I have been an LVN for 27 years. I would not change one day of it ever! I started out in SNF's but have worked in home health and hospice. Currently I work in pysch and spend time in South America working in clinics. I considered going for my RN several times but there was never a compelling enough reason for me to do it. I work with doctors, RN's and APRN's that respect me and I get to do the work that I love. And trust me, I don't care what letters follows the name, if someone called me "tech school nurse" we would have a serious problem.