...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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...Transition: LPN to RN…Is it the right decision for everyone? The debate is as old as the professions themselves, and in a society where success is most often measured by “climbing the corporate ladder” the choice between becoming an LPN/LVN or an RN is not always easy. While an RN license provides more opportunities for promotion, an LPN/LVN license can be earned more quickly with less time needed in school. Nurses at all levels face the challenge of balancing work with school, family obligations and other external commitments, and often, these factors play a large role in determining available finances and time available for educational pursuits. For people considering a nursing career, RN programs are sometimes excluded as most classes are daylight programs. Accelerated and evening programs exist, but clinicals and preceptorships are generally offered during the day. LPN training programs, being shorter to begin with, are much more flexible and usually offer part-time, night, and weekend hours. As people evaluate the career choice that’s right for them, educators must work to match the student with the best career fit, and it’s equally important for future nurses to understand the requirements and potential benefits of careers and an LPN/LVN and RN. Licensed practical and licensed vocational nurses, known as LPNs or LVNs, depending on the state in which they work, provide basic nursing care under the supervision of a registered nurse or physician. Typically tasks such as changing...
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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 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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...enormous transition. Up to this point nursing has 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...
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...Mentoring and its place in nursing Kurt Routzahn Helena College NRSG 250: LPN – RN Transition Fall 2015 Mentoring and its place in nursing Mentoring another nurse is a professional means of passing along knowledge, skills, behaviors and values to a less experienced individual who is often referred to as the mentee. With sharing information and insights with members of their own profession, experienced nurses can enable others to maximize their potential thereby improving patient care and ultimately strengthening the profession of nursing. The mentee is a nurse with the desire to learn and willingness to take risks. The mentor in turn, acts as a role model and advocate to pass on life experiences in order to motivate, support and enhance the mentees personal and career development (Kuhl 2005). The benefits of being a mentee I can remember starting work as an LPN at the VA Hospital. I was assigned to work the surgical floor and was appointed a mentor, Jerry, to shadow while I learn the job duties needed to work the surgical floor. Being paired with an experienced nurse was not only a huge relief but also a wonderful opportunity to learn some secrets of the trade. He was a very intimidating looking man. He had long hair pulled back into a pony tail, a huge grizzly beard and many tattoos. He had a way of making you feel comfortable so the intimidation quickly passed. He was very kind and understanding, especially...
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...cause analysis (RCA) is a “systematic approach to understanding the causes of an adverse event and identifying system flaws that can be corrected to prevent the error from happening again” (Huber & Ogrinc, 2010). The root cause analysis is used to determine why the problem occurred in the first place and to identify the cause of a problem using a specific set of steps (Mind Tools, n.d.). The RCA team which consists of interprofessionals who are knowledgeable of the issues and processes related to the incident and the people who are involved in the incident should be formed first before the RCA meeting takes place (Huber & Ogrinc, 2010). In the given scenario, the team includes the emergency department (ED) physician (Dr.T), the RN (Nurse J), the LPN (Mr.B’s LPN), the risk manager, the ER nurse manager, the ER nurse educator, and the quality improvement professional. These members would meet and would discuss the causative factors, errors and hazards that caused Mr.B’s sentinel event. The root cause analysis process has five steps. The first step in conducting a RCA is defining the problem (Mind Tools, n.d.). In the given scenario, the problem is the unexpected death of Mr.B. The second step is collecting the data (Mind Tools, n.d.). It is very important to record and report the data as accurately and as completely as possible. Mr. B’s vital signs, pain scores, laboratory values, and history of medication administered during the situation must be collected. Mr. B is a 67 year old...
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...over sedated and subsequently died. Step two is to identify why this happened. There were preventable causative factors, or errors, that led to this sentinel event. The hospital’s conscious sedation policy requires that the patient remains on continuous BP, ECG, and pulse oximeter throughout the procedure and there was no mention that this was performed at all throughout the procedure. It was not until after the procedure that Mr. B was placed on continuous BP and pulse oximeter, and at that time, the patient was left in the room, with only a family member while Nurse J attended to another patient. When the alarm is heard that the patient has low O2 sats, the LPN, enters the room and resets the alarm and repeats the B/P reading. His oxygen level was not rechecked, nor was he placed on supplemental oxygen, nor was the RN informed at this time, and the patient was once again left unmonitored. The conscious sedation policy also states that all practitioners who perform moderate sedation must first successfully complete the hospital’s moderate sedation training module, which includes drug selection and acceptable dose ranges. There is...
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...Name Institution Professor Course Introduction Transition into professional nursing role We have five stages of the socialization model; novice, advanced beginner, competent, proficient, and expert .The new graduate RN enters at novice or advanced beginner depending on clinical exposure during entry level preparation (Orsini et al, 2005). The uneven transition for new graduates for professional RNs includes novice and advanced beginners with their clinical decision-making. Nurses should provide a comfortable space and a non-threatening environment. Asking questions acknowledges the gap from nursing theory in academia to practice as the professional nurse at the bedside making the transition stressful and difficult (Casey et al, 2004).Nursing retention is a challenge for the nursing profession as a result the new graduates stay jobless .New graduates might change their job within their first year of work due to lack of senior or expert nurses make it challenging to support the transition for the new graduate RN. New graduate RNs who leave their job within a year, highlights the issue of ineffective transition. describe new graduate RN’s who experience a lack of supportive culture and horizontal violence, this may result to shortage of full-time nurses New graduate RN’s need knowledge concerning issues that affect transition to be able to speak to them in upcoming interviews and job opportunities. Criteria for on obtaining RN license Workplacefor the new graduate, where they...
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...Determine how to achieve preset goals and are responsible for achieving them • Tell employees to accomplish a particular task or objective • Handle activities through planning and budgeting • Achieve their goals by organizing and staffing • Create an organizational structure and sets of jobs for accomplishing the organization’s strategies (Borkowski, 2009, p.172) Leaders • Set direction or mission for the organization • Motivate the organization and stakeholders • Are effective spokesmen for the organization • Focus on long term goals of the organization (Romero 2010) • Interface with the external environment as face of the organization (Kotter 1996) There is some overlap between the roles of managers and leaders and they both complement each other. But the distinction between their roles is that whereas a manager points...
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...Becoming proactive in discovering and implementing new ideas whether it is at the management or organizational level, political level or at the patient’s bedside, we must unite and work as a team to excel to the next level. To promote change it takes a strong leader with creative ideas to make a difference. Anyone can be a leader but that does not mean people will follow. We must actively voice our concerns and opinions at meetings, advisory committees and to the boards where policy decisions are made. Nurses were not seen as leaders in the past but we must continue to change that. Creating new partnerships with physicians, clinicians, business owners, elected officials and the public will help them realize these improvements. Changing our roles as nurses has been an effective organizational tool to improve how we improve and place a greater emphasis on health care. According to the Institute of Medicine (IOM), they have demonstrated many changes that have impacted the medical profession. The Geisinger Health System which was...
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...the RWJF Initiative on the Future of Nursing. Currently the nation is at a point where health care reform is being implemented and the healthcare system has begun to change. Both of these organizations sought the possibility of empowering nurses to become partners in improving the health care system and in the delivery of high quality care. Their collaborative efforts resulted in the 2010 IOM report The Future of Nursing: Leading Change, Advancing Health which addresses and has recommendations for a number of issues which include transforming nursing education, transforming nursing practice, and transforming nursing leadership. The IOM report explains some of the educational pathways that a student may take to obtain a registered nurse (RN) degree. From the licensed...
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...and how are we going to evaluate the change. This process takes place soon after the event so details are not forgotten. The professionals involved in the root cause analysis would take on roles. The team leader would be a representative from risk management. The nursing supervisor that was working on the day of the event would be the recorder. The team members would include the manager of the emergency department, the RN, LPN, and physician involved with the patient from the emergency department. The advisor would be the chief nursing officer or another member of the executive staff. The first thing is to review the many causative factors that were in place on this particular day. There was inadequate staffing for the emergency department for the number and high acuity of patients that were being treated. There was a hospital protocol for conscious sedation that was not followed. The nurse was ACLS and CPR certified. The patient was not fully monitored for the procedure. This would require Mr. B’s level of consciousness, blood pressure and respiratory status to be continuously monitored. There was no supplemental oxygen provided for the patient nor was his ECG being monitored. A large amount of narcotics and sedatives were used on Mr. B considering his weight and age. The LPN...
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...based practice. I was raised in a family where my grandmother, mother, aunts and cousins were all nurses. Each one in her own specialty. In my late teens, my mother went into education and taught in a school of nursing, climbing the leadership ladder to at the time of retirement she held the role as an assistant director. This being said, I always felt that I had a good exposure to the history of the profession. I was amazed as I observed the power point on areas I had no previous knowledge about and the extent of the changes we in the profession had accomplished. Identify at least three trends in nursing practice from the "Nursing Timeline of Historical Events" media piece. Nursing Uniform Transition from the Florence Nightingale area to when our grandmothers and mothers were in nursing that encompassed the hat, white stockings and white dress with pockets. To the uniforms of today…no hat, varying uniforms in regards to material, color, styles and design. Gone is the traditional white dress. I was just beginning to contemplate the career field during the transition of wearing of the traditional with hat, marked with the solid 1 or 2 black strips indicating LPN vs RN ended. During the presentation I found it interesting that the cap was initially intended to...
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...United States health care system is composed of physicians, Physician assistant, Nurse practitioner, Nurses and Care nurses. Nursing incorporated wide range of sub classes that includes Bachelors, associates, RN and LPNs and more. Nurses incorporate broad spectrum of care including health promotion, disease prevention and palliative care. Nursing profession also faces challenges as it’s not as diverse as our population is based on ethnicity, gender, and age. Many changes and improvements are required in profession in order to address the changing and newly developing problems. In 2010, report was published by IOM in order to improve the health care system of United States. This report focuses on many issues including transforming the health care system by improving the role of nursing. This report recommends that nurses should practice to full extent of their education and experience. Nurses must achieve higher level of education. Nurses should also have increased communication between all circles of health care system including physicians, professional and care nurses, leadership and policy making qualities, effective workforce and fine infrastructure of data collection. These recommendations highlight the intersection between the diversity in United States and actions taken by nurses. Theses recommendation only focus on how can nurses provide the best care to the patients regardless of how difficult it can be for nurse to practice them. IOM is very detailed report for the...
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