Our emergency department was going to open two LPN positions for an 1800-0200 shift. Then there was a big management shuffle. Our new director has changed those two positions to care aide positions. Their arguement was LPN's don't have the knowledge to deal with the acuity in emerg. Give me a break! And care aides do???????Here in BC care aides do the absolute basics. They do not even take vital signs. It is a 3 month course geared for their work in extended care facilities. In the job description someone got a hold of, it lists vitals, setting up buck's tractions, cast splitting, etc. They would have to train the care aides to do these skills. Why not hire an LPN who already knows them?? I am livid. Surrounding hospitals use LPN's to their full capacity in their emergency departments. It doesn't make sense to me not to have an LPN in emergency to help out,doing admissions, assessments,vitals, catherizations, etc, enabling more crucial time available for the RN to deal with the serious acutely ill. They changed the job description to read nursing assistant position. Nursing assistants don't even exist in BC. There has been an ongoing battle in my hospital between RN's and LPN's. We LPN's want to work within our full scope of practice, that includes pharmacology. We are trained to do assessments and do have critical thinking. They refuse to recognize us as part of the health care team, and continue to regard and treat us as the enemy. It does not make any sense to me at all. Am I missing something????
Jul 3, '02
When I was LPN I made 12.95 hr in 1997 I started out 9.94 in 1995. In year 2000 nursing assistants in my area entry level made 10.75 hr, LPN's 13-14.50 and RN's 17.75. Where is the thinking here I mean we had to go to school for 1 year LPN or 18 months depending on state, and RN 2-3 years, and AIDES only participate in a 2 week course or 3. However, once again it is depending on the State you live in on how one attends school for a particular program. CNA's or certified nursing assistants are making close to LPN wages now in 2002???????????
In some LTC facilities LPN's have to perform many tasks and deal with medication pass, documenting and legal issues. They have to assume charge nurse responsibilities and do patient care on occassions when there is a shortage. I think it is incomprehensible to pay AIDES 13.75 hour for a 2 week course of education and LPN's 14 something. It is a wonder anyone would want to pursue a LPN career when you can make good money as a CNA with less worry!!!!!! I am sicken by the whole process. I know we need AIDES, but sooner or later that is all the hospital and LTC facilities will have left, so yeah why not downsize is how they think.
Last edit by DaSuperRN on Jul 3, '02