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Hospital Ditches "Team Nursing" and LVNs

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Henry Mayo Newhall Memorial Hospital in California gets shot of team nursing in favour of primary care model, and in the process gives LVNs their walking papers.

gentlegiver, ASN, LPN, RN

Specializes in Geriatrics.

I am again disheartened at the thought of LPN/LVN's being tossed to the side of the road. Are we only good enough for LTC/SNF? And how long is that going to last? More RN's are being hired in LTC/SNF now, so how long until we are phased out of there too? My pre-req's are the same ones the RN's went thru, and while I know that my LPN course is not as intensive as an RN's and that my scope is not as encompassing as an RN's I fail to see the reason why they seem to think LPN's decrease the quality of care. Going back to school is not really an option for me, I would have to redo all my pre-req's thus increasing school time back to 4 years. At my age I would graduate in time to retire.

PMFB-RN, BSN, RN

Specializes in burn ICU, SICU, ER, Traum Rapid Response. Has 16 years experience.

I am again disheartened at the thought of LPN/LVN's being tossed to the side of the road. Are we only good enough for LTC/SNF? And how long is that going to last? More RN's are being hired in LTC/SNF now, so how long until we are phased out of there too? My pre-req's are the same ones the RN's went thru, and while I know that my LPN course is not as intensive as an RN's and that my scope is not as encompassing as an RN's I fail to see the reason why they seem to think LPN's decrease the quality of care. Going back to school is not really an option for me, I would have to redo all my pre-req's thus increasing school time back to 4 years. At my age I would graduate in time to retire.

*** Don't know if it is an option for you but you could to LVN to RN in two semesters ( 9 months) at any of Wisconsin's 16 technical colleges.

Mrs. SnowStormRN, RN

Specializes in Mental Health, Medical Research, Periop.

The article says that they are trying to keep up with their competition. They are doing it because that's what other hospitals are doing. Remember hospitals are large corporations and the business head is all about being above their competition. I don't think these business folks have ever worked on the units, and probably really have no idea what its like. Maybe it's trial and error, or maybe its just about the almighty dollar, or even just what makes their hospital look better. IDK! Its the new trend for now, until some other business idea comes along. I'm not sure this is REALLY about quality care, its about business.

tewdles, RN

Specializes in PICU, NICU, L&D, Public Health, Hospice. Has 31 years experience.

Seems to me that we used this model for a spell (in the hospital setting) back in the late 70s and early 80s. All RN staff, etc...

If you are around long enough things come full circle...cat eye glasses and staffing models may be two examples.

AngelicDarkness

Specializes in geriatrics, IV, Nurse management. Has 7 years experience.

I'd love to say I'm surprised by this, but I'm not. As a proud RPN grad, I had a lot of trouble finding work while doing my last praxis placement over a summer rotation. I thought I'd jump the gun by emailing local facilities looking for RPN grad. initiative placements (Ontario - 6 months of full time work paid by the government in exchange for employers finding you full time work at the end of the 6 months). Every facility I contacted had this available for RNs only. RPN positions, not grad positions, were available but you needed 5-8 years experience. I was disappointed. I'd love to do my RN eventually, but I'm in no rush:). Give me a few years of experience doing what I love first.

HazelLPN, LPN

Specializes in Adult ICU/PICU/NICU. Has 54 years experience.

This hospital is phasing out the LVN role through attrition, meaning that LVNs will not be given their walking papers and thrown out like yesterday's garbage as many acute care facilities are doing. I understand the need for formal education and I tell all young people to get their BSN if possible vs paths into nursing that require less formal education. Phase out LPNs? Fine. But do it like this facility is, through attrition instead of kicking them to the curb after many years of providing exceptional nursing care and service to the hospital. Most LPNs/LVNs in acute care have been there for years and years and know the job very well. Hire no more, but let them remain.

nursel56

Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 33 years experience.

Not that it really matters all that much, but since the Turkey Shoot like imbalance of power between LVNs and the politic-savvy California Nurses Association is beginning to get under my skin ... they aren't being given their walking papers. They aren't replacing LVNs who quit with LVNs.

I think they should have proceeded with the planned Candlelight Vigil. Not because pushing other nurses out of their jobs is a good reason for using a solemn, devotional rite, but as a last gesture of respect to the LPN and LVN.

The unprecedented glut of RNs we now have has provided them with the means to deliver the final blow.

Edited by nursel56

tothepointeLVN, LVN

Specializes in Hospice / Ambulatory Clinic. Has 3 years experience.

Hmmm my agency had been begging me for months to do an assignment over there as an LVN. I guess thats why they needed so much registry lvns if they weren't replacing their lvn's on staff

drmorton2b

Specializes in Sub-Acute/Psychiatric/Detox. Has 2 years experience.

The CNA should be called the CRNNA same thing with the Massachusetts Nurse's Association.

LPNs have been phased out of acute care hospitals in MA for the most part over the last 20 years..

We are living in the nursing market of 20 years ago folks... lay offs.. too many nurses too little jobs..

nursel56

Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 33 years experience.

*******

Edited by nursel56

needshaldol

Specializes in Pain management, Med/Surg.

This article makes NO sense. California has a mandated ratio of nurse to patient and in a Med/Surg floor it is 1/5. This article states that there will be better care because the nurse will have less patients. So, does this mean that they are going to change the nurse/patient ratio to 1/4? No they will not. This is about liability mostly. And then there is $$$$$$$$$$$$$$ to save. There is NO WAY they are going to change the ratios by getting rid of LVN's so this article is pure BS and they are giving a tale to the public. Shame.

nursel56

Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 33 years experience.

What I wonder is how did they get the "Team Nursing Pilot Project" up and running for long enough to give it a fair evaluation, decide it was harmful, get protests, and stop the program in one year? Having something like that happen in such a truncated amount of time is pretty much unheard of for most large institutions.

Team Nursing has been around since the mid-70s that I know of. At my hospital they went tio Primary Nursing but both LVNs and RNs were Primary Nurses. We had 3 patients each on our unit. I wonder whether they will have CNAs, how many patients will they have or are they going to have the RN do total care.

My local hospital went to team nursing a few years back and employs more EN's (aus equivalent of LPN) since then. I ended up leaving as I hate team nursing..it is fraught with dangers and I used to love my job. It's really upset me that our hospital went this way. they also include students now. It's gone from bad to worse and it's a private hospital...what you are paying for is definately what you are not getting. I would not be a patient there either whereas in the past i was. It's damn dangerous now and will only get worse.

I had hoped the team nursing would not work and we would go back to primary care, als it does not look like it will happen.

txspadequeenRN, BSN, RN

Specializes in ICU, PICC Nurse, Nursing Supervisor. Has 20 years experience.

think your patients are confused now about who's who in the hospital ...throw those initials in the mix....

the cna should be called the crnna same thing with the massachusetts nurse's association.

PMFB-RN, BSN, RN

Specializes in burn ICU, SICU, ER, Traum Rapid Response. Has 16 years experience.

My local hospital went to team nursing a few years back

*** You have to wonder what made your hospital go aginst the trend like that. Do they ignore evidenced based practice in other areas as well?

PMFB-RN, BSN, RN

Specializes in burn ICU, SICU, ER, Traum Rapid Response. Has 16 years experience.

Henry Mayo Newhall Memorial Hospital in California gets shot of team nursing in favour of primary care model, and in the process gives LVNs their walking papers.

*** I am an RN but if I worked at this hospital and witnessed how little regard this hospital has for it's employees I would take note. I would immediately start looking for another job with an organization that doesn't see it's employees as disposable on their whim. LVNs today who knows who is next?

gentlegiver, ASN, LPN, RN

Specializes in Geriatrics.

*** Don't know if it is an option for you but you could to LVN to RN in two semesters ( 9 months) at any of Wisconsin's 16 technical colleges.

TY for your suggestion. However, as I live and work in Massachusetts I would not be able to move and the commute would be impossible. A year after I graduated I went in to sign up for the bridge program, I was told All my pre-reqs needed to be retaken as I made in in just under the cutoff and they were now all expired. So before I could get into an RN program I would need to take all the pre-reqs which would take 2 to 4 years as I have to work and would be unable to attend the classes full-time.