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2 hospitals to drop licensed practical nurses

Posted

Specializes in CCU, Geriatrics, Critical Care, Tele. Has 26 years experience.

the changes at mercy and unity hospitals are meant to improve care, but unions say the remaining nurses will be stretched too thin.

all 90 licensed practical nursing jobs at mercy and unity hospitals in the northern suburbs are being eliminated by next year, drawing criticism from unions that say the move is based more on saving money than improving quality.

the coon rapids and fridley hospitals, which operate as one business, said the move to remove the licensed practical nurses (lpns) was part of a plan to put more care-giving directly in the hands of the more highly trained registered nurses (rns).

full story: 2 hospitals to drop licensed practical nurses [minneapolis star tribune,mn]

Marie_LPN, RN, LPN, RN

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

"They have been essential members of the patient care team," O'Connell said. "We look forward to continuing to work with them in other parts of our organization."

Oh, yes, nothing says "essential member" like elimination.

And i find it pretty pathetic that the RNs weren't given a voice in this decision, either.

TheCommuter, BSN, RN

Specializes in Case mgmt., rehab, (CRRN), LTC & psych. Has 14 years experience.

My heart bleeds for the LPNs who will be phased out of the hospital positions as well as the RNs who will likely be spread thin as they perform the bedside duties of the phased-out LPNs in the very near future.

It is imperative that I secure my future by bridging over to an RN program within the next one to three years.

Marie_LPN, RN, LPN, RN

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

If it wasn't for wanting to teach eventually, i'd stay right where i am, nurse-wise.

michelle95

Specializes in Geriatrics, DD, Peri-op.

You know what, Marie? I would have, too. I had better jobs and was happier as an LPN. :o

Or, maybe it's the area I've moved to. I dunno.

My father had to be put in the hospital yesterday. The hospital he's at does not have any LPN's, they have gone to PCT's (Patient Care Technician). I asked one of them what is the difference between them & a NA. She said they do everything the LPN's used to do; tx, drsg. changes, inserting caths (that bothers me :uhoh21: ), tube feedings :uhoh21: , etc. I'm not sure I'm comfortable with that.

RNs try to protect their jobs from LPNs, LPNs try to protect their jobs from PCTs, PCTs try to protect their jobs from NAs.... and the hospital administrators just keep counting the money they save.

Marie_LPN, RN, LPN, RN

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

tube feedings

TUBE FEEDINGS????? :stone What a nightmare.

geekgolightly, BSN, RN

Specializes in MICU, neuro, orthotrauma. Has 7 years experience.

TUBE FEEDINGS????? :stone What a nightmare.

I am in full agreement. The techs at my hospital do not change rate at all, and only stop and start and flush feedings for transport, and still I am uncomfortable with that. I am also uncomfortable with the cath insertions, or was, but the techs on my floor are well versed inserting foleys. They also draw blood with butterflies. They do not touch IV's or centrals.

Marie_LPN, RN, LPN, RN

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

I only stopped a feeding if i were doing pt. care (laying the bed flat).

And i'd tell the nurse "ok i'm turning it off" going in the room and "ok it's back on" when i left the room.

No way, as a tech, would i have EVEN wanted the responsibility of tube feeding.

Marie_LPN, RN, LPN, RN

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

And i was only allowed to do foleys as an extern, and blood draws after 4 weeks of being precepted.

geekgolightly, BSN, RN

Specializes in MICU, neuro, orthotrauma. Has 7 years experience.

And i was only allowed to do foleys as an extern, and blood draws after 4 weeks of being precepted.

Blood draws at our hospital require a two week phlebotomy course and then 100 draws before they are ok'd. I don't know what the training involved in inserting foleys is.

See, I have always thought of LPN's(LVN's) as a nurse, not working under a nurse. I worked side by side with LVN's. I didn't monitor them. They had their own patient load. I don't even know if this is legal now that I am reading about LPN's working under the direction of an RN, but in Houston the LVN's worked independently from the RN. The only things they didn't do were the initial assessment and IVP. Any available RN would do that for the LVN.

The techs, I monitor.

tntrn, ASN, RN

Specializes in L & D; Postpartum. Has 34 years experience.

Several years ago, our hospital decided to go all-rn staff. They look for things to brag to the public about. Anyway, our LVN's were given the choice of becoming an aide, under the title of Critical Care Partner, or quitting. And the administration was so shocked that they all quit! Go figure.

As an RN, who worked with LVN's for many years, I was horrified not only at the decision to cut them, but how they were treated. We had a LVN who worked in our unit who could work rings around most of the RN's. She was efficient, thorough and her patients loved her.

It was a sad day, for all of us.

Well my most recent experience was of plan old discrimination of RN's versus LPN's it was awful the way I was treated, new grads placed as charge nurses and assigning me all the high aquity patients, one day I was given 5 pts, of which, one TURP with continous irrig., post op pt on a PCA pump that required hourly vitals, pt on Heparin drip and pre cardiac cath pt, and findley and total care geriatric pt, I lost myself that day, the two charge nurses just set at the desk and talk. grrrrrrrrrrrrrr

nurse4theplanet, RN

Specializes in Critical Care, Pediatrics, Geriatrics.

i guess they will be replaced by medication assistants right? What a joke...all to save a buck. Pretty soon they will be on their knees begging for the LPNs to come back because they will not be able to staff enough qualified RNs and will be overrun with unlicensed 'yet certified:rolleyes: ' personnel that will cause increasing harm/danger in pt care. Let them get sued a couple times and they will change their tune....

The Coon Rapids and Fridley hospitals, which operate as one business, said the move to remove the licensed practical nurses (LPNs) was part of a plan to put more care-giving directly in the hands of the more highly trained registered nurses (RNs).

Hello, more than enough care-giving directly in my hands. I keep praying that someone will wake up and realize I need LPNs to collaborate with in order to provide quality patient care.

The city in which I live has two hospitals. One decided to go "ALL RN," yep, in order to brag "see how much better we are." Funny thing is, they still have been unable to completely eliminate LPNs from their acute care setting, however they have greatly reduced their numbers.

And i find it pretty pathetic that the RNs weren't given a voice in this decision, either.

The RNs in the situation where I live did raise their voices and sent out petitions. They were loud and clear that this was not what they wanted nor what they felt was in the best interest of the commmunity. They were completely ignored.

My father had to be put in the hospital yesterday. The hospital he's at does not have any LPN's, they have gone to PCT's (Patient Care Technician). I asked one of them what is the difference between them & a NA. She said they do everything the LPN's used to do; tx, drsg. changes, inserting caths (that bothers me ), tube feedings , etc. I'm not sure I'm comfortable with that.

PCT is another name for an NA. They are being trained to do these things and paid less. They also do not do everything the LPNs used to do, not even close.

TriceRN

Specializes in L&D, High Risk Antepartum, Pediatrics. Has 8 years experience.

My father had to be put in the hospital yesterday. The hospital he's at does not have any LPN's, they have gone to PCT's (Patient Care Technician). I asked one of them what is the difference between them & a NA. She said they do everything the LPN's used to do; tx, drsg. changes, inserting caths (that bothers me :uhoh21: ), tube feedings :uhoh21: , etc. I'm not sure I'm comfortable with that.

Woah! That's interesting!!

I'm a PCA (patient care assistant) and while I do drsg changes and caths.....I surely don't do tube feedings, and to tell you the truth, I wouldn't let some of the techs I work with come near me if they tried to do things an LPN should do!!! That scares me too!!! There should be a place for everyone....I don't think one should be traded for the other to save money!

i guess they will be replaced by medication assistants right? What a joke...all to save a buck. Pretty soon they will be on their knees begging for the LPNs to come back because they will not be able to staff enough qualified RNs and will be overrun with unlicensed 'yet certifiedrolleyes.gif ' personnel that will cause increasing harm/danger in pt care. Let them get sued a couple times and they will change their tune....

It is a joke! Please, for the most part, techs don't have the knowledge that is needed to perform in that type of role. I remember I was standing at the nurses station one day with another tech next to me. One of the patients had gone for a stress test. Someone walked by the room and asked where the patient went. The tech next to me said "She went down to take a stress test"....the person said "What?"....he said "She went to take a stress test, you know, to test her stress". I thought WHAT????????????????????????? This guy can hardly spell and do math calculations, which isn't something to make fun of, it's just something that would be important if they were thinking of substituting him in an LPN role.

The whole thing just makes me sick!

when i was in school in the early 90s they said at that time that before long the entry level would be BSNs. That was 15 years ago and little has changed.