...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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...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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...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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...Better Equipping Nurses Prior To Graduation Sean P Buckley Grand Canyon University Positive patient outcomes are the goal of all nursing interventions. Reaching that goal requires effort on the part of any nurse. The effort required and the path to which the goal is achieved can vary greatly among nurses pursuing the same outcome for the same patient in the same setting. All practicing nurses have achieved a level of demonstrated competency by passing the same standardized testing criteria. Many of these nurses will have arrived to that level of competency by very dissimilar means. There exists a level at which a nurse is expected to function. There is also a level at which a nurse can aspire to perform. Preparing student nurses in a manner that gives them the opportunity to exceed functional expectations is not only in the student’s interest. It serves the interest of the patient, the organization and the nurse herself. That preparation begins in the program of education in which they choose to enroll. Oermann et al., (2010) state, “(n)ew graduates report that they are not prepared for practice and lack essential knowledge and clinical competencies, for example, caring for multiple patients, administering medications to large groups of patients, performing procedures, prioritizing care, supervising others and delegating tasks, communicating with physicians, and using information technology (p???.).” The practice of nursing is immensely complicated and obscure to new nurses...
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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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...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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...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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...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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...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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...Leadership and Organizational Success Introduction Leadership has been defined as the process of describing a vision and influencing others to accomplish a mission or assignment (Borkowski, 2009). Being able to adapt and grow is an important component of good leadership because organizations are living entities in the sense that they change and grow over time. This means that leaders have to constantly match the right style of leadership to the present needs of the organization in order to guide it to the next level of development (Laureate Education, Inc., 2009). The merger of BRMC and PRMC called for a particular style of leadership in order to merge the two distinct cultures present at each organization (Buchbinder & Shanks, 2012). The following outline will explore different aspects of leadership and apply those aspects to needs arising from this merger. Distinction between leadership and management Managers • Direct the work of employees and devise systems to monitor employees’ progress toward achieving preset goals • 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...
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...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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...I am so grateful to have a mentor. Currently my mind is in a whirlwind trying to contemplate my options relative to staffing. Several things are impacting my decisions. Any feedback you can provide would be appreciated. I will try to summarize the issues. Summary of Current Staffing and Budget for Medical-Surgical beds ------------------------------------------------- Currently, Christ Advocate has a total nursing hours per patient in medical-surgical of 8.93 for the 394 authorized beds. Since the hospital has chosen to not use LPN employees, the nursing staff is a mix of RNs and assistants. Since the budget is set for this year, in an attempt to increase efficiency and decrease readmits, I propose that staffing remain at 8.93 with an increase in RNs to at least 7.0 and decrease assistants to 1.93. With this mix, the budget will be increase by approximately $4K. These monies can be recouped in the decrease of Medicare penalty by having more RN hours per patient thereby decreasing Christ Advocate 30-day readmission rate of identified patients (Illinois Department of Public Health 2016). ------------------------------------------------- ------------------------------------------------- Impact of Medicare Reimbursement bonus/penalty on staffing Christ Advocate Medical Center currently experience the second highest readmission penalty in the state and we have increase our penalty each of the reported years, 96% in 2013 to 2.41% in 2016. To reduce our penalty we must increase...
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...Running head: FUTURE TRENDS Future Trends in Nursing Carol J. LaRatta Professional Dynamics 430v 01/22/2012 Future Trends in Nursing The world is evolving and so is the medical profession. Will the future trends in nursing practice, nursing education and nursing leadership be the influencing factors on how we as individuals take part in leading the way for better opportunities and a higher quality of care for our patients? You be the judge. The need and desire for a higher level of education will never end. We, as individuals are in control of our future and we are the ones who decide where we want to take it. There are so many opportunities available to those who wish to take responsibility for their careers. The workplace is changing rapidly everyday and with it we must actively participate and voice our concerns to be heard. 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...
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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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