I live on Cape Cod in MA. I spoke with my old nursing instructor recently and she told me a lot of the new LPN's are unable to obtain jobs because the hospitals on the cape are only hiring BSN so all the Associte degree nurses are working in LTC. I am working for a visiting nurse company who had 1 LPN when I started and they never had her case manage or manage complex patients. When I started working per diem they started realizing how valuable LPN's are and are now paying for my RN and have hired more LPN's. You can always make a place for your self if you put yourself out there and show people your skills, so don't get discouraged.
I have been an LPN for over 2 years now. I started in LTC and now for 2 years have been a visiting nurse. Medicare rules are that LPN can't supervise HHA in homecare. Does anyone know the rationale of this? I just don't get it, I can manage PICC lines, wound vac's, change cath's, etc but cant supervise a HHA? Sam