Are LPNs nothing but a "set dressing?"

Nurses LPN/LVN

Published

according to a study "supply, demand and use of licensed practical nurses,

employers should examine how the work of licensed nurses could be allocated safely and reasonably, so that rns are not overwhelmed and lpns can practice to their full scope of practice. although lpns cannot directly substitute for rns, many tasks traditionally completed by rns can be accomplished by lpns, with appropriate training.

excuse me? i personally find this offensive. so what this is saying is that we lpns are low graded workers to reduce the burdens of rns? at my workplace, lpns have exactly same number of patients as rn's, we do exactly the same work as rns. the only thing that lpns cannot do is start an iv, but here in my state, even a patient care aides (cnas) can start an iv if they were trained so its nothing special previliges that rns have. i guess lpns are like what arnold schwarzennegger stated as " a set dressing" huh? how nice

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
I don't get what you are so offended about either. Maybe you should chill out. I think they are saying that we should start utilizing LVN for the valuable resource they are. LVN's are far more capable than some people seem to think and we need to recognize this. It's not about doing the RN's "grunt work" it's about promoting team work. At least that is what I got from it.

that would be how I read it, too.

I agree - nothing offensive in that article.

steph

Specializes in Acute Medicine/ Palliative.

Well stated JNanRN! You are very professional and I thank you for that. I feel there is and always will be some RNs and LPNs that cant get it together to make teamwork what it can be. Too much competition. My advice is silply...."Get over it"

Specializes in ICU, PICC Nurse, Nursing Supervisor.

I thought it was a positive movement for the recognition of LVN/PN's. I dont see anything offensive here and I did read the whole article. Did I miss something?:smackingf

Hellooo? Where'd the OP go? :) Has this been moved to the break room?

Z

Hellooo? Where'd the OP go? :) Has this been moved to the break room?

Z

:)

steph

Where I work, in STL, nurses, both RN and LPN have equal jobs, for the most part. Same pt load, LPN's sometimes have more. They can't hang blood, but I've seen highly qualified LPN's taking a RN 'step-by-step' through the whole process because the RN (who is automatically qualified???) didn't know what to do or where to start. To me, that is scarry!! But we all learn, we all watch and we all depend on eachother to deliver quality nursing care.

Something else I really hate............is when LPN's comment on all the work they do........the same as a RN.........and then some 'smarty' RN comes along and tries to convience them that they need to go back to school.........to do what??? Get paid more?? you need it to pay off the school loans. To have more responsibility?? Who really wants that??

I know I'm ranting here, but this same topic came up at work and here it is here..............LPN's do not get the respect they so rightfully deserve. Maybe this article will help propell them to that level. I'm still just an LPN at heart.......that is where I started!!

Don't know where that came from, Arnie said that about Nurses, period.

In CA an IV certified LVN, can do anything IV, except IV push and IVPB Rx's, even flush IV locks. All admixtures must also come from Pharmacy, an LVN may not add anything to the IV bag.

Once again experience and training are the best tools any of us can have.:rolleyes:

I dont think I am a set dressing, I think really if you look at it what a lpn/lvn can do is set up by what state you work in, Scope of practice is differnt in every state as a lvn in texas yes i did alot more than I do in Missouri also I didnt have to be cert to do a iv start we had to learn it on the floor here in missouri I have to go to a class to get a cert but funny unless i want to drive over 2 hrs I cant fnd a class that will do it. I am going to go back to get my RN but for me thats what i want to do. Just remember as a lpn/lvn we are nurses just like the rest and sometimes we know more than a RN but then some aides i know have known more than i do as a LPN :p but all in all i think all nurses at times know more than the docs at least we know the important stuff about our patient no matter what our pt load is sometimes all we have to do is take a few more mins to listen to them

Specializes in School Nursing.

We are all nurses ! No matter what official letters you have after your name...we are all nurses. I congratulate you all for the accomplishments you have made in your career. Nursing is a job where you NEED to all pull together for the health, safety and welfare of your PATIENT, the real reason why you went into nursing in the first place.

Be confident in "what you are". Each day, go to work doing the best that you can. That's all anyone could ask for anyway. Yes the stress level is high, and we all do get stretched about as far as we can go, but when the day is done, YOU have made a difference in someones life ! So what ever your level of education.....just DO YOUR BEST ! HAPPY NURSES WEEK TO ALL !

:nurse: :nurse: :nurse: :nurse:

You are not "set dressing", no nurse is. I am now an RN, but I started out as an LPN. I am extremely proud of my bedside nursing education and I feel it has made me a better RN.

I do feel that LPNs are under utilized and, in some instances, are made to feel like they are less of a nurse when compared to RNs. LPNs are well trained bedside nurses and yet they are becomming as bogged down as the RNs. To become an RN, I only added onto the education I received as an LPN and the IVs were the only thing, at that time, that seperated us. Now LPNs can be trained to work with IVs. But, the problem is, are you still getting LPN wages for doing RN work (technically)? So why do the work of an RN if you are not getting RN wages for it? Maybe they do compensate wages for the added education and responsibility, this I do not know. My sister in law, as an LPN, did all the IVs in the endoscopy unit and was not compensated for it. So she became an RN to be compensated for all that she did.

I truly enjoyed (as an LPN) doing the bedside care for the patients while the RNs did the supervisory work, the IVs, and all the technical stuff I wasn't interested in at the time. But, after becoming an RN, the hospitals went to total patient care and I now had a full caseload of my own. But, now I had to do the IVs for the LPN's patients too, and I became overwhelmed. This is changing. Maybe they should consider changing the RN/LPN programs. Maybe extending the LPN training to 2 years (in place of the 2 year RN) and giving them the education and pay they need to do all that is asked of them as LPNs. I feel that RN programs should be 3-4 years and increasing our education and training as well due to the additions to our field that we have to learn on the job instead of in school. It is getting harder and harder for nurses to be able to do more work with our current education and less staffing.

It's just my opinion, but I feel that additional education, with all that is being required of us (LPNs/RNs) in the field today, should be considered to better prepare us for what is out there in the real world. Increasing our pay wouldn't hurt, either. RNs and LPNs are part of the same team and nursing needs them both.

Cheryl

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Something else I really hate............is when LPN's comment on all the work they do........the same as a RN.........and then some 'smarty' RN comes along and tries to convience them that they need to go back to school.........to do what??? Get paid more?? you need it to pay off the school loans. To have more responsibility?? Who really wants that??

I know I'm ranting here, but this same topic came up at work and here it is here..............LPN's do not get the respect they so rightfully deserve. Maybe this article will help propell them to that level. I'm still just an LPN at heart.......that is where I started!!

You hate what, exactly? That someone would propose a solution instead---one that would not include griping, but rather controlling their career and pay? Sorry, but I stand by what I said.

The way I see it, (if you are an LPN)-- and you are doing the all the "same work as an RN is", why on EARTH would you settle for less pay for such work? I see this over and over here, LPNs saying they do all the same work for less pay. Well, I don't get it. To me, it's got to be one of two things. You either "think" you are doing all the same work (you mentioned additional responsibility, so really that would not be the same, would it?) or you are not *really* doing all the "same " work.

If you are doing the same work, it only makes sense to go back to school and get the RN so you can be paid what you feel you are worth. If you are NOT doing the same work, then, what is the issue? You should not be paid the "same" as an RN for having less responsibility, e.g. NOT doing the same work.

Now, before you flame me: No way would I put down LPN's. They are amazing caregivers and wonderful nurses. But let me tell you something you may not realize: We RN's don't get the respect WE deserve, either! We don't get it from doctors, patients, OR LPN's and CNA's, oftentimes. It's not just LPN's getting the bad treatment..........and...

Sorry if this offends you, but that is the way this "smarty RN" sees it, this is why I went straight to RN school: I wanted RN responsibility, opportunity, work AND pay, and so I went for what I wanted. Yea, it took time and cost a lot of money, but I did not let that stop me from my goal. I would say to any LPN saying she does the same work as me for less pay:

You want my pay? You want the respect you think RN's get that LPN's don't? Then it's simple:

Go get an RN degree , and go for it. No one is stopping you. But I don't see anyone disrespecting LPN's in the article OR here. I do see a lot of needless defensiveness, is all.

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