It's degrading to be called a paraprofessional as an LPN

Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Join the conversation!

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I have over 3 decades of nursing experience. I currently work home health where the manager frequently refers to LPN's as paraprofessionals. I find this degrading especially when the RN gets the patient on board and the LPN's are nursing them back to health. I took a board certified test lasting over 8 hours that resulted in a license so why does she think I am not a professional? I could not perform my job without my license!

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Specializes in Tele, ICU, Staff Development.

Understandably, you feel frustrated and disrespected by the term "paraprofessional" used to describe your role as a Licensed Practical Nurse (LPN). The distinction between different types of nursing professionals can sometimes lead to misunderstandings and undervaluation of specific roles, despite the significant expertise and dedication required for each.

Here are some key points to consider when addressing this issue with your manager:

Clarify Definitions

The term "paraprofessional" describes individuals who assist professionals without the same education or certification level, such as teacher's aides and legal assistants.

However, LPNs are licensed professional caregivers with rigorous training and testing, distinguishing them from typical paraprofessional roles.

Highlight Your Qualifications

Emphasize the extensive training, education, and experience you and other LPNs bring to the job. Point out that your role requires a license obtained through passing a comprehensive and challenging exam.

Professional Standards and Scope of Practice

Discuss the scope of practice and responsibilities of LPNs, which are distinct and essential in patient care. This includes administering medications, wound care, patient assessments, and more.

Value in Patient Care

Explain the critical role LPNs play in the continuum of care, particularly in home health settings where building long-term relationships and providing consistent care is vital to patient recovery and well-being.

Promote Respect and Recognition

Advocate for recognizing all nursing roles as part of a professional team. Encourage a culture of mutual respect where each member's contributions are valued.

Consider joining your professional organization, the National Association of Licensed Practical Nurses (NALPN), for support and resources in addressing this issue within your workplace.

When discussing this with your manager, approach the conversation with a focus on education and collaboration. Here's a possible way to start the conversation:

I want to address a concern I have about the terminology used in our department. I've noticed that LPNs are often referred to as paraprofessionals. Given our extensive training, licensure, and critical responsibilities, I believe this term doesn't accurately reflect our role and contributions to patient care.

I suggest we use terminology that better acknowledges the professional nature of LPNs. This can help foster a more respectful and accurate understanding of our vital role in nursing and patient recovery. How can we work together to ensure that all nursing staff are recognized for their professional skills and dedication?

This approach is professional and respectful and aims to foster a constructive dialogue.

Best wishes,

Nurse Beth