ADVICE for Students in Ontario RPN vs RN

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I have seen many threads, students asking advice/opinion on weather they should take the RPN or RN program.

I just wanted to share my experience and opinion on this subject as a RPN. I completed the 2 year full-time Diploma in Southwest Ontario, but if I could go back I would have definitely opted for the BScN program instead. I would like to share why.

When I decided on this route I never expected that my nursing ambitions and skills would supersede the opportunities that are available for RPN's in this part of Ontario. They are AGES behind when it comes to utilization of the RPN to their full scope of practice.

At the time I couldn't attend a 4-year full-time program because of the demands of my home life. Plus I thought, especially as I went through the program, that I would have a variety of choices as to what areas of nursing I would work in once I gained more experience. I have since learned that this is not the case, at least not in my area.

There are still many RN's (and general public) who do not understand the skills and education that RPN have received in nursing school and many facilities who are still not allowing RPNs to work to their full scope. RPN's are an autonomous profession who work under the EXACT same standards of nursing as RN's. There is no hierarchal system; it is simply based on experience and skill set. Which, most NEW GRAD RN's, can never have the skills set, experience and knowledge I do after this many years of actually working on busy acute floors as a nurse. And of course management opportunities are usually only available to RN's.

Because of this I have since decided to enroll in a part-time bridging program through Ryerson University to obtain my RN. I have also found that the pay difference is very unfair, and should also be based on experience and skill set. For example why should I get paid $25/hr verses $35/hr to start the exact same IV and push the exact same meds! I also have the same patient load as the RN for less money, I find this very unfair.

So if I had to advice anyone who is debating what route to take, I would say if you plan to work in this area (Ontario), just go for your BScN. Had I done this out of the gate, I would have been done by now and would not have to suffer through so much frustration and dissatisfaction with nursing.

I do not want to take any credit away from the RN (especially since I'm going to become one ;)) I give credit where credit is due, and if I received the respect I deserve as an RPN than I would have been happy keeping my designation.

So if you can and have the opportunity to do a full-time 4 year program, than MY ADVICE ... DO IT!! And what ever you choose remember we are ALL still NURSES!!!:nurse:

Btw, RPN is the same as LPN in the rest of Canada ... And the RPN/LPN scope of practice in the USA, is not anything like the training in Canada.

Hi nursebetty1975,

I have some questions about registering with Texas BON for RN! I have failed my 3 attempts CRNE and I have RPN license and working at Doctors office as RPN. Can you please guide me how to Register as RN in Texas. My boyfriend lives in Texas and I am planning to move up there ASAP. Please advise me! thank you!!!!

Specializes in Medical and general practice now LTC.
Hi nursebetty1975,

I have some questions about registering with Texas BON for RN! I have failed my 3 attempts CRNE and I have RPN license and working at Doctors office as RPN. Can you please guide me how to Register as RN in Texas. My boyfriend lives in Texas and I am planning to move up there ASAP. Please advise me! thank you!!!!

You read Texas BON website and get either CES report or other acceptable report that breakdowns your transcripts.

In my home city, the hospital routinely hires RPNs, but they are not allowed to work as RPNs. They are employed as PCAs (patient care assistants). This allows them to have no union, no HOOP pension and they work at a lower wage than RPNs.

This may be part of what the poster means?

Specializes in Public Health.
In my home city, the hospital routinely hires RPNs, but they are not allowed to work as RPNs. They are employed as PCAs (patient care assistants). This allows them to have no union, no HOOP pension and they work at a lower wage than RPNs.

This may be part of what the poster means?

Why wouldn't they hire PSWs for this purpose? I literally don't know of any RPN that would go for that.

Anyone posting on here should read and be educated with the CNO'S standards of practice for all nurses. I am an RPN with 17 years of experience in many areas of nursing. I have been a Hemodialysis Nurse for 10 years now and I can tell you that we have the EXACT Same workload, patient assignments, responsibilities and training as the RN population in my unit. I will. Never become an RN at this point in my life as my pay will drop to starting wages, I would lose my 17 years seniority at my hospital and be at the bottom of the list for employment opportunities. It is very disheartening to read negative comments about RPN's especially from people who think they are smarter, better qualified and have more knowledge than everyone else. I am fortunate that I work with and have always worked with fantastic people regardless of their designation. We need to work together in my unit to be able to provide the BEST POSSIBLE CARE AND OUTCOMES for out patients. I don't know where this battle of the nurses comes from, but it needs to stop. We provide a service to our customers and that is the only thing that should matter while you are working. Everyone talks about "patient centered care" but very few provide it properly because they are to busy worrying that their coworkers may not be up to their standards. Get over yourself and just do your job.

Anyone who takes a position that isn't what they are educated for should really rethink where they work. An RPN is NOT a Nurses assistant. And never will be. We are all nurses licenced under the same COLLEGE OF NURSES. Find a job you are qualified and Trained for so you have all the benefits etc you are entitled to.

I just wanted to say, Im an RPN .. completed 1 more yr of this bridge program ... qualified to take my NCLEX RN exam (had my education evaluated), and I PASSED!!!! ... This little Ol' RPN Passed!! 1st try! And sitting next to me were 5 BScN students 3 PASS 2 FAIL ... and I haven't even graduated from the BScN program yet!!! ... Proud RPN moment ..or shall I say RN! :roflmao:

Hi nurse Betty

I saw your post and completely agree. Just because your an rn it doesn't make you more competent. So if someone was an recent lpn graduate in canada can you be more than an lpn in the states. Also what if you had two years in the bachelor of Science courses to add to that. Is it possible to be an adn? Any advice or insight would be greatful

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