NY to Phase Out LPN-Licensing for RN Students Pre-Graduation

  1. to: new york state registered nursing programs
    from: barbara zittel, rn, ph.d., executive secretary to the new york state board for nursing
    subject: phasing out of the option permitting students in rn nursing programs to practice as lpns
    date: september 27, 2006

    this is to notify you that as of june 1, 2007 the state education department will no longer accept applications for licensed practical nursing based on completion of form 2-eq. this option permits students in programs for registered professional nursing (rns) to apply for licensed practical nursing (lpn) licensure after having:
    - completed at least three semesters of a registered professional nursing program,
    - completed clinical components in each of the three semesters completed;
    - earned 20 semester hours in nursing courses which include a clinical nursing component; and
    - received a grade of "c" or better in both clinical and classroom components of each nursing course.

    several factors resulted in the department's position to phase out this option. based on a number of patient safety concerns the department re-examined its policy regarding this issue. our investigation found that:
    - as a result of curricular changes in registered professional nursing programs, the fourth semester of the program may contain all of the didactic and clinical assignments related to certain content areas such as obstetrical or psychiatric nursing, for example. students not taking this last semester and licensed as lpns under the 2-eq option, therefore, might have little or no contact in these areas. we have concluded that the assumption of substantial equivalence can no longer be supported.
    - persons licensed as lpns under this option have had no content on the differentiated scope of practice of lpns and rns and therefore do not know how to practice as an lpn.
    - individuals so licensed are not able to be licensed in other jurisdictions as the requirement in other states is for completion of an lpn program.
    - this option is not available in any of the 47 professions regulated by the department.

    within the past year staff has met with members of the council of associate degree nursing, inc., the council of deans of nursing, senior colleges and universities of new york state and the lpn council. there has been wide spread support for elimination of this option among all three groups of educators as well as nursing professional associations.

    in order to provide you with time to instruct your students about this change, the implementation date for this change is set for june 1, 2007.

    if you have questions or need additional information, please contact me directly by phone, 518-473-0134, e-mail, bzittel@mail.nysed.gov, or mail, the state education building, 2nd floor west wing, 89 washington avenue, albany, ny 12234. thank you for your part in assisting us in dealing with this issue and continuing to assure that the residents of new york are provided safe and competent nursing care.
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  3. by   RNsRWe
    "Persons licensed as LPNs under this option have had no content on the differentiated scope of practice of LPNs and RNs and therefore do not know how to practice as an LPN."

    This is one thing I had wondered about. In school we were learning to be RNs, the critical thinking and delegation and scope of practice to work as RNs. I kind of wondered how one would "switch gears" on that 3/4 through school to take the NCLEX-PN. Actually, when studying for the NCLEX-RN, I realized on the exam discussion board that I was in no position to sit for that exam even then. I'd have to think "ok, this is what I'd do as an RN, but my scope of practice as an LPN means I'd have to do THIS".

    And then, too, there's the education component of fourth semester. Granted, in my program, the vast majority of the fourth semester was scope of practice, delegation, ethics and legal issues and such that wouldn't have been "missing" from an LPN education at that point. But I can see where, if vital components are left to the end, it'd be foolish to license an LPN WITHOUT having gone through that coursework.

    Personally, never saw the point in studying for and sitting for an LPN exam in February when in May I'd be an RN graduate

    Probably a good decision from the BON, imo.
  4. by   CV_RN
    mmm...this is interesting

    I work with quite a few LVN's that were in RN school, most failed the last semester, and they have no problems, but then again in Texas LVN's function at almost the same level as RN's.

    Remember though, LVN's are responsible for knowing critical thinking skills and critical nursing skills just like RN's are. LVN's are required to do assessments of their patients as well. So what, an LVN can't do an admission assessment legally, give an experienced one the form and they'd do just fine...most would atleast

    I don't think this decision makes any sense, having been both an LVN and an RN I think it's pointless and a waste of time worrying about the subject, the BNE should spend the valuable time spent dealing with this, on worrying about all the nurses that are diverting drugs, etc.

    Just my 2 cents
  5. by   CHATSDALE
    i have known some who sat for lpn exam after failing the rn exam..working in a hands on floor really gave them the experience to pass the rn test
    but i don't believe that they allowed anyone who flunked out of rn classes to sit for exam
  6. by   RNKay31
    Very interesting topic, wow!