geekgolightly
    Quote from Marie_LPN
    TUBE FEEDINGS????? :stone What a nightmare.
    I am in full agreement. The techs at my hospital do not change rate at all, and only stop and start and flush feedings for transport, and still I am uncomfortable with that. I am also uncomfortable with the cath insertions, or was, but the techs on my floor are well versed inserting foleys. They also draw blood with butterflies. They do not touch IV's or centrals.
  11. by   Marie_LPN, RN
    I only stopped a feeding if i were doing pt. care (laying the bed flat).

    And i'd tell the nurse "ok i'm turning it off" going in the room and "ok it's back on" when i left the room.

    No way, as a tech, would i have EVEN wanted the responsibility of tube feeding.
  12. by   Marie_LPN, RN
    And i was only allowed to do foleys as an extern, and blood draws after 4 weeks of being precepted.
  13. by   geekgolightly
    Quote from Marie_LPN
    And i was only allowed to do foleys as an extern, and blood draws after 4 weeks of being precepted.
    Blood draws at our hospital require a two week phlebotomy course and then 100 draws before they are ok'd. I don't know what the training involved in inserting foleys is.

    See, I have always thought of LPN's(LVN's) as a nurse, not working under a nurse. I worked side by side with LVN's. I didn't monitor them. They had their own patient load. I don't even know if this is legal now that I am reading about LPN's working under the direction of an RN, but in Houston the LVN's worked independently from the RN. The only things they didn't do were the initial assessment and IVP. Any available RN would do that for the LVN.

    The techs, I monitor.
  14. by   tntrn
    Several years ago, our hospital decided to go all-rn staff. They look for things to brag to the public about. Anyway, our LVN's were given the choice of becoming an aide, under the title of Critical Care Partner, or quitting. And the administration was so shocked that they all quit! Go figure.

    As an RN, who worked with LVN's for many years, I was horrified not only at the decision to cut them, but how they were treated. We had a LVN who worked in our unit who could work rings around most of the RN's. She was efficient, thorough and her patients loved her.

    It was a sad day, for all of us.

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