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The Staff RN’s Role in Nursing Homes

LTC Directors   (355 Views | 3 Replies)

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Hello,

I am a new RN working in a nursing home as a charge nurse along with an LVN charge nurse; we split the hall.  I feel so disempowered by my ADON who happens to be an LVN.  Can you please tell me what you expect from your staff RNs/ RN charge nurse.  This question is for RNs, considering that I’ve met so many LVNs who resent RNs.

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Daisy4RN has 20 years experience and specializes in Travel, Home Health, Med-Surg.

1 Follower; 1 Article; 1,414 Posts; 8,602 Profile Views

The answers depends on your actual role and job description. If you are a staff RN only (as opposed to RN supervisor) then you should be doing what the LVN does with maybe a few more responsibilities that the LVN cannot do, for instance hang IV Antibiotics. If you are the RN supervisor (usually no pt list) than you will have supervisory/person in charge responsibilities, for instance making schedules, making sure LVNs and CNAs are doing what is needed, basically overseeing day-to-day operations etc. It really can vary from facility to facility so it just depends what your job description states.

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136 Posts; 1,602 Profile Views

I split the hall with an LVN charge nurse and I thought I was responsible for over-seeing her work — which I do not feel is realistic since I’m am a new nurse still learning to manage my own patient load.  Anyway, the TX BON says that LVNs require direction from a RN, NP, PA, physician, or dentist.  So I’ve been stressing thinking that I’d be responsible for her failing to initiate interventions.

Edited by Queen Tiye

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Enarra has 8 years experience as a BSN, RN and specializes in Ambulatory Primary Care.

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Just FYI a LVN cannot be in charge of RN it’s not experience but state board rules RNs delegate down.  I’d watch for new opportunistic ASAP.   I don’t know if you’d be responsible for her areas call your state BON and ask but either way not a good situ to be In. Best of luck 

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