salfost

I graduated from Practical nursing school in 1974 and worked approx. 4 years in the hospital and nursing home settings until I remained home to take care of my sons, and homeschool. Later on I was caregiver to my parents, until my father passed away in 2003. My mom in 1995. I had alot of perimenopausal difficult symptoms for two years esp. and was recovering from burnout in being a caregiver. Finally, I am feeling like I would like to return to nursing and have reactivated my inactive license. In my short years of experience as an LPN who did not have training in IV or phlebotomy etc.. I found that the lines seemed fairly clear. In my day, it was easier I think because the chain of command was set. The Registered Nurse was the ultimate in oversight over the LPN and the LPN was over the CNA. Clear as crystal. The LPN was assigned patients and did various treatments, administered medications, changed dressings, and did most of what the RN did, with the exception of Intravenous associated meds. The RN would go from room to room tending to the IVS, oversee the floor, and do much paperwork , interacting with Drs. The LPN did patient care, and some LPNs would not do the " presumed meanial tasks" such as bed pan, bathroom assisting etc.. and would often call for an aide, rather than do it themselves. Many aides would tell me I was rare, in that I did everything. I took pride in that. I feel that sometimes, things become too complex in blurring the lines of authority, and responsibility. Yes, we are all responsible and accountible for our patient care, but it was very clear at the time, that the Registered Nurse was the one we looked to for guidance, even though we had training and knowledge of our own and could evaluate patient needs and condition, as part of our job description. I have much respect for all who work as caregivers, but do see a level of superiority , or lack of respect, for each level of educated care giver below the RN very often.. with comments that LPNs are not nurses, which I never understood, due to nurse being part of the title. . I have been seeking returning and have applied to a few positions, and am prepared to be turned down, if that is the case, because of my many years out of the field. Does anyone have any suggestions as to any refresher courses for those in my sitation? I do desire a term of orientation if I am hired anywhere to help me to get back in the swing of things. But have fears being out so long and not remembering all things. Any courses you know of that are not costly etc? Thanks.