I am sick to death of hearing false rumours being circulated that LVN's are being phased out of the work force. AN unseen force seems to be at work Perpetrating this misinformation. Another similar force is working simultaneously to say that all ADN's nurse's will become a thing of the past.I have listened to this BS for far too long.The rumours circulate that all nurse's will be BSN and CMA well maybe in somebody's perfect world this might happen but, you know what folks "This ain't no perfect world ".First of all let me say that as a LVN for 25 year's I gave done RN work for LVN pay.The workplace and the driving forces in it (MONEY ) there I said it "are really what this is all about and also about some uppity BSN nurse's who think their **** doesn't stink.LVN'S play a needed role in places where most BSN nurse's fear to tread. Baby boomers, Alzheimers, and Screwed up from birth kids. I see this as some warped elitist mind discounting our contributions and I will not tolerate it any longer. Fact of the matter is as more health care costs continue to skyrocket Companies looking to pay less will continue to look to qualified LVNS to reduce their bottom line.The high cost of an education these days,student loan debt,etc.continues to make students aware of their impending debt and will look to ADN program's to get their RN.The groups who circulate false rumours about phasing out LVNS and ADN RN's are seeking a elitist club of Nurse's where only a certain people's can join. The separation of classes here is at work as our the other unseen forces in our society that are driven to divide us and set us on each other rather than the real culprits.Big business, Big Pharma,Lobbyists, are the real enemy. Income inequality as well as job inequality are at Play when you hear these rumours of "Phasing out "offshoring, downsizing. All phrases and words meant to divide us with misinformation. I ask all Nurse's don't fall prey to this and let's continue to support each other in a solidarity of Caregivers that not only care for other's but,care for each other and the roles we have chosen.
Well its understandable your eyes would "Glaze over" as you put it. You've only been a nurse for four years (Your still wet behind the ears) Let me guess???You have a BSN? I Have worked alongside R.N's in Emergency Rooms,ICU's,CCU's,Recovery rooms.With little limitation,Well can't hang blood,and can't start a PICC line other than that Yes did RN work @LVN pay.
Most places, LPNs can not do initial assessments either. This post shows that you did not do RN work.
Also, if this has been such an issue for you, why didn't you get your RN so you could get that RN pay?
yes,that's the kind of response i expected.Your exactly the kind of Nurse that I never cared to work around because your too narrow minded to understand my point. Sorry,wrong as a county nurse in The Emergency room I did triage and was dam good at.Your problem is you don't ever want to have anybody step on your toes or take away your sense of control,and that my Dear is a poor way to handle yourself in Nursing. Nuff said
yes,that's the kind of response i expected.Your exactly the kind of Nurse that I never cared to work around because your too narrow minded to understand my point. Sorry,wrong as a county nurse in The Emergency room I did triage and was dam good at.Your problem is you don't ever want to have anybody step on your toes or take away your sense of control,and that my Dear is a poor way to handle yourself in Nursing. Nuff said
Not sure how you are replying to here as the quote feature is your friend.
That being said, if you want the pay of the RN, get your RN. When I got my LPN, I did not expect RN pay. Yet, at my job, the only thing I can't do that the RN can is the initial intake assessments. I work LTC and our facility does not take residents with IV needs as our night staff is staffed by LPNs.
yes,that's the kind of response i expected.Your exactly the kind of Nurse that I never cared to work around because your too narrow minded to understand my point. Sorry,wrong as a county nurse in The Emergency room I did triage and was dam good at.Your problem is you don't ever want to have anybody step on your toes or take away your sense of control,and that my Dear is a poor way to handle yourself in Nursing. Nuff said
Who is this angry, bitter post aimed at? Please use the quote button.
The fact of the matter is that LPNs ARE more limited in scope than RNs, so in SOME AREAS, not ALL, they are being phased out. It depends on the geographical area, the type of facility, and the area of practice. That said, I don't believe LPNs will ever be phased out of health care entirely. No way. They are an integral part of LTC, just to name one.
But let's not perpetuate the myth that the only thing an LPN cannot do compared to an RN is hang blood. That's just patently false.
My LPN friend is smart, experienced, and as capable as many nurses I know. But she cannot legally do everything an RN can do. Texas LPN scope of practice is not identical to that in every state, but most states have similar restrictions on LPN scope.
Note that these are interpretations of the NPA of Texas by the Texas BON:
The LPN cannot do medical triage in the ER (Bad Request)
The LPN cannot pronounce death.
The LPN cannot engage in venipuncture or IV therapy without getting post licensure training.
The LPN cannot start PICC lines.
The LPN cannot give drugs via epidural or intrathecal catheters, nor can they "manage" those catheters (but can care for patients who have them).
The LPN cannot administer to or monitor patients receiving moderate sedation.
The LPN cannot administer chemotherapy or IV push drugs through venous access devices.
Delegating tasks to unlicensed assistive personnel (UAPs) is beyond the scope of practice for LVNs; however, LVNs may make appropriate assignments to other LVNs and UAPs according to 22 TAC § 217.11(2).6
*It is not appropriate and is beyond the scope of practice for a LVN to supervise the nursing practice of a RN.
All that said, LPNs aren't going anywhere, and Long term care would collapse without its LPN work force. Other areas would also suffer immeasurably if LPNs were phased out. Hospitals in large metropolitan areas, not so much.
yes,that's the kind of response i expected.Your exactly the kind of Nurse that I never cared to work around because your too narrow minded to understand my point. Sorry,wrong as a county nurse in The Emergency room I did triage and was dam good at.Your problem is you don't ever want to have anybody step on your toes or take away your sense of control,and that my Dear is a poor way to handle yourself in Nursing. Nuff said
This is what the Texas BON has to say about LPNs doing triage in the ER:
"Medical Screening" in the ER
The question of an LVN performing "triage" in an emergency room (ER) setting also raises another question—is the LVN being asked to perform a "medical screening" examination? This term refers to a requirement of the Emergency Medical Treatment and Active Labor Act (EMTALA) law. EMTALA requires that every patient who comes to the ER be assessed for the existence of an "emergency medical condition" before the patient can be transferred or discharged from the ER. For more information, you may wish to visit the following web site http://www.emtala.com.The board believes that the performance of a medical screening exam is not within the scope of practice for an LVN, regardless of years of experience or post-licensure continuing nursing education at the LVN level. The board believes a comprehensive RN nursing assessment would be the minimum level of assessment acceptable to conduct a medical screening exam. As defined in §217.11(2)(A) the scope of practice for an LVN is limited to performance of a hands-on focused assessment of an individual client. Even if a physician wishes to delegate assessment of medical conditions and/or treatments to an LVN, the LVN is accountable for only accepting those assignments within his/her scope of practice as outlined in the NPA and in Rule 217.11, Standards of Nursing Practice. Position Statement 15.11Delegated Medical Acts contains additional information on physician delegation to nurses.
Actually, I've been a nurse for longer than 4 years. I just haven't gone back and changed that in my profile (kind of wish AN would update that automatically!) I can hang blood, have mad-azz IV skills, do IVP's and all with "just" an ADN. But thanks for the assumption!!
Well its understandable your eyes would "Glaze over" as you put it. You've only been a nurse for four years (Your still wet behind the ears) Let me guess???You have a BSN? I Have worked alongside R.N's in Emergency Rooms,ICU's,CCU's,Recovery rooms.With little limitation,Well can't hang blood,and can't start a PICC line other than that Yes did RN work @LVN pay.
Hit the quote button please. That way we know who you're yipping at. To be quite honest, regular posters are VERY tired of new accounts being created just to again hash over very old and beat to death topics. That you respond with "I'd never want to work with a nurse like you" while your post count is still in the single digits is very telling about the kind of LPN that YOU are. Triage by anyone licensed less than an RN is against the law in the states I live and work in, that your state does seem to allow it doesn't impress me. Nor does your lack of grasp on basic grammar and basic sentence structure.
yes,that's the kind of response i expected.Your exactly the kind of Nurse that I never cared to work around because your too narrow minded to understand my point. Sorry,wrong as a county nurse in The Emergency room I did triage and was dam good at.Your problem is you don't ever want to have anybody step on your toes or take away your sense of control,and that my Dear is a poor way to handle yourself in Nursing. Nuff said
quiltynurse56, LPN, LVN
953 Posts
Most places, LPNs can not do initial assessments either. This post shows that you did not do RN work.
Also, if this has been such an issue for you, why didn't you get your RN so you could get that RN pay?