Jump to content

Why the Prejudice against LPNs

I am an LPN and due to health reasons I have to give up RN transition hopefully for a short time. I fail to understand why RNs and LPNs can't work together without the bickering.I know that med techs and uaps are being used in hospitals in my area and I had a particularly bad experience with a med tech, she had 4 weeks experience and she was going to change my IV, I demanded a nurse,I refused to let her touch the IV. I hear that RNs are refusing to work with LPNs who have training and did sit for the state boards,are licensed as such when med techs and uaps have as little as 4 weeks training.I feel that it is not a lack of intelligence but opportunity that many of us are LPNs.I would prefer to work with nurses that have skills and not leave something as important as an IV to someone who flipped hambergers before changing IVs.

mmmmm sounds like you've had some bad experiences.... the LPNs that I've worked with have been incredible.. and as far as I know, we haven't had issues of us "not getting along"... however, i do know that LPNs are being phased out to hire cheaper help with the promise of increasing the number of RNs (I'll believe it when i see it!)

Hang it there..

I've been an LVN for 8yrs and in transition to upgrade my license. As a single mom, it's hard to do. I do experience prejudice in the workplace mainly by new RN grads who have more theoretical than on hand patient experience. They constantly try to tell me how to give care to my patients(since I am assigned my own patient care) and treat me as if I was a moron because of my title. Lately, we have frequently been assigned as aids and not being utilized to our full potential due to the Title 22 confusion. The other RN's who've been there a while do respect our experience and knowledge. I think our scope of practice needs to be updated and rewritten and maybe alot of inexperienced nurses won't see our title at the end of our name as a lower pedigree of nursing.

Too bad about your experiences with RN/LPN conflict. I, for one, depend heavily on my LPNs...they are experienced and intelligent. They work well with each other and the rest of our team. They were being phased out here, too, but the current feeling seems to be toward re-hiring and even re-opening the LPN courses! Here's hoping!!

I am sorry that you have had these problems. The RN's and LPN's work well together on my unit. I will say that as a charge nurse it is easier for me to have an all RN staff if I have LPN I's, because of the increase in IV therapy for me. But the LPN's on my unit I trust more than some of the RN's! Especially one that I have, if she tells you something is just not right with her pt, You BETTER go look!! This would be more of a individualized thing than a title thing. I used to be an LPN and I remember being put down by an RN because of my educational level. I will never forget it either. We still work in the same facility.

I understand exactly what you mean. The nursing profession as a whole is all about hierarchy....CNA..LPN..ADN..BSN..etc. It really does not matter where you are, there is always one above you, and there is always the one who'll let you know they are above you. In nursing title is everything.(sad)I am a LPN in a unit where I take care of ventilator patients, post-op patients etc. I am IV certified and we do not work as "teams".Ihave my own patient load with an RN as the house supervisor, but I am responsible for all patient care. Bottom line is that I work in one of the most anti-lpn places around, but I tend to think that maybe my skills, ability, and intelligence threaten their assurance that the title makes the person. I also realize that LPN duties vary from state to state- but have you ever read an LPN job description- the ones that say we are qualified to do vitals, empty bedpans, and do ADL's-all under close supervision of an RN. Well, is it any wonder we are viewed as "the help"?

I am a new grad RN and I work in a stepdown unit that uses LPN's. Our unit is Primary Care and our LPN's do everything we do except take orders off. I learn from the LPN's just as much as I do from RN's. Our entire facility utilizes LPN's this way. I think it is a shame that you have to deal with attitudes like that and you might want to see if there is another facility near you that shows respect to LPN's. Just thought you might like knowing that not all new grads treat LPN's like that and not all facilities either. We love our LPN's and have no intention of ever phasing them out.

I am an RN who has always relied heavily on the LVN/LPN's who work with me. In most of the positions I have worked there have been LVN/LPN's who have worked there a lot longer than I. I also believe that as an RN it is my responsibility to train and teach any new grad LVN/LPN's whom I work with. I can relate to the problem of difficulties between RN's and LVN/LPN's as most of the LVN/LPN's I do try to teach always ask me why no one else will show them things. I feel a lot of it has to do with the fact that I went to a Diploma school and the only way to learn is by hands-on teaching and since these people will be working with you wouldn't it be best to help expand their skills.

Hello...Please excuse my ignorance. I am a soon to be new grad and I would really like it if someone could explain the scope of practice of a LPN. One of the people who responded said that she did total patient care. If that can be true, then there is no diffrence. However, I do feel there is an educational diffrence, so the scope of practice should be diffrent right? I'm not trying to discount LPN's at all. I have learned from people with every education level. As a "newbie" I'm always glad for someone to share their experience, regardles of title. Thanks.








I started my nursing career as an LPN and said at the time, "I don't want anyone to say 'just an LPN' to me ever again'. I worked very hard for those initials. I have since gone on to higher degrees, but I still remember how hard I worked in the beginning, and since. The LPN's I have worked with down through the years have been a VALUABLE asset to the overall patient care. However, I too was treated to the "attitude" when I was an LPN. Now that I have higher degrees, I occasionally get treated to the "attitude" by some. It may be a self-esteem bolstering thing? I am sorry that this has happened to you and others.

First let me apologize for my insensitive fellow RNs. I'd rather be in a unit staffed with experienced LPNs than with a group of newly graduated BSNs for the simple fact that LPNs aren't stupid and there may be a variety of reasons they haven't gotten their RN. That's like saying someone is only an ADN RN. That is what I am, and I am just as a professional nurse as anyone with a BSN or higher. Initials don't tell the whole story. BSNs get a lot of theory in school but little bedside experience so when they get out of school they are already behind in their clinical skills. That experienced LPN may not be able to regurgitate theory but knows the signs of a changing condition that aren't always able to be verified with numbers or waveforms. Experienced nurses develop an intuitive sense, a "gut feeling" just like the experienced RN. Don't put LPNs down! Isn't there enough problems in the way things are going in healthcare and the bottom line without spending time looking down noses to those with a lesser degree/title behind our name. We need to take care of each other and get over the petty crap.


If Ya' Don't Love The Blues, Ya' Got A Hole In Your Soul

I fully agree with bluesboyj. The proof is in the pudding, so to speak. I have worked with very competent nurses with all levels of education. We do a tough job on a day-to-day basis. I seems to me that the greater benefit to each of us and nursing in general would come from us supporting each other instead of, as I heard someone say, trying to bleed each other to death with all this back stabbing.

There is a theory [there I go] about the way that nurses treat one another, and it has to do with being part of an oppressed group [sorry, I just got of an 11-7 shift], and also being in a profession that is predominantly female - another oppressed group. It's the way we are wired! I did a research paper on why males in predominantly female occupations tend to surpass equally skilled females - interesting stuff! [of coarse, I wrote it! {smile}]. Have you heard about the color game?, where because of a certain physical characteristic of a group, they are determined to be inferior - they tend to behave differently, even for a short time. Hazing is pretty much the same thing. But with nurses, it's a career-long struggle. Think about it.

I have been an RN for 7 years and recently took a position as a Supervisor of an Urgent Care Center in which I have an all LPN staff. This transition was new to me as I had never worked with LPN's prior (my background has been ER). I have learned daily from my LPN staff as well as they from me. I have also learned that there IS A DIFFERENCE between the two degrees. I am a theory driven nurse that needs rational for my actions where the LPN's that I have encountered are task oriented. We all have our place in the healthcare arena and I believe we make a very good team.

Praise for bluesboy, could not have said it better myself! Ahn, I would be interested in reading your research paper if you would care to share it!

Thought you may be interested.

[Hartford, CT] Journal Inquirer, Saturday, May 22, 1999


STAFFORD HOSPITAL ELIMINATES 11 LPN POSITIONS ____________________________________ By Ted Kenyon and Christopher Connelly [Hartford] Journal Inquirer STAFFORD, CT - Johnson Memorial Hospital is eliminating 11 positions for licensed practical nurses, leaving no LPN's in the hospital's medical and surgical areas, a JMH spokeswoman said Friday. The remaining LPN's will work in the psychiatric and ambulatory units, hospital spokeswoman Lee-Anne Estey said. Estey says the move, which affects full and part-time jobs, stems from the economic challenges facing many smaller hospitals like JMH, particularly the size of payments from state-run uncompensated care pool and increased pressure from insurance companies for outpatient care. The small hospitals contend that the care pool, which reimburses hospitals for taking care of patients with little or no health insurance, pays too little to them, with the larger hospitals receiving payments they don't really need. Estey said the LPN jobs had to be cut in order to "re-engineer" JMH to meet a "changing healthcare environment." "Over the past two years many changes have occurred in the healthcare industry," she said. "They have forced many hospitals to carefully examine the model by which care is delivered." Estey said the LPN's loosing their jobs have been offered three potions, including taking similar jobs at the nearby Evergreen Healthcare Center, a 150-bed, long-term and subacute rehabilitation center owned by the hospital's parent company, the Johnson Health Network. The second option is to remain employed at JMH, but as "patient-care assistants" - which are newly created positions - or as "critical-care technicians." Accepting one of those jobs would mean a cut in hourly pay, but the LPN's would also qualify for financial aid in getting the training needed to become registered nurses, who generally are in high demand, Estey said. Specifics on the tuition reimbursement were unavailable Friday, but Estey said it involved a "significant amount." Although hospital officials declined to discuss the third option, which involves a severance package, an affected worker told the Journal Inquirer on Friday that it consists of one week's pay for every two years spent at the hospital, along with a promise of health insurance coverage for one year. THE AFFECTED LPN's YEARS OF SERVICE RANGED FROM 12 TO MORE THAN 25, ACCORDING TO THE EMPLOYEE, WHO REQUESTED ANONYMITY. The employee also said the LPN's are coping with feelings of "disbelief, anger, confusion, and betrayal." "We truly believed [JMH] was a family, and we take care of our family members. But they aren't doing that," the employee said. Deborah Chernoff, spokeswoman for New England Healthcare Employees District 1199, said the situation demonstrates the need for unionization of hospital employees. "Even the most competent professional is extremely vulnerable," she said. District 1199 does not represent the LPN's at JMH. Layoffs are becoming more commonplace at hospitals, Chernoff said, especially when mergers are involved. "The most congenial working atmosphere can change in an instant," she said. She also charged that administrative concerns too often take precedence over patient's welfare. The affected workers are "encouraged" to choose one of three options by Wednesday, Estey said, though the deadline is not "hard and fast." The number of LPN's employed by JMH had already been reduced significantly during the past year, Estey said. Those with more seniority, who were given the choice of the more favorable, daytime hours, stayed on. Many with less seniority, who would have been forced to work during the unpopular overnight shifts, chose to seek

[ Sorry last words cut off]

. . . employment elsewhere.

I'm an R.N. and I have experienced a reversed discrimination against me being an R.N. by one particular lpn, but all the other lpn's I work with are very good and have taught me a lot. The one lpn who has a problem with R.N.s is very bitter for some reason. She always says "If I was the RN I would do this or that different, but I'm not so I have to put up with your decisions" I would be very open to her ideas if she would just tell me what they are, instead of just saying how good her decisions would be. It's easy to say what you would or wouldn't if your not even having to make the decision or call the doctor.

Guest JohnstonLPN,B.A.Ethics

Guest JohnstonLPN,B.A.Ethics

Add your Credentials, Experience, etc.

I have worked alongside many RN's who have

consulted with me clinically and who had

every confidence in my ability. I chose not

to get my RN because I worked alongside them

for eight years and saw what they went through! At the same time, there are many

RN's out there who I have often wondered how

they ever made it through a school of nursing! Just remember, those RN's who are

critical of you must be self serving or threatened. Hope your health returns and

you're able to pursue what you want to do!

This topic is now closed to further replies.

By using the site you agree to our Privacy, Cookies, and Terms of Service Policies.