you must have the anatomy/physiology, the micro, the "advanced" understanding
well, that is somewhat true, but don't count on it to hold as much water as you think it does. i had a pre-med degree before i got my cna,, emt, lpn, and now, rn. i had more "'advance' understanding" of a&p, micro, physics, organic chem, biology, calc... whatever else one might think i can brag about... but when i got into nursing, and i'm talking about cna, lpn and rn, i was humbled by the knowledge and skill of everyone around me.
i think withholding such certification as tncc from the lpns is just a power-trip. tncc, like acls is not a license. when you have the certification, it does not mean you will run the show at a code or trauma. it just acknowledges that you've gone through the class and regurgitated the information on paper and the practice stations. nothing more, nothing less.
i believe we should reward both the lpns and rns fairly what we've denmonstrated.