I think what people are missing really is not the RN v LPN since the facilities usually follow state board rules. The real issue is making Nursing a real profession. Currently it still is looked at as a vocation and why is that? One of the main reasons is, there are too many entry points into nursing, LPN, ADN, Diploma, BSN. One paper I wrote in my BSN program was how to make nursing more of a professional Profession. How I did this was I did a compare and contrast paper between Engineers and Nursing. Basically before people start the flame, hear me out.
Engineering like nursing had many entry points into the field of engineering, some went to a 4 years school, some went to a trade school and some worked as an apprentice before being allowed to use the title Engineer. That all changed around 30 years ago when it became mandatory that only people who went received a 4 year degree from an accredited school could start the journey to be an engineer. Before this happened, Engineering was thought as a Vocations also. It's now a professional profession, and all of the infighting that nursing is going through happened in the Engineering world.
Am I saying that everybody who isn't a BSN prepared RN can not practice as a RN, NO that would be stupid and illogical. These people would be grandfathered into the profession just like they were with the Engineers. But there has to be a point in which the profession needs to do something to pull up its boot straps and take the plunge and say, starting in 2018 and after only people graduating from a BSN program can sit for the boards and have the title RN.
Does this sound harsh, no, but its what is needed to move the nursing profession to the next level. Everything is almost in place for this to happen, but the biggest hurdle is the amount of $$ community colleges have spent on ADN programs.
I was an LPN for 6 years before going back and getting my RN, BSN and now currently in MSN.