Lpn & asn are are being phased out.

pedseraprn · May 22, 2016

I'm in the upper Midwest and hospitals here don't hire ASNs or at least you'd better be in a BSN program and on track. We are also Union. Schools here have transitioned out of ASN and many are going entry level MSN. The plan to get the hospital to "pay" fell out here long ago. LPN's are in clinic and LTC.

I agree it's regional. To the nurse who wanted to move here, better luck in FL with a two year.

Lest you think I'm biased, I'm a former two year who has a dual Master's. I had to.

pedseraprn · May 22, 2016

Most university based advanced practice schools are already doctoral or will be shortly.

dianadRN · May 22, 2016

Where I live (Denver, Colorado) the nursing market is so heavily saturated that it is more than just a struggle for new grads. I started as an LPN five years ago and went into the clinic setting because the hospitals here haven't hired LPNs for a very long time. I became an ADN RN at the beginning of this year, and hospitals automatically reject my application. They say "BSN preferred", however I apply for jobs and the VERY next day I log in to read "No longer under consideration". Are you sure you even considered me though?? I am currently enrolled in BSN coursework and will be done with that early next year and so far I'd say my BSN program hasn't made me a better nurse. After all these months I only just got a job in another clinic because the hospitals won't even look at an ADN who is even in school for her BSN. My sister became an ADN only a couple of years prior to me and had no problem getting into the hospital, so that's kind of an indicator to me of how quickly things have changed.

DFutureNP25 · May 22, 2016

At the hospital I am employed BSN nurses make slightly more than ASN/ADN nurses.

Ackeem, BSN, MSN, RN, APRN · May 23, 2016

I think the entry requirement for a candidate to sit for the NCLEX RN should be a BSN. This is no knock against the ADN or whether they're competent or not. I just think as a profession an ADN shouldn't be sufficent. Where i come from a BSN is mandatory to sit for the boards, an LPN is NOT a nurse they're officail title is Patient Care Assistant. An LPN can't give meds period, Can't do dressings, and are regulated to UAP duties.

An enrolled nursing assistant however functions like a U.S LPN, they posses 2 years of training and practice directly under the RN. A enroll assistant cannot bridge to an RN program, they have to start a BSN from scratch.

Again this is no knock against LPNs or ADNs, just a knock on the structure of the profession on a whole and its informalities.

PMFB-RN, RN · May 23, 2016

While I didnt read all the comments, one poster did mention a great point, and one that is brought up in a class I am taking in my BSN program: the fact that one of the biggest reasons to make the BS the entry level is to make the nurses' education more comparable to other health care professionals. And it should be. This is why there is talk of nurse practitioners requiring a doctorate degree. Make sure your sitting down for this, because there is even talk of making the msn the possible entry level. They have required more education for other health care professionals, why not nurses?

Staff nurse's compensation doesn't justify the investment in an MSN. It's already questionable for the BSN. Still a lot of nurses who start at $20 and hour or less.

I would also add that few of the other health professions are as a hard physical labor as nursing. Anyone willing to invest the time and money in a master's degree can make more money and not work nearly as hard, nights, weekends and holidays, as a staff nurse.

dianadRN · May 23, 2016

Staff nurse's compensation doesn't justify the investment in an MSN. It's already questionable for the BSN. Still a lot of nurses who start at $20 and hour or less.
I would also add that few of the other health professions are as a hard physical labor as nursing. Anyone willing to invest the time and money in a master's degree can make more money and not work nearly as hard, nights, weekends and holidays, as a staff nurse.

totally agree with this statement.

Here.I.Stand, BSN, RN · May 23, 2016

Where i come from a BSN is mandatory to sit for the boards, an LPN is NOT a nurse they're officail title is Patient Care Assistant. An LPN can't give meds period, Can't do dressings, and are regulated to UAP duties.

That really doesn't sound like an LPN then, does it? We have Pt Care Assistants, healthcare assistants, certified nursing assistants, etc. -- totally different education and role than LPNs.

Alisonisayoshi, LVN · May 23, 2016

That really doesn't sound like an LPN then, does it? We have Pt Care Assistants, healthcare assistants, certified nursing assistants, etc. -- totally different education and role than LPNs.

Kind of my thoughts exactly. The more correct statement would have been "where I'm from we don't have an LPN role and the minimum entry is a BSN".

cemisciagna1 · May 23, 2016

I couldn't agree more! Well stated.

nurseStephenie · May 23, 2016

I have seen my hospital system only offering jobs to BSN prepared nurses as well. We're still short staffed because there are more ADN programs with higher graduation rates in our area. Most of the nurse that work within the system are ADN's. If hospitals think getting rid of all ADN's is an option, they are sadly mistaken.

If they want RN's to change their mindset and become BSN's, they are going to have to make changes in pay. My ADN program cost me $8000. I have heard BSN programs costing $60,000.

Fiona59 · May 23, 2016

I think the entry requirement for a candidate to sit for the NCLEX RN should be a BSN. This is no knock against the ADN or whether they're competent or not. I just think as a profession an ADN shouldn't be sufficent. Where i come from a BSN is mandatory to sit for the boards, an LPN is NOT a nurse they're officail title is Patient Care Assistant. An LPN can't give meds period, Can't do dressings, and are regulated to UAP duties.
An enrolled nursing assistant however functions like a U.S LPN, they posses 2 years of training and practice directly under the RN. A enroll assistant cannot bridge to an RN program, they have to start a BSN from scratch.
Again this is no knock against LPNs or ADNs, just a knock on the structure of the profession on a whole and its informalities.

you have just cleared a whole area of drama that my hospital is going through.

Management hired a group of Jamaican LPNs who were trained under some scheme in Jamaica withe the local PN college here providing the course work to college in Jamaica.

Ths is the poorest performing group of LPNs we've ever worked with. Everything that is expected of them, is just too much. Wound care takes forever, med delivery is slow, patient care sloppy. Patients have complained about the care given by these nurses. They are given extended orientations, standards seem to be lowered for them, leaving those so working alongside them shaking our heads.

somehow, they passed the written exam in Canada but their actual performance has required a lot of remedial education at the unit level