Published
What are your thoughts about this?
All members of any facility should work together and help each other in patient/client care. However, many facilities will allow LPNs to do very similar tasks if not the same as an RN (that seems to be left to the discretion of the company)...However, what have I learned so far from doing 1600+ NCLEX-RN Qs (exam is in 4 weeks), is that LPNs CANNOT assess! That is a HUGE difference! As many of you know or SHOULD know by now, assessment is priority before implementation or anything! Even in nursing school my professors mentioned how the need for LPNs is slowly diminishing because it isn't as cost effective in the long run. It's safer to have one more RN instead of 3 LPNs only because the RN would be able to assess and thereby provide quality care. No offense to any LPNs or RNs here on this site, but these are the kinds of concepts being taught to us recent grads, and since the NCLEX changed this past April, so did the info needed to study. FYI I stopped reading these posts on page 3/5 so if someone else already mentioned this, I apologize. Back to studying I go!
Right, 'cause real world nursing is 100% like the NCLEX.
A LPN can't replace a RN, but that doesn't mean they don't have their own role to play.
As for the whole "LPNs can't assess" thing.... well, yes, most BONs do explicitly state that. It's just a down right silly word game in most cases. When LPNs assess it's called "gathering data". In an environment where a LPN is the sole nurse present for a group of pts (happens all the time in LTC), of course said practical nurses assess those under their care.
When I evaluate one of my patients and accordingly perform an independent nursing intervention or a standing order, isn't that assessment? When I call the physician to get an order for a patient circling the drain, what is that?
How could a LPN implement any intervention if they didn't first assess? But... whatevs. If it's officially gathering data, who really cares?
I realize both nursing educators and the BON say that LPNs don't assess. But, despite having many fine qualities, these people are sometimes absurd and out of touch with the real world.
However, what have I learned so far from doing 1600+ NCLEX-RN Qs (exam is in 4 weeks), is that LPNs CANNOT assess! That is a HUGE difference! As many of you know or SHOULD know by now, assessment is priority before implementation or anything!
And if you'd done 1600+ NCLEX-PN questions you'd have found out that they CAN gather data.
Which is the EXACT SAME THING in the real world.
And I'd trust many of the LPNs that I have known to gather data before I'd trust many of the RNs that I have known to assess.
...However, what have I learned so far from doing 1600+ NCLEX-RN Qs (exam is in 4 weeks), is that LPNs CANNOT assess! That is a HUGE difference! As many of you know or SHOULD know by now, assessment is priority before implementation or anything! Even in nursing school my professors mentioned how the need for LPNs is slowly diminishing because it isn't as cost effective in the long run. It's safer to have one more RN instead of 3 LPNs only because the RN would be able to assess and thereby provide quality care.
This is complete BS and offensive to PNs.Suggesting that we are not able to give quality care is wrong.
All members of any facility should work together and help each other in patient/client care. However, many facilities will allow LPNs to do very similar tasks if not the same as an RN (that seems to be left to the discretion of the company)...However, what have I learned so far from doing 1600+ NCLEX-RN Qs (exam is in 4 weeks), is that LPNs CANNOT assess! That is a HUGE difference! As many of you know or SHOULD know by now, assessment is priority before implementation or anything! Even in nursing school my professors mentioned how the need for LPNs is slowly diminishing because it isn't as cost effective in the long run. It's safer to have one more RN instead of 3 LPNs only because the RN would be able to assess and thereby provide quality care. No offense to any LPNs or RNs here on this site, but these are the kinds of concepts being taught to us recent grads, and since the NCLEX changed this past April, so did the info needed to study. FYI I stopped reading these posts on page 3/5 so if someone else already mentioned this, I apologize. Back to studying I go!
Much of what you're taught in nursing school is straight up irrelevant - such as this BS.
WanderLust07
20 Posts
I am an RPN (Canada) and while I have never precepted an RN or oriented an RN I have certainly helped new RN's and RPN's with skills, policies and procedures, and orienting to the floor and hospital. There is no issue with an LPN orienting an RN in an office setting if the duties are the same as long as the LPN is competent :)