Are LPN's being professionally utilized where you work?

  1. We were just told that LPN's can't admit or assess patients-that an RN must assess the LPN's patient at least once a shift. Supposedly this is a state regulation. The way I was taught is that an RN has to see the patient in a 24 hour period. So if an LPN has the patient on days, an RN must have the patient at night. I need to hear opinions on this, especially from Florida nurses(where I'm working as a traveler). Thanks.
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  2. 9 Comments

  3. by   slinkeecat
    You asked....

    One of the main reasons I went back to school is because of the respect factor. I have been an lpn for 12 years and in Florida I was very respected and had alot more autonomy. The assessment factor in florida is a hospital policy.... not really a scope of practice thing. In a nutshell I could do anything in fl provided I had certifcation on top of my lpn licence...IV 's and such... when I moved here to WV according to the nurse practice act for lpn's it is illegal for an LPN to take a telephone order.....Is that not the most assinine thing you have ever heard. I had this nurse where I work take all of my ideas and repeat them verbatim and She is a genious in the eyes of the adminstration when she told them that they were my ideas they said that she must have helped me sinceI am not a professional nurse... Well, kiss my A$$.... So It was this incident and others that made me so dang mad that I decided I am getting my BSN then I will be taken seriously. When the adminstration found out that I applied and got into the BSN program, they were falling all over themselves congratulating me and now when I discuss my ideas for improvement in pt care and therapy, they listen and my god you would have thought the hospital was going to take an Ad inthe paper when my semester results came in and I have a 4.0. I do not mean to sound bitter, but I was insulted by this and was never undervalued until I moved to the armpit of the world rural west virginia. I am sorry I had to vent.... All in all I am going back to school for my BSn so I can leave psych and become a diabetic educator and then I am going to open a company and do professional inservices to bring technology and knowlegde to the rural areas that are not up to snuff advances in modern medicine....or perhaps I will just get my current DON's job lol
  4. by   MollyMo
    Originally posted by slinkeecat
    You asked....

    One of the main reasons I went back to school is because of the respect factor. I have been an lpn for 12 years and in Florida I was very respected and had alot more autonomy. The assessment factor in florida is a hospital policy.... not really a scope of practice thing. In a nutshell I could do anything in fl provided I had certifcation on top of my lpn licence...IV 's and such... when I moved here to WV according to the nurse practice act for lpn's it is illegal for an LPN to take a telephone order.....Is that not the most assinine thing you have ever heard. I had this nurse where I work take all of my ideas and repeat them verbatim and She is a genious in the eyes of the adminstration when she told them that they were my ideas they said that she must have helped me sinceI am not a professional nurse... Well, kiss my A$$.... So It was this incident and others that made me so dang mad that I decided I am getting my BSN then I will be taken seriously. When the adminstration found out that I applied and got into the BSN program, they were falling all over themselves congratulating me and now when I discuss my ideas for improvement in pt care and therapy, they listen and my god you would have thought the hospital was going to take an Ad inthe paper when my semester results came in and I have a 4.0. I do not mean to sound bitter, but I was insulted by this and was never undervalued until I moved to the armpit of the world rural west virginia. I am sorry I had to vent.... All in all I am going back to school for my BSn so I can leave psych and become a diabetic educator and then I am going to open a company and do professional inservices to bring technology and knowlegde to the rural areas that are not up to snuff advances in modern medicine....or perhaps I will just get my current DON's job lol

    Be bitter,be insulted, and draw a picture telling them exactly which cheek to pucker up on. Then go about your business. That kind of stuff is exactly what I'm talking about. It makes no sense to me why those letters behind your name carry so much more weight than experience. I'm an ADN with almost 12 years experience and even I am pretty much being forced back for a BSN. Vent all you want, I hear you.
  5. by   MollyMo
    By the way, the LPN that I work with has been rotated through the cath lab and can pull arterial sheaths ( she was trained to do that when she was a PCT), but she can't assess or admit?! I'm just plum dumb 'cuz I don't get it!!!!
  6. by   slinkeecat
    You know the media keeps whining about the nursing shortage and what amazes me is that the same hype was about 13 yrs ago when I became an lpn phasing out the lpn.... bulls@#$. They let LPN's become IV certifed because too many sick patients and not enuff RN's. Well, How much you want to bet they will force lpn's to do more invasive crap with little regulation as far as certifiying and training them, and force the RN to get writers crap... it should be the other way around... If rn's are so dang skippy, they should do the things that are potentially life threatening to the pt and let the lpn do a freaking admission or d/c no one has ever died from a letter t not being crossed.....it is very scarey that they expect you to step out of your scope of practice and training when it suits them ......
    VEnting.......VENTING here lol
  7. by   NurseAngie
    I know the feeling!


    Peace~Angie
  8. by   slinkeecat
    molly....
    when I said if rn's are so dang skippy.... I meant that if as a proffession the rn is going to be tagged it then the rn shouldd have alot more control over the situation and be able to delegate tasks to one she feels is capable.... afterall it is ultimately her license on the line is it not???? would you not feel better if you knew a lpn with 12 years of experience were working with you instead of a new RN full of book learning but does not have the expewrience and the knowlegde to have critical thinking skills and assess a pt correctly???? I will shut up now...... I am just having a hard time transitioning . I feel feircely loyal to my LPN self but also I am going to become an RN BSN it is the only optionto reach my personal goals
  9. by   slinkeecat
    thanks Angie....
    It just pisses me off that we are taken for granted both the RN and LPN........ AUGHHHHHHHHHHHHHHHHHHHHHHHHH!!!!!!
  10. by   MollyMo
    Originally posted by slinkeecat
    molly....
    when I said if rn's are so dang skippy.... I meant that if as a proffession the rn is going to be tagged it then the rn shouldd have alot more control over the situation and be able to delegate tasks to one she feels is capable.... afterall it is ultimately her license on the line is it not???? would you not feel better if you knew a lpn with 12 years of experience were working with you instead of a new RN full of book learning but does not have the expewrience and the knowlegde to have critical thinking skills and assess a pt correctly???? I will shut up now...... I am just having a hard time transitioning . I feel feircely loyal to my LPN self but also I am going to become an RN BSN it is the only op
    tionto reach my personal goals

    slinkeecat, you get no argument from me. I agree with you 100%. There are some RN's who have experience that I don't like working with, and wouldn't let touch me if I were ill. There was an LPN at home that I went to as a resource person when I was a new grad because I knew that she knew her stuff. I worked hard to get my license(s) and to keep them clear. I don't want to jeopardize them now.
  11. by   slinkeecat
    Thanks Molly, I am glad I did not offend you .... My my my I feel so much better after having vented today.......... I just get so irritablewhen I hear of the crap side of nursing

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