Just so you're aware, I'm an LPN in Florida, and I work at an elementary school of 950+ students and 60+ staff. I was taught to assess
in nursing school (yes, head to toe assess
ment), and interpreting information, implementing care plans
, giving meds,provide holistic nursing care etc. Call it what you will, but every LPN does
assess and apply nursing interventions. Just like RN's. Just ask them. The state of FL has LPN's in their elementary schools, with RN's in oversight positions. I saw the District nurse RN about 5 weeks ago for maybe 10 minutes and we chatted about her sons the whole time. I'm very independent, have assessed and handled emergencies for brittle diabetics, children with severe allergies, children needing Epipens and glucagon, children who have broken their arms/feet, colostomies, behavior/emotional issues, adults who have broken bones and cardiac arrest, and been involved with 504's and more. How could I have done all this without assessing? I am involved in the immunization program and work directly with the Health Dept. on issues. The suspected abuse cases are seen by me first. Some of our nurses have been in their jobs 20+ years. Some of our schools have LPN's who do catherizations, tube feedings, suctioning, and more..we have our share of medically fragile students, and have never had a problem with an LPN's versus RN's care.
It's odd to me that LPN's are mostly in charge positions at SNF's, yet you don't hear anybody having an issues about their "assessing" versus "evaluating" skills. Why is that? Do they have finer "evaluating" skills in LTC's, and they're full of folks who are medically fragile and unstable. And, no, I'm going going out of my scope of practice, either. If I am, then every school nurse, dialysis nurse, clinic nurse, LTC nurse, etc etc in this country is out of compliance.
I am not saying I think LPN's are equal to RN's. I know that! I understand RN's have a greater depth of knowledge, have more years in school, etc . I think each has it's own strengths. Unfortunately, it seems some of our RN friends have no use for us, or don't really understand what we're taught in school.