LPNs Fight Efforts To Phase Them Out - page 2

Licensed Practical Nurses at one hospital are fighting efforts to have them phased out of direct patient care. The hospital intends to go with a different care model calling for expanded use of RNs... Read More

  1. by   MissingMyErica
    Quote from caliotter3
    There is nothing new about this action by the hospital. The nurses in question would better direct their energy and effort toward getting an RN license.
    I totally agree. I just finished RN school because I saw that writing on the wall a loooong time ago! I am only one of two LPN's left in my hospital. All the others were laid off, so thank God I was in school already. I am also starting my BSN right away because I feel like ADN's need to look at the writing on the wall too and realize they are next to go.
  2. by   harlee
    I've been an LPN for 2 1/2 years. I currently work in Home Health Care and must say I absolutely love it. My company just recently hired an RN to work at the home I'm at. There were plenty of hours to go around. Enough hours that we each could have 55 hours per week. I've been working about 60 hours per week for quite some time. No complaints from me, not a real physically challenging position. With that being said... I really resent the fact that since the RN was hired, she now works my 60 hours and I have been cut back to 38 hours per week!! When asked why????? Because she is an RN and you are not. Yes, I was truly told that. So my bosses answer was, GO GET YOUR RN LICENSE!!! The really funny part of this story... I had to train her at the patients home. I had to show her that when measuring liquid medicine, that you need to set it on a flat surface because "you are holding the cup in such a way that it looks like you put 5mls in but it's actually 10mls!!!" and then argued with me about it. Also had to show this RN how to prime a Enteral Feeding pump. "What job did you work at before here, I ask?" "Oh, I worked at _______ Hospital for 2 years!"

    I realize that this is very wrong here and by no means saying this to be the case of a typical RN. It's more of a vent because of how my company is treating me.

    Just an LPN (and darn proud of it)!
  3. by   gentlegiver
    Quote from TheCommuter
    I certainly hope that the LPNs prevail, although it seems like they have an uphill battle against the powers that be.

    And I seriously doubt that the hospital is going to replace the 51 LPN positions with 51 RN jobs. My suspicion is that the hospital is going to hire lots of CNAs and allow the remaining RNs to work severely understaffed in an attempt to save money.
    Again from Massachusetts: LPN were phased out of all Acute Care Hospitals, in thier place instead of hiring RNs to replace them, CNAs were trained to do all the work an LPN did with the exception of passing medications. These CNAs are paid $9 - $10 per hour for this extra work. They are give the title of "Technical Associate" so thier job now involves, all patient care, phlebotomy, admittion VS, transporting pts to tests, wound care, running EKG tests (if trained), observation for IV/Blood reactions, assisting Dr's when RN is too busy, 1:1 (until a sitter is supplied) and of course the ever present charting. I know this because I did the job for 2 years before I went into the LPN course. Now they have courses that CNAs can go to and be certified to pass meds. In Massachusetts all the hospitals took the cheap way out, and LPNs are not allowed to work hospitals anylonger. A couple facilities around me have hired 1 or 2 LPN's as a "trial" to see if we can do the required job. That was a couple years ago, no new LPNs have been hired and you no longer hear of the "trial".

    I have no desire to go for my RN degree, at my age by the time I finish all the pre-req's (mine are now outdated) I would work for a few years then retire. My big concern is the push for LTC to hire RNs. I can only see LPNs being pushed out of there too, With Dr's offices hiring MA's & CNAs and calling them Nurse, I wonder just where the LPN will have left to go. I can truely believe that the time of the LPN is numbered.
  4. by   Orange Tree
    We have a few wonderful LVNs on our floor that I would never want to see pushed out. On the other hand, it's difficult to make time for their admissions, blood products, etc. when I already have my own ridiculous patient load to deal with. I've noticed that the LVNs who have moved on around here have not been replaced. When I started working (not long ago) there were many LVN job listings for my unit. Now, there are none.
  5. by   SharonH, RN
    LPNs will never be phased out. They get rid of them then somebody has a lightbulb moment and decides that actually we do need LPNs and back and forth and back and forth.
  6. by   rph3664
    This is nothing new. In the late 1990s, I worked at a hospital that tried to go RN-only and that didn't last very long. This was during the "Patient Care Technician" craze and this is what happened to the LPNs; they also used MAs for this job.

    Requiring new hires to have a RN makes sense; kicking experienced people out makes no sense to me.

    It's not just nursing where this is going on. Many places are requiring pharmacists to have not only a Pharm.D. but at least 1 year of residency as well, and many new graduates are doing residencies, not because they want to, but because it's a way to have employment that pays more than minimum wage.
  7. by   CCRNDiva
    I live in northern indiana and my hospital phased out LPNs on the floors about 8-10 yrs ago. I actually finished my ADN program with a few LPN-RN grads. I remember a couple of them being close to retirement age. The ones who worked for my hospital were given a few years to finish their ADN or be demoted to unlicensed patient care assistants. The hospital paid their tuition in exchange for 2 yrs full time work. I think they used LPNs in pre-op and OR for a few yrs longer but they are completely phased out now. Luckily we have 2 LPN-RN programs in the area.

    I know one of the LTACs in our area continues to use LPNs but I don't think the other two hopsitals in the area use LPNs either. I can't even tell you the last time I saw a LPN in the physician's office.
  8. by   caliotter3
    Quote from MissingMyErica
    I totally agree. I just finished RN school because I saw that writing on the wall a loooong time ago! I am only one of two LPN's left in my hospital. All the others were laid off, so thank God I was in school already. I am also starting my BSN right away because I feel like ADN's need to look at the writing on the wall too and realize they are next to go.
    This handwriting was probably part of the writing on the wall mentioned in the Book of Daniel.
  9. by   drmorton2b
    LPNs aren't being phased out of the Geriatric areas at all in MA. However... given the excessive amount of nursing schools in MA. It is possible that RNs are taking traditional LPN Positions.
  10. by   tainted1972
    I used to work in a hospital as a patient care assistant (similar to cna). There were several LPN's working on some of the floors. In the last month of my employment the hospital decided not to hire any new LPN's and required (and offered to pay for) LPN's who wanted to stay to become RN's.
    The only problem that I observed with having LPN's work on the floor, is when IV medications, blood transfusions etc.. were needed. Many RN's complained when they had to take time away from their own patients to do tasks that LPNs could not do.
    As an LPN I can tell you that hospital jobs in my area are not available, I am not sure if it a coincidence or not, but it happened at the same time all the hospitals were trying to get "magnet" status.
    I am in an LPN to ADN program... looks like I am going to have to get my BSN because that seems to be the trend now. UGH
  11. by   rn4life2009
    I know alot of great LPn/LVN. LPN in KS have alot of limitations in a hospital setting(assessment, iv(even with cert cant do iv push except in life threatning situations). They are phased out in some hospitals. Here in tx they can do alot except like admission assessment, and some central line things. I have had to do admission assessement for lvn and it was not a big deal and they assume care after. With LPN gone I bet they are trying to give RN a very high pt load. CNA or unlicensed staff should not be given tasks that require nursing judgement. just my 2 cents
  12. by   Chameleonchick
    I am trying to figure out why would they want to phase out LPNs? This seems to be happening other places too.
  13. by   AtomicWoman
    I get why the hospital wants to move to an all-RN model, but can't they phase this in and give the LPNs some time to get their RN degrees? Why would you want to get rid of experienced, trained, oriented nurses all at once? I do feel for the LPNs, but here in the Philly area, it has been a long time since hospitals hired LPNs. And my friend, who did an LPN-RN program in North Jersey, told me that LTC facilities in No. Jersey are moving toward hiring RNs only, too.