LPN's in CCU, a vent - page 4

I've looked around and didn't see a thread discussing this problem so I started my own. Excuse me if it's been done to death. I just need to vent. :stone My anger is directed at the hospital not... Read More

  1. by   RN34TX
    Quote from suebella
    I do agree that all LPN's can't work in the units but if they have proven themselves capable then I don't see a problem.
    And all RN's can't (or rather shouldn't) be working in the units either.
    Unfortunately, the RN license has afforded them far less questioning of their abilities as opposed to an LPN working in ICU.
    This is unfortunate, because, as someone else pointed out earlier, most of critical care is learned on the job, not in basic pre-licensure programs.

    Thus, RN's who really don't have the motivation and/or ability to learn to work in critical care, can continue to do so because no one seems to question anyone with an RN title as to whether or not they should really be working there.
  2. by   dorimar
    Again, the problem the poster brought up was not the competence of the LPN, but their limited scope of practice (AS SET FORTH
    BY THE STATE BOARD). This limited scope of practice, makes the RN responsible for so much more. It increases the acuity of her patients ( as LPN's at her facility cannot take certain types of patients in her facility), It increases her nurse patient ratio ( as LPN's cannot admit patients, thereby causing her to admit a 3rd patient), and she is still responsible for the LPN's drips etc. Also she is probably responsible for the LPN's assessments as well, and in the ICU that is a huge deal. I would not be responsible for the best nurse in the world's assessment without assessing my self. So the RN has MORE & SICKER patients and MORE RESPOSIBLITLY outside her own direct patient assignment to boot. Sorry, but no thanks (and that's not to say many of the LPN's don't know more than many RN's out there). It is just that many of those green RN's aren't increasing my ratio's & accuities & responsibilities, and also they are not working under my license. Honestly, despite the understandable subjective emotional ties many of you have to this topic, if you re-read the original poster's thread objectively, you must understand her frustation.
    Last edit by dorimar on Apr 2, '06
  3. by   lindarn
    Quote from RobLPN
    We titrate them kind of drugs where I am in NC.
    Sorry, LPN/LVNs have no place working in any critical care environment, by virtue of education, (or lack thereof), and nurse practice act. If you need to validate you self worth and self importance by thinking that you (and are allowed to), provide the professsional care that a critical care patient requires, you are very mistaken, I have never, and would not, under any circumstances, take the responsiblity of having to cover an LPN in an ICU. But of course you work in North Carolina, a "right to work", state, with no contract, and RNs have no job protection. My guess is the RNs, who you work with, (and who cover your butt), would tell another story, if they were not scared of losing their jobs by complaining about unsafe staffing situations.

    Lindarn, RN, BSN, CCRN
    Spokane, Washington
  4. by   provostkelly
    Wow, what state are you an LPN in? That is great!
  5. by   General E. Speaking, RN
    Quote from provostkelly
    Wow, what state are you an LPN in? That is great!
    FYI: This is an old old thread.

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