I feel as if we LVN/LPNs in florida, for that matter Miami-dade and Broward counties have the same problems. Most hospitals are or have already phased out lpns. What's left is, as someone already mentioned above, staffing (which has good pros and cons, depending on season and facility needs), home health care, nursing homes, etc. At the hospital were I work I can do almost everything an RN does except push iv meds, pull out cvps, and a few other technicalities. I've been hearing the term "Let's Play Nurse" or "Low Payed Nurse" used very frequently in my facility. And that's also another factor. At least here in south FL, and particularly my facility, I do almost everything an RN does for a fraction of the salary. Honestly? I don't think it's fair at all. Personally, it is my opinion that an aditional year of school is worth the over all upgrade you get when you became an RN. Besides, high specialty areas such ER/Trauma, Chemo, and others are not avaliable to LPNs. And if one has plans for further education, such as PA's ARNPs , or CRNAs, it's mandatory. But that's another story.