LPNs Fight Efforts To Phase Them Out

  1. 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 practical nurses.

    The LPNs are being offered a chance to become nursing assistants and remain at the same facility, however those accepting would suffer a cut in wages.


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  3. by   drmorton2b
    This is what happened in the early 90s in Massachusetts with most acute care hospital LPNs. I am slowly but surely going to get my RN.
  4. by   Juwon
    Wow, I dont think the hospitals should be so blunt with releasing the LPNs from the acute care setting. They should at least give them like 3 years to go back and get their RNs if they want to stay. Those who are not interested in going back to school should be let go, or take a position as a CNA, in which I HIGHLY doubt any licensed professional would want to do. Personally, I feel for the LPNs that are going to be phased out possibly, but at the same time, I dont because everyone knows that hospitals prefer to have RNs working in acute care because of their expanded scope of practice. If you are a LPN and you got into an acute care setting, I would have hope that you would have been taking steps to further your education to RN status instead of sitting pretty because we all know how hospital administration can get. Nothing is guaranteed today, and I hope I didnt offend anyone with what I said.
  5. by   TheCommuter
    I certainly hope that the LPNs prevail, although it seems like they have an uphill battle against the powers that be.

    And I seriously doubt that the hospital is going to replace the 51 LPN positions with 51 RN jobs. My suspicion is that the hospital is going to hire lots of CNAs and allow the remaining RNs to work severely understaffed in an attempt to save money.
  6. by   mama_d
    Unfortunately the writing's been on the wall for a while as far as phasing us out @ hospitals go, at least in my area. I've been working on getting my RN for years now...went to a vo-tech for my LPN so I had to start all over again. At least where I'm at they're giving us as much time as we need to get it done. I'll be moving straight on through as far as I can get before my kids start college just so I can feel safe, hopefully I'll have my MSN by then.

    My facility actually replaces the LPNs who leave with RNs, as it's a nurse position that opens up, not a UAP position.

    And once I get my RN I'll have the exact same position, responsibilities, etc, but at about $10/hr more. Ridiculous, isn't it?

    I was also very lucky in that when one of our floors got rid of all their LPNs, our management threw a fit and really fought to keep us there...our floor at that time had six LPNs out of the ten or so at my hospital. Since then one left, two got their RNs, two of us are in the midst of woking on it, and one is going to retire in a few years. The three of us that are left have been working our floor for years and are assets (so says mgmt)...honestly, I think that constantly having to prove ourselves to the newbie BSNs has really pushed us to be excellent. So perhaps a blessing in disguise.
  7. by   Mrs. SnowStormRN
    Yes, this has happened to a series of hospitals here. LPNs arent in the hospital. When I worked at the VA hospital on the MedSurg (at the time I was a LPN) they did not allow UAPs to work on that floor so it was only RNs and LPNs which I think provides a better quality of care. Having worked in all 3 positions (CNA,LPN and RN) the knowledge base is different in all 3. When I was a LPN, I didnt think there was much difference in becoming a RN - I was wrong. With that being said, I think this is more about money, because I would rather have a floor with all license personnel if its REALLY about high quality care (LPNs and RNs) who can ultimately do the job of UAP where a UAP cannot do the job of a LPN or RN. They can report, but a nurse can act immediatly. I dont wish anyone to be out of job, but these hospitals are like any other large corporation (looking at their pockets). And by the way who would go to school to be downgraded to a lower position? I mean really, that makes NO sense.
  8. by   punkydoodlesRN
    I am coming up on completing my 1st year as an LVN - while it was not my original plan, it is what it is. Last week I sat down with my NM to discuss my schedule as I was accepted to both a BSN and LVN-RN bridge program. She was practically pushing me out the door.. at the end of our chat, I was shown a company memo from just a few weeks earlier stating that effective immediately, the entire hospital corporation would no longer be hiring LVN's. The company hasn't said yet what they will do with the currently employed LVN's, but my NM was expecting that a time-line would be given to complete RN or leave.

    And I agree with Commuter - I already see this on my floor.
  9. by   txspadequeenRN
    such a shame ...there are some fantastic lvn's out there
  10. by   BreeLPN2RN
    Quote from txspadequeenrn
    such a shame ...there are some fantastic lvn's out there
    thank you!!!
  11. by   caliotter3
    There is nothing new about this action by the hospital. The nurses in question would better direct their energy and effort toward getting an RN license.
  12. by   FirstLadyNurse
  13. by   latebloomer74
    Wow, I thought LPNs were the bedside nurses, whatever happened to that? I hope the LPNs are able to fight this and win. A nurses is a nurse, it shouldn't matter the letters in your title, RN or LPN, they are both nurses!!! Fight the good fight LPNs!!!
  14. by   mystory
    Certainly the case at my facility. LPNs used to be the med nurses on my psych floor..until they were laid off last year. Very unfortunate.