What's an LVN ll or lll

  1. I was checking job postings on Yahoo, and Kaiser has listed LVN ll and LVN lll. Now what does that mean? Does it mean years experience? Just wondering, anyone know? A
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    Joined: Jul '05; Posts: 133; Likes: 58


  3. by   lauralauranurse
    at the hospital i work at, RNs have the 'clinical ladder', so they are either a Clinical Nurse I, II, III, or IV -- all depending on your years of practice. you also have to apply to reach 'clin. III or IV' level. you have to collect a bunch of data, experiences, etc. and then present them to the clinical nurse board and they then decide if you deserve to go up the ladder. and i think you have to have your BSN if you want to apply for your 'clin IV' with that, comes a little bit more pay and a few more bragging rights. our hospital used to have 'clin. V's' for NP's, but did away with that.

    that being said .. our hospital used to have the same ladder for LPNs, but did away with it.

    now, if you've been an LPN for longer than 10 years or so - they say you're 'LPN Sr.'


    doesn't really make a ton of sense to me.

    it's weird when i see hospitals looking for an LPN vs. an LPN-B vs. LPN Sr. vs. LPN II, etc..

    you have experience, you have experience .. it's kinda that simple.

    and, as far as i know, the LPN-B title has been phased out?

    i don't even think anyone does the whole LPN-A thing anymore because all PN programs include pharmacology and medication administration into their coursework.

    i still see some of the older LPNs sign 'LPN-B' after their name, though.

    we were taught to just sign 'LPN' now that there is no differentiation.

    someone correct me if i'm wrong.

    and i hope i answered your question on some level. sorry if i wasn't super clear.

  4. by   kat7ap
    At my hospital there is LPN and LPN II. As an LPN II I earn $1.00 more an hour and I have been checked off to administer certain IV pushes and maintain PCAs. I just needed at least one year experience to qualify.
  5. by   softstorms
    Some states give LPN1 to nurses who have had 10 years experience, some states give LPN2 to nurses who have IV training. Most of this has been done away with because state mandates have made it possible for all nurses to be trained in these things. Florida used to use these, I don't know if any states still do? anyone know?
  6. by   JeanineLPN1984
    I have been licensed since 1984 and worked in Florida from 1989-2005, and IV certified in 1993, but I never heard or used the title LPN2.
    The title I use is LPN CLTC, I took the NAPNES certification exam in long term care. Hope that helps.
  7. by   LVN76
    LVN I=0-1 yr experince:new grad
    LVN II= 1-3 yr in acute or clinical areas
    Lvn III= 1-3 yr with iv certi
    also each level earns a little more than the other. I've been a LVN II.
  8. by   softstorms
    I have did a little looking around and can not find any State guide lines for LPN/LVN I, II, or III. I also have seen NO guide lines for Lpn's to give any "push" IV meds. I think this may be something each workplace puts in place to use as an experience guideline for pay scales. The more you know.....the more you get paid.
  9. by   LVN76
    The LVN I/II/III is a Kaiser Permanente thing., as far as I know
  10. by   ohmeowzer RN
    we don't have LPN I. II,III at my hospital we just have LPN's ( actually only 2 LPN's still employed at the hospital, they will be replaced by RN's when they quit) .. i am a RN II because i have acls and when i finish my CCRN i will be a RN III. i have never heard of LPN's having a number after their title. at least where i work.
    take care
  11. by   Lucid Vital Nurse
    A designation after the Nursing title is given by an organization to classify nurses for pay grade purposes depending on skills or rank. I know Kaiser Hospital in Panorama City has LVN II/III. The County of Los Angeles, Department of Health Services also has LVN I/II/III (for in-patient hospital wards) and Clinic LVN I/II (for working in the county clinics). [In-Patient] LVN II has more responsibility/pay than LVN I; and LVN III (only for current county employees) are Vocational Nurses who the county trains to be ICU Nurses (more responsibility/knowledge/skills/pay than the other two LVN classifications).
    Where I am working now (Hospital [DOU]), the RN's have a classification: 1) Clinical RN (staff), 2)RN2, 3) RN4 (deleted), 4). RN5 (Clinical Coordinator; similar to Assistant Director). However, there are no extra designations for LVN's (even though I'm: IV & Blood Withdrawl Certified, ACLS Certified, MCD-WMS Certified, and working on PALS and Critical Care training)
    So it just depends on where you work.
    One of my previous jobs classifies LVN's with IV and Blood Withdrawl Certification as LVNII as opposed to an LVN without that certification (more skills/more pay.
  12. by   lori.lvn
    Was just wondering because my first job out of school had me listed as an LVN II and I never understood why or bothered to ask until preparing to upload a resume. Still didn't include the 'II' .
  13. by   HazelLPN
    This is usually a facility title vs a legal title. Years ago, not all LPN programs taught pharmacology (mine did). In my hospital, the LPNs who never took pharm were called "LPN I" and could not administer any meds. Most of these LPNs took a pharm class and a med test given by the state BON and then they were allowed to give meds and they were now "LPN II". However, they were not taught IV therapy and could not give any IV medication. The LPNs who were trained in IV therapy and took more advanced pharm became an LPN III and could could give IV medication. By the early 1990s most of the LPN I's had either taken the med test or retired. By the late 1990s, all of the LPNs in the hospital had been trained on IV therapy and and were LPN IIIs. The hospital soon dropped the roman numeral system and we were just called "LPNs".
    I can't imagine there are any LPNs out there who can't give any meds at all, so perhaps the roman numeral systems means something else in other states/facilities.