I had very poor LVN/LPN training. Anyone else? - page 4
I ran into a woman who is taking the same LVN course that I took before I got my RN. So, I asked her a few questions. Seems as though they are teaching the same old useless stuff. I say "useless"... Read More
Nov 25, '07Occupation: Licensed Practical Nurse Specialty: Community Health, Med-Surg, Home Health ; From: US ; Joined: Sep '05; Posts: 9,297; Likes: 8,221Error in First PostLast edit by pagandeva2000 on Nov 25, '07 : Reason: Changed to Another Post
Nov 25, '07Occupation: Licensed Practical Nurse Specialty: Community Health, Med-Surg, Home Health ; From: US ; Joined: Sep '05; Posts: 9,297; Likes: 8,221Quote from daytoniteyou know those things i highlighted in blue. . .they are taught in rn programs not necessarily as priorities in lpn programs. lpns are practical nurses. that means "hands on" take care of patient's physical needs. pharmacology and ivs have only been added to some state lpn duties and not all states or employers allow their lpns to do them either. i never let lpns working with me touch any of my patient's ivs. first of all, i am nationally certified in iv therapy. secondly, unless you can prove to me that you know as much about ivs as i do you're not going near my patient's veins. as for learning how to deal with difficult people, it wasn't taught in my rn course either, so take a continuing education course in it like i did. you know what they taught us? customer service and assertiveness. didn't anyone ever tell you that your learning never stops? that's why there is a continuing education requirement for license renewal in just about every state. and if your state doesn't have one i'm betting that your employer does. you have a responsibility to educate yourself after you are out of school. you have a very wrong idea as to what learning is and what school is supposed to do for you. learning is your responsibility, not the school's.
in my area, lpns also have the option to be nationally certified in iv therapy, so, i obtained the certification myself because many times, there is not an rn immediately present to initiate iv therapy. it was not a requirement for the state, however, the job may require that we do so. and, of course, we should to know pharmacology. in fact, i do not see the sense of even creating an lpn program and training if we cannot administer medications because it would leave us to be glorified cnas (not bashing nursing assistants, folks!). it is true that everyone is responsible for their own learning, but i think that the point of this thread is that many of the schools feel short on basic things that lpns are required to know before entering into the workforce. yes, i know that we are responsible to educate ourselves once finishing school. however, the school is responsible for ensuring that clinical experience includes more than bedmaking, bedbaths, and being allowed to leave early because a clinical instructor does not want to be bothered with teaching their students basic procedures expected of them.
May 1, '08Joined: Mar '06; Posts: 693; Likes: 1,193Ha! Unbelievable!!!!!!!!!!!
Remember my gripe (from my past post) about how we were taught over and over and over (and quizzed and quizzed and quizzed) regarding the useless, oh, excuse me, correct, procedure when reading an antique MERCURY thermometer?
Well, last week, I opened the L.A. Times and there was a huge article about the illegal immigrants that are receiving training to work in Healthcare to cover all of the problems that are predicted to happen with the Baby Boomers..........
The PICTURE in the newspaper (next to the article) showed A Nurse in training holding up a frigg-in' MERCURY thermometer, trying to read it.
May 1, '08Joined: Aug '02; Posts: 38,000; Likes: 37,221Glad to see that the LA Times article was illustrated with a timely and pertinent photo.
May 1, '08Occupation: Registered Nurse Specialty: 8 year(s) of experience in med/surg/tele/neuro ; From: US ; Joined: Feb '05; Posts: 1,842; Likes: 665Quote from caliotter3:chuckle:chuckle:chuckleGlad to see that the LA Times article was illustrated with a timely and pertinent photo.
Sep 4, '08Occupation: reference librarian in public library Joined: Dec '01; Posts: 19; Likes: 1I went to an RN program that wouldn't even qualify as a bad lvn program. No kidding.
Sep 4, '08Occupation: LPN Specialty: LTC & Correctional Nursing ; Joined: Jul '07; Posts: 103; Likes: 35Quote from I love my cat!I am completely with you here. I am getting ready to graduate and with the exception of one clinical instructor, I feel like my program wasted my money. I hate to complain all of the time but it has been the laughing stock of my community. We have been written up in the local paper on several occasions. My Pharm class was only 5 weeks and the instructor focused all on cardiac meds. The rest I have made the extra effort to buy books and make med cards of commonly seen meds in LTC and teach myself...and others. My A & P was only 4 weeks part time. They pushed us through and passed people that failed every test all the way through the program. The sad thing is these people were dangerous in clinicals and their time was wasted and they will probably never pass boards and if they do I feel sorry for their patients. I am so scared to take the boards because I feel like I am under educated. I am going to take total advantage to the time I have to study until my boards and go over everything I possibly can. But that is not going to prepare me to manage a full hall of patients....I ran into a woman who is taking the same LVN course that I took before I got my RN. So, I asked her a few questions.
Seems as though they are teaching the same old useless stuff. I say "useless" because I personally felt so unprepared and under-trained when I started my first LVN job in LTC.
Looking back, I can see how so much of my training was wasted on completely useless "skills". Not that the skills are not important, please don't get me wrong, but when I see the skills that I really should have been taught in order to function on the job in the real world, I would say that the College had their priorities messed up.
For example, we spent days on how to make beds and miter the sheets, how to read a Mercury thermometer :uhoh21:. How to brush a patients teeth and feed them. How to introduce ourselves, etc.....
Minimal time was spent on Pharmacology. No time was spent on how to start IVs or troubleshooting problems with IVs. No training on how to draw blood. We weren't even taught how to do a finger stick, draw up insulin and calibrate the monitors! We were assigned 1 patient for one week during clinicals. That didn't give me any idea how to adequately handle 30 patients when I started my first job. I also could have used some training on how to deal with difficult patients, bossy co-workers, intimidating doctors and controlling families. Maybe some role playing? So, when these situations actually happened, I wasn't standing there looking like an idiot with my jaw dropped open or taking something personally and getting upset. I know some people have a quick response to ANY situation, but I would say that most people in my class of 35 did not.
I felt so incompetent when I first started working. I actually felt that I could have just skipped my year of training and just started working. That is how little I actually learned in the program. I really feel that I could have had all my training on the job as a new LVN....would have saved me time wasted in class and the $$$$ for tuition.
I know there are some excellent LVN/LPN programs out there, but mine was definitely not one of them
I definitely envy those that had great instructors and thorough training!!!!
Sep 4, '08Joined: Mar '06; Posts: 693; Likes: 1,193Quote from Calliotter"Glad to see that the LA Times article was illustrated with a timely and pertinent photo"Quote from Faeriewand:chuckle:chuckle:chuckle
The pic was published in the paper about 6 months after I started the thread. So, I am not sure how "timely" it was. I just couldn't believe that they would even be teaching with mercury thermometers. I haven't seen one used in years.
I don't think mercury thermometers are even made anymore, but I could be wrong.
Funny, I still have one. It has to be at least 30 years old.
As kids, we use to break them open and play with the mercury!!!:grn:
Sep 4, '08Occupation: LVN in skilled nursing / rehab Specialty: 5 year(s) of experience in LTC, subacute rehab ; From: US ; Joined: Dec '05; Posts: 562; Likes: 408I feel that my training was excellent - we started skills such as Foleys, NGTs, in first semester... IMs, SQ, intradermal, had to learn the different kinds of insulins, onset and duration.. Pharmacology was introduced and built upon depending on which body system or disease process we studied. In school, so far as possible, we passed meds via every route open to our scope of practice, with the instructor close by. IV certification was a separate class, and I took it. Passed NCLEX-PN first try, and feel quite capable of doing my job well in LTC.
Apr 7, '09Occupation: Student Joined: Nov '08; Posts: 22; Likes: 6So I have a question(s) for everyone...
I am currently in LPN school. I have my doubts about the program I am in. My hunch is that we are strong in some areas and very weak and outdated in others. I am an avid self studier.
If you went to a decent program, what things are you glad they covered?
If you went to a shaky/lacking program what things do you wish they covered in more detail?
And to those of you who work with new lpn's, what skills and knowledge areas do they tend to be lacking in?
I am still in the midst of reading this thread and taking some notes. Any information you guys have would be helpful and greatly appreciated. Thank you in advance. :flowersfo
Apr 7, '09Occupation: ACUTE REHAB Specialty: 16 year(s) of experience in acute rehab, med surg, LTC, peds, home c ; From: US ; Joined: Feb '09; Posts: 682; Likes: 672My LPN program was a very reputable one with a 100% passing rate. I still came out of there not knowing much, It was just too easy. It may have been my immaturity at the time but I was not a very serious or focused student and I had no problem passing with little to no studying. The clinical time is where I learned most pharmacology thanks to good old med cards. I dont think we had an actual class on it. I'm sure I could have learned more if I would have applied myself but I was content to skate by with a C average. Most people who took it seriously thought it was very challenging. The RN program was where I really learned alot. I was more intent on learning as opposed to just getting by. I think any program is what you make it. You can be a BSN who goofs off all through school and passes and you will come out knowing less than an LPN who really applies herself.
Apr 24, '09Joined: Oct '06; Posts: 21; Likes: 6I'd say my lpn schooling was a mix of good and bad. a mix of good and just ok instructors and a very expensive program at that. As bad as it was, we started out at 16 students and only 5 graduated (2 of which were returning students who didn't make it from last year's batch) which means technically only 3 of us in the original class, graduated. I'm doing my RN schooling now and I'l be done next year.