...LPN to RN Role Transition: Differences and Strategies for Success Taylor Birleffi Indiana State University LPN to RN Role Transition: Differences and Strategies for Success The Licensed Practical Nurse (LPN/LVN) role has involved certain role expectations and behaviors that are similar to the nursing roles of the Registered Nurse (RN). Although many may recognize the similar roles these two nurses have, there are various differences that exist between the two particularly those trained at the Baccalaureate level. These role differences are demonstrated through written regulations, knowledge base and practice roles, and the skills and abilities of both professional roles. Both the LPN and RN have regulations at the state level...
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...Personal Plan for Role Transition from LPN to RN Name Course Tutor Assignment #1 XX University Date Personal Plan for Role Transition from LPN to RN Being a Licensed Practical Nurse for three years was extremely exciting and rewarding for me. I have enjoyed being a caregiver to those who are sick. Nursing is regarded as a respected and admired profession. I’ve always admired and looked up to nurses. Registered Nurses is in need in every field of medicine. They can choose to work in various fields of medicine and are able to work in specialized areas of the hospital such as the Emergency Room, Operation Room, Critical Care Unit, and Intensive Care Unit. Last year, I decided to return to school to continue my education for BN, as my goal is to work as RN in the future. Transition from LPN to RN doesn’t occur in single day, it takes time and step by step planning. With every step, I will acquire new knowledge, skills, values, attitudes, confidence and behaviors associated with RN role. The five expected outcomes/goals of the LPN-RN change 1. I will develop effective communication skills/techniques within one year. Communications is very essential part in nursing profession. The quality of a nurse’s communication is important factor in nursing care. It is also very important to establish and modify nurse-client relationship; I will acquire effective communication skills by speaking and writing clearly, and by practicing attentive listening. I will accept and respond...
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...The LPNs (licensed practical nurse) role is to provide care to patients on a day to day basis, based on the needs determined by the RN or physician. The responsibility of the LPN is to perform basic medical procedures such as changes in conditions of patients to the RN or physician. The LPN in their role is also able to perform wound care to injuries based on orders from RN or physician. The LPN is vital for recording important data on residents, such as condition, vital signs, and progress towards goals. Anything that is “observed” by the LPN that is pertinent to the care of the patient should be reported to the RN or physician for proper follow up. The LPN is able to manage patient s in doctor offices, home settings, and nursing home/rehabilitation facilities (The Role of Licensed Practical Nurse in a Hospital, 2013)....
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...Registered nurses (RNs) work to promote good health and prevent illness. They educate patients and the public about various medical conditions; treat patients and help in their rehabilitation; and provide advice and emotional support to patients' families. RNs use considerable judgment in providing a wide variety of services. Many registered nurses are general-duty nurses who focus on the overall care of patients. They administer medications under the supervision of doctors and keep records of symptoms and progress. General-duty nurses also supervise licensed practical nurses (LPNs), nursing aides, and orderlies (Bureau of Labor Statistics). The RN also performs comprehensive nursing assessment of the health status of patients that addresses changes to the patient conditions, develop a plan of nursing care that establishes nursing diagnoses, setting goals to meet identified health care needs, and determine nursing interventions and implementation of nursing care through the execution of nursing strategies and regimens ordered by doctors. Licensed practical nurses (LPNs) help physicians and registered nurses (RNs) care for patients. They have the technical knowledge to perform routine nursing duties, but they may also make appointments, maintain patient records, and perform basic clerical duties. Their work allows doctors and registered nurses to devote their time to patient care that requires specialized knowledge. Most licensed practical nurses work in hospitals, nursing...
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...Role Transition 1 Role Trasition: Licensed Practical Nurse to Registered Nurse July 18, 2008 Role Transition: Licensed Practical Nurse to Registered Nurse The word “nurse” can conjure up many different mental images and emotions, depending upon whom you ask and the experiences that person has had with various nurses. There is a good reason for this. The nurse has many different responsibilities and roles. This paper will focus on relationships and transitional changes from the Licensed Practical Nurse (LPN) to the Registered Nurse (RN) role in the nursing process, as well as this nursing student’s observation of the role changes in the Home Health Care setting compared to literature reviewed. It will also include changes that must be made in this nursing student’s practice in order to assume the role of a Registered Nurse. Relationships and Transitional Changes from the LPN to RN Role According to the Oregon State Board of Nursing: “Practice of registered nursing” means the application of knowledge drawn from broad in-depth education in the social and physical sciences in assessing, planning, ordering, giving, delegating, teaching and supervising care which promotes the person’s optimum health and independence… “Practice of practical nursing” means the application of knowledge drawn from basic education in...
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...Health Care Interview HCS/235 December 10, 2013 Health Care Interview An LPN is useful in a primary care setting; LPNs' have a larger scope then Medical Assistants. A university of phoenix student conducted an interview with an LPN named Melissa Apadoca. Melissa works at Kaiser Permanente in the Family practice and Primary care facility. Just a brief background on Melissa, she has been an LPN for 7 years. Did her LPN training at Denver School of Nursing. Melissa is currently enrolled at the University of Phoenix pursuing her LPN to BSN to become a registered Nurse. She is in her freshman year at the University of Phoenix and anticipates on being done by the end of 2015. A brief over view of the Family Care clinic Melissa works at for Kaiser Permanente. This department has an over all of 15 providers, this includes doctors, D.Os’, Nurse Practitioners, and Physicians assistants. Melissa’s role in the department is mostly direct patient care in the aspect of Medication distribution and medication injections. Her biggest role is in giving patients test results, such as blood labs and other pathology results over the phone. University Of phoenix student: “with going over your primary responsibilities in your specific department at Kaiser Permanente, who are your primary customers”? Melissa Apodaca: “we are a family practice clinic”. So what that means is that we see people from birth to death”. “So I guess the answer to your question would be people of all ages are...
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...Health Care Interview The person I chose for my interview is Marlene Jones-Wallace. She is 42 years old and she is a LPN or in other words a Licensed Practical Nurse. Marlene has been a LPN for 7 years at Montefiore Medical Center. She works within the Emergency field. I have gained information about what is takes to become a LPN, What do they do? And other information I felt that we should know. A licensed practical nurse or LPN works under the direction of registered nurses and doctors. They care for patients who are sick, injured, recovering or disabled. A licensed practical nurse is also known as a licensed vocational nurse or LVN. The job involves a variety of daily tasks ranging from dressing wounds to feeding infants. On the job, Licensed Practical and Licensed Vocational Nurses perform a variety of functions. These functions can be maintaining records of patients' histories, provide dressing or bathing assistance, update doctors and registered nurses on a patient's status, measure vital signs, assist doctors and registered nurses with tests and procedures, caring for and feeding infants, assemble and or use and clean certain medical equipment, start IV drips or give medication, and monitor medication and a patient's response. Most LPNs are trained to work in all aspects of health care, but there are some who specialize in certain areas. LPN’s or LVN’s can be found in all kinds of medical settings like hospitals, clinics, physicians' offices, nursing homes and even in...
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...Question I Assigning fault in this case is difficult because all the facts are not presented; there are so many details and questions that are left unanswered to make a justified decision as to who really is at fault in this case. That being said I would not place fault to anyone in this case, however everyone involved in this case has some shared responsibility to the patients care. During report Jane is told that the patient fell without injury around lunch time but has had an uneventful evening. At my current place of work VA Hospital there is a Fall Prevention Program with a Post Fall Management Protocol in place, these are measures that are to be implemented after a fall by nursing, and multidisciplinary team members they are; assess for injuries and determine level of injuries, assess vital signs, including sitting/standing blood pressure and pulse, If diabetic, check blood glucose, notify physician/medical provider, The provider of or on-call physician will assess patient within one hour, provide care, order any needed diagnostic tests, medications, etc., complete a Report of Fall Incident Note and document circumstances of fall in medical record, notify all team members of the patient’s fall, complete Fall Risk assessment and implement high risk fall interventions, if indicated. First 24 hours after the fall: obtain vital signs every 8 hours, observe for possible injuries not evident at the time of the fall (assess limb reflex, joint range of motion, weight bearing)...
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...Ethical Issues for Nurses Alexis Bushay HCA 322 Health Care Ethics & Medical Law Instructor: Jennine Kinsey August 18, 2012 Ethical Issues for Nurses Ethical issues have always affected the role of the professional nurse. Efforts to enact this standard may cause conflict in health care settings in which the traditional roles of the nurse are delineated within a bureaucratic structure. Nurses have more direct contact with patients than one can even imagine, which plays a huge role in protecting the patients’ rights, and creating ethical issues for the nurses caring for the various patients they are assigned to. In this paper I will discuss some of the ethical and legal issues that nurses are faced with each and every day. Ethics deals with standards of conduct and moral judgment. The major principles of healthcare ethics that must be upheld in all situations are beneficence, nonmaleficence, autonomy, and justice. Beneficence means promoting or doing good. Nurses work to promote their clients' best interests and strive to achieve optimal outcomes. Nonmaleficence means avoiding harm. Nurses must maintain a competent practice level to avoid causing injury or suffering to clients. The principle of nonmaleficence also covers reporting suspected abuse to prevent further victimization and protecting clients from chemically impaired nurses and other healthcare practitioners. Autonomy stands for independence and the ability to be self-directed. Clients have the right of self-determination...
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...significant pain score of 10/10 * At the patients time of arrival there was 1 RN, 1 LPN, 1 Secretary, 1 Emergency room physician, and an in house respiratory therapist on staff at the time of the patient’s arrival and there were two other patients being cared for. * The physician decides to do a reduction of the patients left hip and need to have the patient at an appropriate sedation level * At 4:05pm the nurse administered Diazepam 5mg IV per the physicians order. * At 4:15pm the nurse gave Hydromorphone 2mg IV per the physicians order. * At 4:20pm the patient is still not sedated enough and the nurse gives an additional Diazepam 5mg IV and Hydromorphone 2mg IV. * At 4:25 Proper sedation is achieved and the physician performs a reduction of his left hip. * At 4:30pm the procedure was complete and the nurses are alerted to another patient in route to the ER in acute repertory distress and the nurse places the patient on an automatic blood pressure machine to monitor B/P and pulse oximetry. * At 4:35pm the patient had a B/P reading of 110/62 and O2 stat of 92% * The nurse and LPN receive the ER transport patient and are now discharging the other two patients but the ER has filled with new incoming patients. * The patients O2 saturation alarm is showing a low O2 saturation of 85%, the LPN enters the room and resets the alarm and repeats the B/P reading * The RN...
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...played an essential role in the delivery and management of care. To continue to play a pivotal role nursing must elevate its practice to meet the needs of an ever changing health care delivery system. Advances in nursing practice will aide in changing and making health care more affordable, safe and effective. This paper will discuss how nursing, as a profession, can rise to the occasion through elevation of education, primary care practice, and leadership as outlined in the Institute of Medicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health. This paper will also discuss how the author will alter personal practice to meet the goals of the IOM report. Education Advancement The Need for Advancement Since its inauguration nursing education has progressed and reformed to meet the needs of the client and the health care delivery system of the time. Issues in health care have influenced the role of education in preparing nurses to deliver safe and effective care and advocate for their patients. Nursing shortages have prompted multiple levels of education for entry level nurses. There are three pathways that have existed for nurses to become an RN. The Bachelor of Science in nursing (BSN), the associate degree in nursing (ADN), and the diploma in nursing. There is also another undergraduate level of nursing for prospective nurses to pursue, the licensed practical/vocational diploma in nursing (LPN/LVN). The LPN/LVN play a crucial role in long term care and...
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...assistant who is also and LPN (licensed practical nurse). Jerry is an employee of Dr. Williams’ a licensed medical doctor. Jerry’s responsibilities include administrative as well as patient-oriented tasks such as taking medical history and vitals. Jerry also shared the administrative during such as answering the phones. In this case study Jerry is alone in the office without the supervision of Dr. Williams. Jerry receives a call from a patient who also claims to be a friend of Dr. Williams requesting a refill on his prescription for Valium, a controlled anti-depressant medication. Jerry must make a decision on how to respond to the patients needs while taking legal and ethical ramifications into consideration. Medical assistant and LPN Qualifications and Responsibilities Jerry is a medical assistant and a licensed practical nurse (LPN.) A LPN is generally a bedside nurse performing duties such as checking vital signs, administering injections, wound care, enemas, and catheters. LPN’s also gather information; update patient files with current conditions as well as medical history. Medical assistants have similar duties and LPN’s. Administrative tasks are often included in the duties many medical assistants which support the medical provider. Each medical office will have a specific set of tasks and responsibilities for their medical assistants and LPN’s. In Jerry’s case he has both the administrative and bedside duties. Neither medical assistants or LPNs have authorization...
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...Delegation Example in a Healthcare Setting Abiola Edwards April22, 2010 Introduction * Definition of delegation * Delegation process * Delegation issue one faces at work * Stakeholders in their different roles * Choosing the right stakeholder * How to communicate with stakeholders * Conflict resolution * Feedback/ Evaluation * Recommendations * Summary * References My name is Sadie Edwards and I have over 10 years of nursing experience Definition of Delegation Delegation: Transferring to a competent individual the authority to perform a selected nursing task in a selected situation. The nurse retains accountability for the delegation. Concepts and Decision-Making Process National Council Position Paper, 1995 Most nurses would rather do the tasks themselves, but they can not perform all of them safely. According to Hansten & Jackson, “it is our responsibility to the patients we care for to ensure that they receive the best that we can offer by delegating wisely”. Delegation Process * Define the task * Select the individual or team * Assess ability and training needs * Explain the reasons * State required results * Consider resources required * Agree to deadline * Support and communicate * Feedback and results Alan Chapman, Delegation 1995-2009 The steps to successful delegation are: 1. To define the task, ask yourself if the task is right to be delegated. Does it meet the criteria...
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...importance of criminal background checks. O BJECTIVE : The researchers sought to determine what factors might affect the outcomes of remediation, including the likelihood of recidivism, among nurses who had been the subject of disciplinary action and had been put on probation by a state board of nursing. M ETHODS : Boards of nursing in six states, Arizona, Maryland, Massachusetts, Minnesota, Nebraska, and North Carolina, chose to participate in this exploratory study. A 29-item questionnaire was used to investigate the records of 207 RNs, LPNs, and advanced practice RNs (APRNs) who were disciplined and put on probation by a state nursing board in 2001, as well as to collect data on their employment settings, the boards’ actions, and remediation outcomes (the presence or absence of recidivism); 491 nurses who had not been disciplined served as controls. RESULTS: Among the disciplined nurses studied, 57% were RNs, 36% were LPNs, 3% held both RN and LPN licenses, and 3% were APRNs. Of the disciplined group, 39% recidivated between 2001 and 2005. Three factors were shown to influence the recidivism rate: having a history of criminal conviction, having committed more than one violation before the 2001 probation, and changing employers during the probationary period. Data on history of criminal conviction prior to state board disciplinary action were available for 112 (54%) of the 207 nurses. Among those 112, 35% (n = 39) had a history of criminal conviction, whereas only 3% of the control...
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...Understanding Responsibility, Authority, and Accountability Christine Mueller, PhD, RN, FAAN, and Amy Vogelsmeier, PhD, RN The obligation to provide safe, quality care creates challenges and concerns when registered nurses (RNs) delegate duties to unlicensed assistive personnel. These challenges and concerns are magnified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; health care settings with high patient acuity rates; and the use of sophisticated technology. To make safe, effective delegation decisions, RNs must understand the responsibility, authority, and accountability related to delegation. Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation to provide safe, quality care creates...
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