I have practice as aLVN for twenty years as of tomorrow. I have been at bedside for fourteen of those years in critical care. I have all the same duties save 4 that are explicitly RNs. Chemo, conscious sedation, RN assessments and Cathflo. We work side by side until my hospital began the trek to magnate status. I'm now in a Pediatric Trauma Surgeon's office. Which is okay since I'm heading toward "the corral". There are as many good RNs as bad and can be said of LVN/LPN. I know it to be said of my school our LVNs could stand shoulder to shoulder on skill, knowledge base and pathophysiology of any RNs. We can hit the ground running. We equally earned certificates of training for ACLS, PALS, etc. This may differ from state to state and hospital system. I'm proud to be part of the wonderful world of nursing.