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LPNs are certainly getting phased out throughout her hospital and especially on her floor due to her patients’ acuity, she says.

She says she is hard-pressed to see her hospital deviating from its current hiring pattern of RNs and other advance-degreed nurses at any time in the near or distant future.

It appears that each state has its own employee and employer rights so a displaced LPN might want to consult a legal nursing consultant to make sure that his or her rights are being protected.

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Many states have nonspecific guidelines as to what the LPN can and cannot do thus leaving much up to the interpretation of the employer.

At times, the supervising RN does not know what should or should not be delegated to the LPN, therefore they may be under or over utilized.

The program graduated approximately 350 LPNs every 16 months.

There does not seem to be an easy answer to this growing problem.Nurses interviewed by the Knowledge Network have indicated that many times LPN layoffs occur at hospitals because the hospital prefers to have RN’s and other advanced degree nurses that can provide more in-depth patient assessments than the more task-oriented LPN’s.“There is a place for LPNs in long-term care, skilled nursing facilities where patients aren’t so acutely ill, but they are not necessarily prepared to take care of critically-ill patients in a hospital setting,” says Nurse Manager Shelly Van Vianen, RN, BSM, CRRN, who works at Scottsdale Healthcare’s acute rehab unit in Scottsdale, Ariz.Born in NY and now based in LA, Eliot splits his time between both coasts.Licensed practical nursing (in some states called licensed vocational nursing) has a noble history dating back to the early 1940’s.

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