LPNs Fight Efforts To Phase Them Out - page 3

by DoGoodThenGo | 24,370 Views | 139 Comments

Licensed Practical Nurses at one hospital are fighting efforts to have them phased out of direct patient care. The hospital intends to go with a different care model calling for expanded use of RNs and UAP staff to replace the... Read More


  1. 6
    Quote from MissingMyErica
    I totally agree. I just finished RN school because I saw that writing on the wall a loooong time ago! I am only one of two LPN's left in my hospital. All the others were laid off, so thank God I was in school already. I am also starting my BSN right away because I feel like ADN's need to look at the writing on the wall too and realize they are next to go.
    This handwriting was probably part of the writing on the wall mentioned in the Book of Daniel.
    suiteums, Chin up, Fiona59, and 3 others like this.
  2. 2
    LPNs aren't being phased out of the Geriatric areas at all in MA. However... given the excessive amount of nursing schools in MA. It is possible that RNs are taking traditional LPN Positions.
    Fiona59 and AtomicWoman like this.
  3. 4
    I used to work in a hospital as a patient care assistant (similar to cna). There were several LPN's working on some of the floors. In the last month of my employment the hospital decided not to hire any new LPN's and required (and offered to pay for) LPN's who wanted to stay to become RN's.
    The only problem that I observed with having LPN's work on the floor, is when IV medications, blood transfusions etc.. were needed. Many RN's complained when they had to take time away from their own patients to do tasks that LPNs could not do.
    As an LPN I can tell you that hospital jobs in my area are not available, I am not sure if it a coincidence or not, but it happened at the same time all the hospitals were trying to get "magnet" status.
    I am in an LPN to ADN program... looks like I am going to have to get my BSN because that seems to be the trend now. UGH
    KimberlyRN89, Anne36, NurseLoveJoy88, and 1 other like this.
  4. 3
    I know alot of great LPn/LVN. LPN in KS have alot of limitations in a hospital setting(assessment, iv(even with cert cant do iv push except in life threatning situations). They are phased out in some hospitals. Here in tx they can do alot except like admission assessment, and some central line things. I have had to do admission assessement for lvn and it was not a big deal and they assume care after. With LPN gone I bet they are trying to give RN a very high pt load. CNA or unlicensed staff should not be given tasks that require nursing judgement. just my 2 cents
  5. 0
    I am trying to figure out why would they want to phase out LPNs? This seems to be happening other places too.
  6. 0
    I get why the hospital wants to move to an all-RN model, but can't they phase this in and give the LPNs some time to get their RN degrees? Why would you want to get rid of experienced, trained, oriented nurses all at once? I do feel for the LPNs, but here in the Philly area, it has been a long time since hospitals hired LPNs. And my friend, who did an LPN-RN program in North Jersey, told me that LTC facilities in No. Jersey are moving toward hiring RNs only, too.
  7. 5
    Much the same thing happened years ago in the UK when Enrolled Nurses (LPN equivalents) were phased out and faced either converting to RGN's or not being hired.

    I knew some brilliant EN's and we lost many when they didn't want to do the RGN conversion course or failed it because of rusty academic skills (no, I am NOT calling EN's stupid, far from it, but many just weren't cut out for academic horsefeathers which is why they were EN's in the first instance)

    Their replacements, the largely untrained Health Care Assistants, vary from excellent to bloody awful depending on how much training they ever had. Most learn on the job.

    It is a huge loss to the nursing profession that management has no room for the less academically inclined but wonderful bedside nurses and seriously thinks that these nurses can be replaced by HCA's.

    Always the same is it not? It comes down to money in the end.
    HazelLPN, nursel56, DogWmn, and 2 others like this.
  8. 7
    I've been an LPN for 15 years. I've worked in M/S, telemetry and ICU. Working as an LPN in the hospital just doesn't work anymore....and I should know since I've been one for 15 years. Pt's that come into the hospital are a lot sicker than they were years ago. They require many push meds, blood products and many have central lines. I can honestly say there is a delay in treatment when I have to hunt down an RN to give my pt. pain meds or any other IV med, because they are swamped too. Not being able to take verbal orders is a mess too. I have only ever worked in a hospital, I don't know what the nursing homes are like. I just know that after 15 years, being able to put RN after my name is going to make life a whole lot easier for me (and my coworkers). I am lucky enough to have my position as an LPN upgraded to RN as soon as I take my boards next month. Like I said before, I'm already pursuing my BSN, because I know ADN's are the next to be phased out.
    TheChair1, DayOhioRn, KimberlyRN89, and 4 others like this.
  9. 4
    Hmm - didn't the Federal Gov ante up some funding for retraining displaced auto workers in the recent past?? Why the heck can't they do the same in this case?

    Not all areas of the country are anti-LP/VN. Some organizations are moving back into team nursing models that incorporate RN, LV/PN & CNAs - all working together with each functioning in his/her scope of practice. As healthcare reimbursement continues to drop, that seems to be the only way to keep enough people at the bedside. The only other alternative would be paying lip-service to the "all RN" mantra, but decreasing staff at the same time & that doesn't make sense to any sane person.

    We love our LVNs in Texas. They are the backbone of rural health and have an expanded acute care role compared to other states.
  10. 1
    While I feel bad for the lpns, the acute hospital is too complex for the lpn. I know the lpns feel they are equal to the rns,but reality they are not. Being a rn who has to assume the meds, the blood trandfusuons for the lpn, it is not easy or the same. If there is an issue, does adm call the lpn, no it is the rn who gets the call.

    Do a search on quality measures for this hosptial cited, it is below the state and national average. I went back to school to get my msn, I was close to 50 when I graduated. I was motivated since the positions I wanted needed a msn. If you aspire to work a nurse in a hospital, get a rn, and protect yourself with a bsn.
    mskwak2011 likes this.


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