LPNs: Myths and Misconceptions (Part III)

Licensed practical nurses (LPNs) play a significant role in the delivery of healthcare in the United States and other countries, but numerous people continue to perpetuate some unfavorable falsehoods regarding LPNs. This is the third article of a four-part essay that aims to expose the biggest myths and misconceptions that plague today's LPN workforce. Nurses Announcements Archive Article

Licensed practical nurses (LPNs) have provided basic nursing care in multiple countries for many years. Still, LPNs remain misunderstood in the world of healthcare, and this can be evidenced by the unfounded statements that other nurses and members of the public make on a continual basis.

Numerous individuals have helped to spread inaccurate information about LPNs, and many of these people have never even worked one single day in the nursing profession. A handful of the most persistent myths regarding LPNs were discussed in part one and part two of this four-part essay. A few more negative myths are listed below.

Myth number seven: LPNs are being phased out.

This particular myth has been floating around since 1965, which is the same year that the American Nurses Association (ANA) had published a famous position paper stating that all nursing education in the United States should take place in institutions of higher education (a.k.a. colleges and universities). The paper suggested that all future nursing education be at the baccalaureate level or higher. After the release of the ANA position paper, people in the nursing profession started saying, "The LPNs, associate degree RNs, and diploma RNs are going to be phased out!"

Here's what ended up happening. Three-year diploma programs used to be the most common way to educate and train RNs; however, these types of nursing programs were slowly phased out after the ANA published its position paper. Several thousand diploma programs existed in the US in 1965, but less than 100 still operate in 2012. However, LPN programs and associate degree RN programs rapidly increased in number during the same time period. Nearly 50 years has elapsed since the ANA position paper was released, and LPNs are still very much a part of the workforce.

Myth number eight: All LPNs secretly resent RNs.

Of course, every profession is going to have a few passive-aggressive members who use sabotage and insubordination to indirectly express their secretive resentments. However, not all LPNs secretly resent RNs. In fact, many LPNs respect RNs and would like to become one someday. Jealousy and resentment are not involved.

Myth number nine: All LPNs have certificates or diplomas.

Some LPNs have earned associate of applied science degrees in practical nursing. If you are interested, please click on the links below to read more about this educational pathway.

Specializes in LTC and School Health.

Lori, in my province we are in the ICU and approximately 50% of the dialysis nurses. Only CCU and NICU are still off limits.

Specializes in Hospice / Ambulatory Clinic.

Isn't the phasing out also cyclical in nature. I don't think the LPN role will ever go away I do think there will be an upshift in education levels just like everything else. Rn's will shift to the BSN entry level and LPNs will shift to the old ADN level.

Another good way to get "almost" the same service and pay less!!!

Food for thought,,,,, When I went to nursing school (grad 07') per the school administrators here in Alabama the LPN program was under a new cirriculum. We attended the same classes merged with the RN students for the first 2 semesters. Same fundamentals, same pharmacology, same Health Assessment, med surge, etc. I have often wondered why we as lpn's are still unable to perform initial health assessments? Recently I have become aware of the latest development in IV Pushes for Alabamalpn's, and thats a start!!

Specializes in Electrophysiology, Medical-Surgical ICU.
LPNs are seriously under appreciated. LPN's are NURSES, just like RN's. Some are as dim as a lightbulb and some can run circles around an RN. The same goes for RN's.

I was an LPN for 4 yrs while obtaining my RN. I don't regret going the LPN route and would do it again. I think it gave me a good foundation to becoming an RN.

Like the OP said, I earned an associate degree and my LPN program was tough. It was run by two very strict crusty old bats. I learned to be professional and to use my critical thinking.

Thank You for this site! I am a LPN-Level III for more than 20 years with experience in Pediatrics, Orthopedics Neurology, Cardiology and Transitional ICU, filling in for ER and ICU staffing, and of course Med-Surg units. Rather than a supposed "resume"...this is simply showing that LPN's are more than capable of "critical thinking" (Thank you for your support there) and moving into and working in highly skilled areas when given the opportunity. This achievement is NOT recognized by many Nurses, no matter what educational level, nor is it considered by Management for Clinical Ladder Climbing by "most' Healthcare Institutions. I achieved this level from a large Magnet Hospital, now I am employed in a small Community based Hospital. I am proud of it and have no desire to get involved with the Management or the Political workings of an Institution. I love the bedside Nursing I do, the hands on care, and the time it allows to get to know my patients as individuals. The "resentment" you refer to comes is when co-workers with a higher Formal Educational Level have no interest in our accomplishments...we are handed the bulk of floor work with the reasoning of "the RN has more important work to do"...the pay scale is laughable (at least where I work) with Unit clerks and CNA's earning almost the equivalent...a far cry from what an RN makes (in NE PA)...and when a patient refuses care from an LPN, preferring a RN ,the LPN is not supported by staff as a competent Nurse. Here-in lies the "resentment" many LPN's live with. I have on occasion attempted to move into the RN program simply to acquire a pay rate that is more equal to my career experience..but it always ultimately led me away from what I love..the patient care...so I remain an LPN and will no longer look to change that because I love what I do despite all the discouraging attitudes by both personnel and the public. Your points on the Myths of the LPN should be posted so ALL staff can read it..and a copy sent to Management, HR and the CEO's office...perhaps then some day we will be recognized as a "Real Nurse", fully supported by Management when deference to an RN is asked for, paid accordingly, and respected. Until then...the "Myths" will live on as they have for the past 50 years.

Specializes in Acute Care, Rehab, Palliative.
Lori, in my province we are in the ICU and approximately 50% of the dialysis nurses. Only CCU and NICU are still off limits.
Atcually I think we may have RPNs in dialysis too.They will call in RPNs for upstaffing if ICU is busy.
Specializes in Peds Homecare.

I see that some who have posted still can't let it be. Thanks Commuter for trying. I don't yearn to be an RN. I have never had a problem getting a job. Newsflash, for those of you that still don't get it, LPN'S WORK IN HOSPITALS HERE! LOTS OF JOBS! LOTS OF RN JOBS! LOTS OF LPN'S JOBS ARE AVALIBLE! Please quit saying our "numbers will decline". No reason for it!

I see that some who have posted still can't let it be. Thanks Commuter for trying. I don't yearn to be an RN. I have never had a problem getting a job. Newsflash, for those of you that still don't get it, LPN'S WORK IN HOSPITALS HERE! LOTS OF JOBS! LOTS OF RN JOBS! LOTS OF LPN'S JOBS ARE AVALIBLE! Please quit saying our "numbers will decline". No reason for it!

If you are referring to me, I did not say that LPN numbers will decline, I said that they HAVE declined, to almost nonexistence where I live. I am stating facts as they exist based on what I have seen and what I know my organizations policies to be. I also know from past discussions that others have stated the same in their areas. If you don't believe me, search the board.

I am fully aware that this is not the case in every single hospital, but wishing it weren't so everywhere doesn't make it so.

I also stated previously that I am taking no position in this discussion as to whether or not this is right or wrong. I'm sorry if stating the facts upsets you.

Good to see you back here GM2RN!

Thanks nursel56, I wasn't aware anyone noticed my abscence.

:)

Realnursealso/LPN - Where do you live??? Seriously....

:nurse:mc3