Published Oct 3, 2009
scrublifenurse10, LPN
186 Posts
what is average starting rate for new LPN's in hospitals, nursing homes, and doctor's offices?
also, I know the LPN's role in the hospital and in the doctor's office...but what is their role/duties in the nursing home?
Thanks
Silverdragon102, BSN
1 Article; 39,477 Posts
Moved to the LPN/LVN corner
kat7ap
526 Posts
LPNs in the nursing home are usually charge nurses over any where from about 20-60 residents. Duties in the nursing home include medication passes, treatments, wound care, feed tubings, trach care, blood sugars and insulin, labs and physician orders. Charting is normally by exception. Routine assessments and vital signs are usually done only if there is a change in condition. If you work a medicare unit, the care is more subacute and requires more charting and assessments. You may also be in charge of the CNAs and have to make their assignments. Some states allow med pass to be delegated to a Medication aide/tech.
In my area, nursing homes normally pay the best with a starting pay of about $18-22/hr, hospitals and medical offices start about $16-19/hr.
CynicallyVexed
75 Posts
It all depends where you live and your cost of living in your area. Usually out west and up north pays better than the south east until you hit Florida, and Florida pays usually pretty good between 18-25.
I'm in East, TN. Start out for new grad LPN's in a hospital are 11-12 plus shift diff which is usually 2-3 bucks, doctors offices 14-16 an hour, nursing homes, 15-19/hr depending if you go to a profit or none profit, home health 14-16/hr.
Nursing home duties 7-3. make assignments at 7 after you get report, You pass meds at 8 and usually done before 10 cause most meds are due at 9 and you got that two hour window. between 10-12 you are doing treatments and getting patients out to that have to be to medical facilities outside of the nursing home and treatments will vary cause most nursing homes have a wound nurse that does your treatments, 12-1 meds, 1-3 chart and do any skin assessments. Each day there is certain residents you will chart on and certain shifts do certain patients, so you may have 8 patients to chart on.
3-11. at 3 u get report and assign your CNA's 4-6 evening meds, 6-8 charting, 9-11 night meds and any treatments that need to be given or any charting
11-7, at 11 you get report and assign your CNA's, you have med pass at 12, 4, and 6 at a skilled facility on 11-7 but these are not large med passes like the 9a.m. and and 5 p.m. med passes. But usually you will have more residents at 6 a.m. pass than you will the 12 & 4. You will have more patients to chart on cause generally you are the only nurse on the hall. You will be charting skin assessments as well as sleeping habits and your facility will have a schedule of which patients you chart on on which nights. You will do labs in the morning before your 6 a.m. med pass.