Published Nov 12, 2000
I work in a long term care facility. Recently a disgruntled employee ( an RN) stated that she did not take orders from an LPN. They had a conflict over some procedure, or policy ( this is not clear). However in our facility the ADON is a LPN. She was grandfathered in prior to the changes in regulations which now require that an ADON be an RN. Is there a conflict about authority, and what complications have other nurses had reqarding this situation.
The first thing you need to do is read your Nurse Practice Acts for both the LPN and RN licensures for your state. I don't think that my states licensure would allow this, so I can't advise you on that. This situation sounds like there may be more than just the authority issue here; is there also a personality issue tied into this conflict? In most situations I know of where a nurse has been grandfathered in to a position, the nusre has continued her education until she is fully qualified for that job. To me, having an LPN as ADON seems highly irregular.
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