One Year Later.....

Nursing Students Excelsior

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Specializes in Ortho, OB/GYN, long-term care.

I became an LPN in 1998. Just one year ago I graduated Excelsior and passed my NCLEX. This should be a great thing and open many doors and opportunities. But I am finding myself stuck in a rut and it seems like I cant "find myself" now as an RN. I have struggled with jobs this year. As I look back at the jobs that I have had seem to be the same line of work as I was doing as an LPN. This past year I have had 2 different RN jobs and prior to that I had only 2 jobs in the past 9 years as an LPN. I have been a clinic nurse for a very long time. It seems that I have veered toward RN positions in clinics also but they don't seem to be for me. It has been a tough transition for me. I really do feel like maybe I made a mistake going back for my RN after that long. I do not regret it at all, don't get me wrong. I just can't seem to get out of the LPN mind frame. I do not feel like an RN yet. I am wondering if anyone else has had a similar feeling after LPN to RN transition. I am now going to work at a hospital on an Ortho/Urology floor. I am hoping and praying that this will help me to transition into this RN role that I worked so hard for. And, maybe, I am putting too much on titles. I just keep saying to myself that I didn't go to school and work so hard just to have the same job I did before. Also, the 2 jobs really didn't increase my pay from what I was making as an LPN. So, we will see....

My intention was to stay in the same type of work after the RN license, with an increase in pay. I think the big change in mindset is a lot easier for those who make this transition early in their career.

Specializes in Ortho, OB/GYN, long-term care.

Thanks. You may be right. I had not really ever intended on going back for RN but circumstances being what they were at the time it was best for me to do this. And like I said I am glad I did now. At the same time I finished school I had to leave a job of 5 years that I loved because the doctor I worked with left and they did not have a replacement for him. So, I was essentially forced to go another direction. I hope this new position in a field that I love (ORTHO) will be a good fit for me and I will not feel like I need to change my whole career avenue.

So what do you feel the difference between RN and LPN should be? What do you feel you should be doing as an RN that you are not?

Also, while your pay right now may not have gone up, your future earning potential has greatly increased. In 5 years from now you should be making a lot more than you would if you had stayed a LPN.

Specializes in Ortho, OB/GYN, long-term care.

I guess that is what my real issue is... What to expect. Here in my small area there is a HUGE difference between LPN and RN. I actually went on an interview in a clinic and when I asked what made this position an RN position from an LPN I was told that their policy is no LPNs can remove sutures or staples. This is because an RN has to assess the surgical wound. Well as an LPN in surgical clinics for many many years I have done both! So, I guess, I am just in a funk and really need to just go out and just go for it! I am now going to work in a hospital doing something I have never done before so maybe getting out of my old environment will be a fresh start for me. At least that is what I am hoping for.

Well it sounds like you were doing a lot more as an LPN that most, so the move up to RN was not as much of a jump in responsibility.

Specializes in Med/Surg, LTACH, LTC, Home Health.

OP, I'm guessing no one has ever said to you, "why don't you get your RN? You're already doing the work, might as well get paid for it"? I heard that many, many times during my LPN years. There were only a few tasks that I had not done as an LPN, such as hanging critical drips. As times were different during my nursing 'coming of age' LPN years, I was doing a lot of things that the med/surg RN was doing: hanging blood, I'v pushes, inserting IVs, collecting blood from and giving meds through central lines, etc. Nothing changed except my title and the pay. Actually, one of the jobs that I've had since becoming an RN 4 years ago was an actual decrease in pay from my LPN days. Of course, that was in a different area, different shift, and a different employment status, even though the area was a more acute environment than general med/surg.

Now, I'm just searching, hoping, and waiting for that community health position to open its doors, be it health department, home health visiting nurses, or any other area involving working within the community so that I can move out of acute care nursing as my primary source of income. I absolutely do NOT and will not do clinics or doctor's offices EVER again! I will actually return to long term care (and am actually considering it because I so loved working with the elderly during my earlier years as an LPN), before returning there! Never-ending forms to complete; pulling teeth just to get the doctor to sign them after I've already searched through patients' multiple charts to find the information, degrading myself by having to cash my checks at the local liquor store (I was raised to believe that a woman should never touch alcohol nor be seen in a liquor store) because the bank's experience with the physician said the checks were not worth the paper they were printed on....never again, I say.....never!!!!

Oh, back to you.:bag: You will just have to be patient in your search for the position that really touches your heart. You may have many different experiences job-wise before that happens because it may be that the one thing that needs to be reflected on your resume for that position is not there because you've not experienced it yet. Being in possession of the RN license gives you authority to travel the yellow brick road. You probably have to ride out the right tornado first.

Specializes in Med/Surg, LTACH, LTC, Home Health.
Well it sounds like you were doing a lot more as an LPN that most, so the move up to RN was not as much of a jump in responsibility.

^^^^Yep. When you start out 'almost' at the top, one more step up and then.....it's the now-what, I'm-here-wheres-the-party syndrome.

Oh, back to you.:bag: You will just have to be patient in your search for the position that really touches your heart. You may have many different experiences job-wise before that happens because it may be that the one thing that needs to be reflected on your resume for that position is not there because you've not experienced it yet. Being in possession of the RN license gives you authority to travel the yellow brick road. You probably have to ride out the right tornado first.

Excellent advice.

I'd give you three thumbs up, but I've only got two.

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