RN Vs. LPN: What's the Difference?

Medical Safety Today

This article is the second on a series on healthcare today. This installment focuses on the differences between RN (Registered Nurse) and LVN/LPN (Licensed Vocational/Practical/Professional Nurse) and what it means to you.

Much media attention has been focused on the lack of nurses, as mentioned in the first article on this series. However, much of that attention has been poorly focused. This is due in part from lazy reporting. Other influences have been political influences in the medical
 field.

The nurse shortage is not and does not need to be as drastic as it appears to be at this moment. Almost every statistic stated about the lack of nurses focuses on RN's. This ignores the fact that there is another classification of nurses. The other classification is called LVN or LPN, depending on which state you refer to. While the title changes, the educational requirements remain the same due to national standards of education and testing.

For the remainder of this article, I will use LPN for simplicity.

Most of the general public has been led to believe that there is a large difference between RN and LPN and the care they provide. There is little or no truth to this.

What is the difference between the two?

The role of the LPN has historically been to provide direct care to patients in the medical setting. The role of the RN was designed to be a supervisory position. Years ago, it was normal for many LPN's to work under the supervision of one RN.

 
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I like the patients dicks

Posted on 03/11/2009 at 12:03:55 PM

To my detractors: First, please post links or references to the studies you claim exist. Please read the study before posting and read the method of study. Remember that the higher the degree, most commonly, the lower the patient to nurse ratio becomes due to the fact that higher degrees tend to work specialized areas. I have been a nurse for over 14 years, including ICU, CCU, Neurology/Neurosurgery, ER, Telemetry, Infectious Disease, Orthopedics, Hospice, Psych and General Med/Surg. My career has included roughly 4 years charge experience. Please post your own clinical credentials?

Posted on 03/06/2009 at 9:03:01 AM

i want to grab thier gonads

Posted on 02/25/2009 at 12:02:39 PM

I want to be a nurse so i can flirt with all the patients!!

Posted on 02/25/2009 at 12:02:01 PM

I agree, in part, with "SB- NICU LVN" that many nurses today are becoming lazy - primarily new graduates. With the demand and constant attention, many new grads understand that they will be offered 'the house' and think they need to be 'babied' their way into a new job. I do agree with thorough training programs once entering as a new grad, however these new nurses need to take the initiative at the same time. It sounds like "SB- NICU LVN" was one of these nurses that took the initiative, learned her field and is taking every step of the way to becoming a better nurse than she already is. It is a constant learning process that should never make people lazy in their jobs. Thank you to all new graduates that take their new positions to heart and understand how much they are helping others.

Posted on 02/20/2009 at 12:02:23 PM

I would have to beg to differ with you Adam, sorry. I work in NICU taking care of the same sick babies that BSN nurses care for and they are not all that. They seem to have left their common sense somewhere. I do agree however that more education is the key. I also believe that this can be done in the life span of nursing and not so much in a 4 year degree. Most of the stuff learned in 4 years is forgotten by the time they start working. I think a good orientation in which ever area you choose to work is the key. I was trained by very good Nicu RN's some ADN's some BSN's the teaching was basically the same. Although I am an LVN, I crtically think like an RN because I was given good background info by them. I think nurses have become very lazy. This is why patient care suffers.

Posted on 01/26/2009 at 8:01:17 PM

I think that a person or patient should not solely look at a persons schooling. Nursing school is tough to get into and even some of the smartest students are left to be an LVN at a two year and one year college. Not to mention most LVN' S have studied theory. I think qualification should be based on an individual level because if not ,it leads to bias and stereotyping. Rn and LVN is just a title.

Posted on 11/24/2008 at 10:11:35 PM

Hell Yes! LPNs know what they are doing but they have no backround to understand why they are doing it. THIS IS WHY THEY PRACTICE UNDER THE SUPERVISION OF AN R.N. This guy is a fool and spreading inaccurate information. He is naiive.

Posted on 10/26/2008 at 8:10:36 PM

Your argument about there being no coorelation between negative patient outcomes and whether an LPN or RN is caring for the patient is suprising. I say this because there is extensive evidence in research that shows that BSN nurses provide safer care than ADN nurses. Research shows that BSN nurses coorelate with less overall patient morbitity and lower rates of "failure to rescue", or simply not intervening when your patient is going bad. I've said my peice and I want you (and others) to ask yourself something; Who would you want caring for your mother in the hospital, an LPN with one year of education, an RN with 2 years of education from a community college, or an RN with a four year bachelors degree in the science of nursing? I think it's a pretty easy decision, a 'no brainer'. Adam aprocuni@health.usf.edu

Posted on 10/26/2008 at 7:10:12 PM

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