Passed NCLEX, sometimes nurse, sometimes aide

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I started working at an assisted living facility right after I graduated. My title has been graduate nurse, and I've worked according to the needs of the place-either as a nurse or an aide. I passed my NCLEX two weeks ago, and being that there is now an extreme need for aides, I've been scheduled as an aide lately more than a nurse. I feel a lot of gratitude for the experience while I wasn't licensed, and want to be loyal, but I only want to work as a nurse now that I'm, well, a nurse! I've told my boss, and she says how she believes so much in me, thinks I'm so wonderful, etc., but then turns around and schedules me as an aide after saying her plans for me as a nurse. She is a real businesswoman, and is all about getting residents in to the facility, and I'm wondering if she's giving me the "talk" too, but no show.

I feel like I'm an aide, and not given the respect of a nurse by anyone because I'm willing to work any role...the other nurses are the types who will hardly give a bit of help to the aides, and I'm starting to wonder if maybe they have a reason for this-I see that the more you try to be "nice", help out, and not make distinctions between roles that the less respect you receive. I feel bad for wanting to leave (the place is all about "family" loyalty-type talk), but I'm afraid that the worst career move I made was choosing to work as an aide at the same place I'm planning to be a nurse.

Anyone have any insight on this kind of new-grad aide to nurse transition? Do I just go elsewhere? I'm afraid I won't get hours full-time unless I work some days as an aide. NO other nurse does this-all of them came in as nurses, so that's all they know.

Specializes in LTC, HH, Psych, Med-Surg.

RNs Functioning in LVN Positions/ RNs or LVNs Functioning in Unlicensed Positions

The Nursing Practice Act (NPA) and Board Rules do not preclude a RN from seeking employment in lower positions (such as LVN, unlicensed, or technical positions), with purportedly fewer responsibilities. The Board holds a licensed registered professional nurse, who is working in a lower level position, responsible and accountable to the level of education and competency of a RN. Likewise, a LVN working as an unlicensed person is responsible and accountable to the educational preparation and knowledge of a LVN. This expectation does not apply to individuals formerly licensed as LVNs or RNs whose nursing license has been retired, placed on inactive status, surrendered, or revoked.

...this is straight off the Texas BNE website, so i stand corrected!

Whether or not one can take a job and work "beneath" their license is determined by the prospective employer. Some employers will hire people under these circumstances, others will not. And there are some that will say one thing and in practice, do another. The important factor is that the employee realize that when they are working in another capacity, they are legally held to the standards of the highest license that they hold. In this respect, it is not a good idea to do this. The employee is putting themselves in a bind between the job description of the work that they are doing, and their license scope of practice.

Specializes in LTC.
RNs Functioning in LVN Positions/ RNs or LVNs Functioning in Unlicensed Positions

The Nursing Practice Act (NPA) and Board Rules do not preclude a RN from seeking employment in lower positions (such as LVN, unlicensed, or technical positions), with purportedly fewer responsibilities. The Board holds a licensed registered professional nurse, who is working in a lower level position, responsible and accountable to the level of education and competency of a RN. Likewise, a LVN working as an unlicensed person is responsible and accountable to the educational preparation and knowledge of a LVN. This expectation does not apply to individuals formerly licensed as LVNs or RNs whose nursing license has been retired, placed on inactive status, surrendered, or revoked.

...this is straight off the Texas BNE website, so i stand corrected!

You go girl ! I was just about to bring that up. :yeah:

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