About Us | FAQ | Contact | Advertise  | RSS Feed
Subscribe to this feed
ADVANCE for Nurses RSS Feed
Or click on the RSS link below: http://nursing.advanceweb.com/Editorial/Content/rssfeed.rss
Search
Login | Sign Up

Subscriptions are FREE to Qualified Nursing Professionals

Log in to View Digital Subscribe

Features
Post Comment
Back to Article
 

Experienced LPN's used to be able to challenge the RN Board in Florida, actually they called it "grandfathered in".
The real "Challenge" is getting the archives together, the actual regulation that permitted it in the first place and see why the RN Boards stopped it. That is a real place to start

Carol Fields,  LPNNovember 06, 2009
Miami, FL

I have been an LPN for 22 years and have faced many of the diversities as everyone else has. I too have heard the "why don't you become a Real Nurse" I always said LPN does not stand for "Let's Pretend Nurse". Many LPN's now have certifications unavailable 10 years ago. The profession is changing, and not always in our favor. LPN's with 10+ years experience should be allowed to challenge the board exam. I believe that our own profession has created this nursing shortage, and we are going to have to be the one's to fix it.

Susan Holland,  LPN/Charge Nurse,  Ambulatory CareJune 21, 2009
Bradenton, FL

To all the RN's out there....I understand and admire the fact that you were able to complete an RN program and I don't minimize that for a moment.

However as an LPN since 1981 I feel I have gained the knowledge in the "pitts" of nursing that can't be taught in a book or classroom.

I would have loved the chance to attend an RN program after completing the LPN program, but as I am sure all the LPN's are aware of out there we usually make far less then our RN counterparts. Making ends meet is hard enough.

I have worked just as hard as the RN's and in many instances harder. In all honesty I am tired of being asked "If I am a real Nurse?", "Why didn't I go back to school to be a real Nurse?" and being overlooked for positions because I have the wrong initials after my name, even though I could do the job as good if not better.

The sad part is that many LPN's are leaving Nursing because they either can't afford to go back to college, can't work and go to college ar the same time or they are tired of being treated like they aren't Nurses.

If you want to address the Nursing shortage there you go....there are not enough Nurses now and it is only getting worse. I would love to work at my local hospital but I'm not an RN so I can't get a job there. Instead I work for an insurance company.

I would love the opportunity to take the RN boards so that I could prove my worth and demonstrate the knowledge you only learn by doing.

I also happen to live in the not so great state of Illinois (the only state that does not recognize the Regents Program of home study for LPN to RN bridge), how do we 40+ year olds keep our jobs and go to school fulltime? Let's be honest most can't do both.

I am currently still taking the pre-req's a class at a time that are rrquired to even try to get into a program that may let me bridge out the first year. If I am so lucky to do that I would not be able to work and go to school fulltime, then what?

I do understand and in many ways agree LPN's should not just be grandfathered into being an RN but there could be criteria set. Like licensed LPN >10 years, completed the pharmacolgy course, completes courses and training for CEU's, etc.

All I ever wanted to be was a Nurse and to many people I still am not....it's all in the initial's I guess.

RN=REAL NURSE.....LPN=LICENSED PRACTICAL NON-NURSE
(Yes, that is what someone called me because they only wanted an RN to care for them because I wasn't a nurse)


Grace Rice,  LPN, Manager of Medical ManageJuly 18, 2008
Naperville, IL

Between 1946-1964 76 billion babies were born in America. Now they are getting old. I say let those LPN who workded 10 or more years that want to chanllenge the RN exam. They are experienced enough to make critical decision.

Mida July 09, 2008

" We as nurses need to embrace all levels of nursing by honoring and supporting one another " Amen
Watering down standards for a given license or other credential is neither necessary nor sufficient to solve the problem of nurses not being treated itrh proper respect by one another. Ms. LAwson has it exactly right.

Thomas Dolan,  clinical instructor,  MGH IHPJuly 06, 2008
Charlestown, MA

AS a nurse for almost 30 years, I, too, have wondered why nursing schools make it so difficult for LPNs to ADNs. The schools in my area refuse to accept any of the nursing or general ed credits I have already completed, because they are "too old"---and it is the school I received my diploma from! Somehow, I don't think Humanities has changed that much....

I would be willing to take refresher courses in nursing skills, because I think it is something we all need. I do resent having to take the NLN entrance exam at this stage of my career to be considered for entry into school.

I have worked in med-surg, ED, oncology, geriatrics and now ambulatory care, so my experience is diverse, and I have had innumerable people over the years express to me that my skill level would equal, sometimes surpass, that of RNs they knew. At the local community college the differences between the RN curiculum and the LPN curriculum are some general ed courses, a management course and A&P. That's it. No advanced nursing courses, no IV training (I'm, IV certified), no training on EKG reading (I can read basic EKGs), no leadership courses (I've been a charge nurse and supervised 8 staff members at a time), yet, I cannot be placed in advanced standing to complete these other courses because none of prior learning counts, my experience doesn't count and I need to prove I'm "more worthy" than a high school student to apply to the RN program.

If this is how the future of nursing is to be played out, is it any wonder that people leave the profession within 5 years or that working nurses become discouraged about trying to advanced in their careers? The interesting thing I have experienced is that LPNs usually remain in the field where many RN grads leave after a year in our area because it isn't what they expected. They expecterd their ADN to land them administrative positions, not floor jobs. If everyone is working in administration, who will take care of the patients. It is sadly amusing that hospitals will hire CMAs, "patient care technicians", LNAs all to do the work that LPNs can do with their eyes closed, while, at the same time, declaring LPNs obsolete.

Perhaps it is time nursing leadership looks carefully at what is REALLY happening in medicine and utilize those of us who have been in the field more appropriately, respectfully, and determine ways to stop making returning to school for our RNs less about making money for the school and more about improving the quantity and quality of available nurses.

Holly Eckert,  LPN,  Mt Ascutney Physician PracticeJuly 06, 2008
Windsor, NH

Re: David, RN's response to my posting:

I agree with you, David, that allowing LPNs to challenge a portion of the SRN practicals is appropriate, and yes, that would increase the number of RNs in practice. But many of these respondents (including the author) do not discuss challenging practicals and taking the addiditonal classwork that they do not get in LPN programs; they simply wish to be grandfathered-in with an exam of sorts.

My ADN program offered the first and second semesters of the program as challengeable to in-oming LPNs, and many take advantage of this option.

Nursing is a profession; we as professionals have strived to present this image by our standards of education. To accept anything less implies to other professionals and to our patients that we tolerate quantity, without thought to quality.


Desiree Wyatt,  BSN,RN,CCRN,MSN(c),  Springfield Medical Care Systems/Springfield HospiJuly 03, 2008
Springfield , VT

" give LPNs what they deserve we all work just as hard as RNs " In response to Ms. Porter, I agree that 'what we learn in the field ' may be more important than what we learn in the classroom, but that is not true without qualification. Classroom preparation is part of what allows one to take advantage of clinical experience, the two types of learning experience complement each other. As far as who deserves what and how hard nurses work, I think that argument is without merit. Many CNAs work as hard as or harder than most nurses, and, often at less congenial tasks. As far as who deserves what, people deserve to be treated equitably and honestly, but professional qualification standards are not set and should not be set based on what is fair to candidates, but on what serves to protect the public best. I believe that nurses combining work, study, and family obligations work much harder than nurses who are not studying and have no family obligations. This does not of course affect the standards they must meet for licensure, or, for example, their salaries.

Thomas Dolan,  clinical instructor,  MGH IHPJuly 02, 2008
Charelstown, MA

Lisa needs to go for it; I will sign her e-petition!

I am an RN because MANY years ago (1975) California had the insight to allow LVNs, w/ a dictated amount of time in service, to challenge the RN exam. To pass the exam I did take extra classes / used various study guides / etc. I have held my license / practiced now for 33+ years; over the years I've held CCRN (Was actually one of the 1st), Red Cross Disaster Mental Health, and a variety of other professional credentials.

To the responder Wyatt who asked "So then, what title do we assign these RN/LPNs?" I say 'Nurse;' that is what the Board calls me.

Could this perhaps... be an answer to some of the RN shortage? Imagine that!

David ,  RNJuly 02, 2008

I am curious about one thing, and that is why any prospective RN would want to be granted a license without the appropriate education.

LPN programs were established to provide nursing status for candidates who had been out of school for many years, or as in some cases, had never finished their education. They could be trained to be nurses, and support the RN staff, but were never meant to equal nor supplant the RN licensure.

My mother graduated from Diman Vocational Technical School in Fall River, Massachusetts in 1964 with her LPN diploma, and she worked her tail off to earn it. Being a vocational program did not mean that the requirements were not as tough as the RN programs. What it did mean, was that the depth and amount of education required for licensure was less than that of an RN. That fact has not changed. Her LPN program was 18 months long, and she carried 6-8 patient caseloads, no less than the diploma RN students were assigned. LPN programs are now 10 months in duration, and the caseloads they carry are far less. They are doing less, and learning less, than the original programs' design. If the LPNs from the 18 month programs are not eligible for RN licensure, justify to me why they are qualified now, with less education and less experience? And if there are LPNs who are doing RNs work, I would question their motives for accepting such assignments without the support of their Standards of Practice for their state. I would question the practices of their employers, as well.

I have worked in facilities whose administration wanted to squeeze every dollar out of their nursing staff, and turned a blind eye to LPNs assigned to patients with drips and ventilators. These LPNs were "assigned" RNs to oversee them, and they enjoyed the complexity of the assignments.

First of all, the RNs had their own full patient load. Secondly, in the interests of assuaging the LPNs who wanted the difficult assignments, the patient (i.e., consumer of health care, the one who was buying the services)was then and is still, entitled to the appropriately licensed nurse who has the education and skill to perform the entire assigment, not just to dip in and out every time a drip needs to be adjusted, or to answer alarms and maintain the ventilator system because the inappropriately-assigned nurse cannot.

We all have had times in our lives in which it was a struggle to earn our degrees (20 years for me to get to BSN), but it can be done.

In nursing school, we were never allowed to take short-cuts in providing patient care; we needed to learn all the detail so we would know and understand the rationale behind every decision we made.

So then, what title do we assign these RN/LPNs? Diploma RN? They can't be ADNs - they haven't done the collegiate level work, and what college would award credits based on years functioning at an LPN licensure?

The bottom line is, you need to further your education and take the needed classes in microbiology, chemistry, and pathophysiology; otherwise, your RN status is meaningless.

Desiree Wyatt,  BSN,RN,CCRN,MSN(c),  Springfield Medical Care Systems/Springfield HospiJuly 02, 2008
Springfield , VT

I have read this and I think its great that this LPN is doing this, I have been a nurse for five years and prior to that a CNA,QMA and there really is no difference in a LPN and RN i have worked with LPNS who know way more than the RNs in charge, I think schooling is important but what we are learn in class is nothing to what we learn in the field, but LPNs dont get enough credit for what they do know and I know that there is alot of LPNs who could sit for the RN and pass and do better then fresh RNs right out of school. with the nursing shortage and the lack of nursing schools,LPNs should be allowed to sit for the RN, with that said I do believe that they should have at least 5yrs behind them before they sit, we learn more in the field doing then any book or classroom work could teach us. I hope that more people will read this article and see that LPNS are much smarter and knowledgeable then what credit is given, allowing LPNS to sit for the RN would help ease the nursing shortage and give LPNS what they deserve we all work just as hard As RNS.

michelle porter,  LPNJuly 01, 2008
culver, IN


As a nurse who started off her career as an LPN, I can truly empathize with the thoughts of feeling underappreciated, underpaid and simply not respected. Truth be told, for hospitals and facilities that utilize them, LPNs are a vital element to the healthcare team. It is unfortunate that many facilities remain under the flawed and simply inaccurate principles that practical nurses should not be used in healthcare. Practical nursing is a profession of its own that proudly embraces a unique and valuable scope of practice.

The training programs for practical nurses differ greatly from the training programs of registered RNs. I know, as I've done both. Perhaps several years ago, before starting my arduous quest to become an RN , I may have agreed with Ms. Morell's belief that LPNs should be given the opportunity to "test out" of the NCLEX-RN. The truth of the matter, however, is that an LPN is an LPN and an RN is an RN. True, some LPNs very well MAY be able to pass the NCLEX-RN ~ but this doesn't mean they will be able to practice safely as an RN. While they are still highly skilled professionals, they are not prepared to face the challenges in which RNs are specially trained to handle. While the approach to patient care remains similar, I can now say that by practicing as an RN I have a significantly broader knowledge base which encompasses all aspects of healthcare delivery, healthcare science, clinical practice and nursing management.

I will always highly regard the profession of practical nursing, as it is through my practice as an LPN that I've learned the essentials of the nursing profession and the attributes necessary to possess to succeed in nursing. If an LPN has the desire to continue forth in his/her educational journey and become an RN, there are plenty of options available. Many community colleges offer ADN bridge programs in which the LPN can earn an Associate's in Nursing in as little as 1-2 years. Many 4-year colleges and universities now offer bridge programs for LPNs as well, with the degree awarded being a BSN. Whether an LPN decides to later earn an RN is entirely up to them. It's highly commendable if they do ~ but if they do not wish to or it is simply not feasible for them, they should know they still remain indispensable to the healthcare team, and will continue to have a highly respectable career and secure future.



Dina  Salvatore,  R.N.July 01, 2008
Martha's Vineyard Island, MA

As a registered nurse for over 30 years who is now a nurse educator- I was absolutely blown away but this idea. I have taught LPN to RN bridge programs and believe me my students have told me how different the educational prepartation is between the LPN curriculum and the RN curriculum. Yes, the LPN were great at technical stills but needed that "critical thinking" piece. I love working with LPNs and they derseve all the help and respect we can give, however in no way should they be allowed to take the NCLEX RN test. I am a geriatric nurse practitioner but do I feel qualified to take the physician geriatric board certification - NEVER! Entry into nursing practice is still a sticky problem, the LPN was designed as nurse extender, no matter who runs rings around who- it is the RN on unit who will have and accept ultimate responsiblilty for the standards of care. I am amazed that my fellow nursing collegues don't see this difference. Does this person believe NAs should be allowed to sit for the LPN boards??? When would it end?

Tracey Siegel,  Nursing InstructorJuly 01, 2008
Old Bridge, NJ

I am a LPN who is now approximately 3/4 of the way to sitting for the RN exam. In the article "Testing the Waters" it was mentioned that LPN's were being asked to perform RN duties due to the RN shortage .It is the responsibility of every LPN to know what the scope of their practice involves. The discussion should be towards how the RN shortage is effecting patient care, and we should have open forums to promote the understanding into each nursing licensure. As a LPN studying for an Associate Degree there are many area that this level of learning covers that the PN programs doesn't due to the time restraint and the scope of practice. LPN were suppose to be the front-line staffing under the direction of a RN or Physician. As an LPN I don't believe that the patients and/or Nursing as a profession would benefit in any way by having nurses test out to get a degree that they did not earn through long hours of learning. Patients needs both types of nurses, those that are trained in technical/direct patient care and those that are trained for leadership roles. We as nurses need to embrace all levels of nursing by honoring and supporting one another.

Christina Lawson Rockhill Mennonite CommunityJune 30, 2008
New Britain, PA

As a past LPN that went on to become a RN, I feel that there are many wonderful LPNs, and at the facility where I work, we don't treat our LPNs any differently. I do not feel however that LPNS should be allowed to challenge the state boards, if they want to become an RN then they need to go back to school take the classes and earn the credits, like everyone else.

Jackie Muse,  RN,  HospitalJune 26, 2008
Elkhart, IN

I think the time has come for the "establishment" to get real, and make the necessarty changes so that once and for all, out LPNs / LVNs can challenge their RN boards and have their prior years of work experience count. People who have been in the military as MAs challenge LVN boards, so why not?
You bet we collectively need to show respect for our LPNs /LVNs.

I can honestly say, I have had the opportunity to work with many LPNs who as an RN I had more faith in than many of my peers. Their educational programs are slightly less than a basic AD program.

I support this 100%, especially in light of our nursing shortage, and the ridiculous and cumbersome process we nurses have to deal with to advance our educations. The CEU arena should be a place where we can all earn college credits and be on a track for advanced degrees. The cost of these online colleges is ridiculous, especially with gasoline prices, and 10% cuts in Medi-Cal, and cuts to provider reimbursements, and even cuts to salaries of nurses.

Our profession needs to step up and make the necessary progressive changes neded to maintain an adequate number of nurses for our society.

Rose Straka RN

ROSE STRAKA,  530,  2197June 26, 2008
Yuba City, CA

I am an RN of 27 years and have worked with some of the most knowledgeable, capable, and caring LPN's. I know that most hospitals are phasing them out and replacing them with CNAs. That is a shame. I would rather work with and LPN who has had more than a few weeks training especially when emergencies arrive and you need someone with experience and education to be at your side. I have suggested to many that they continue on with their education and become RNs because they would be great at it.
Challenging an exam does not included all the class hours in many other fields that most of us as RNs have had to take. Experience is always a plus but does not guarantee the ability to take on the added responsibility and all that goes with it. I do feel that they need respect as we all do and should stand up for themselves because they are a fine addition to staffing and can bear the responsibility that their jobs demand. Have faith and courage to be who you are and never stop learning or challenging yourselves to become better and knowledgeable.
Get out there and let your voices be heard to support who you are!

Pat June 26, 2008
CT

It sounds like this movement to have LPNs challenge the RN exam is because the LPN doesn't feel like he/she is a valuable member of the Nursing profession. Perhaps what they should spend their time and energy on, is image and perception.

Pat June 26, 2008
CT

Another way to look at this is to look at whether the NCLEX licensing exam is the most important requirement to become a registered nurse. There are two other requirements in the Commonwealth of Massachusetts: to graduate from an accredited school of nursing, and to be of good moral character, which mainly involves avoiding felony convictions, I believe.
The main purpose of the licensing examination may be not so much to distinguish those likely to be good nurses from those not likely to be good nurses among new nurtsing graduates, but the main purpose may be as quality control on nursing programs lest they become too lenient in their admission or graduation requirements, or, at is more likely, lest they nadequately prepare their students for being new nurses.
We all know that many excellent nurses had trouble passing the licensing exam and that.. well it might be unkind to spell out what we all know about some nurses who did quite well on the exam and are nevertheless...well, I said that I wasn't going to go there, didn't I. Therfore,
passing the NCLEX is insufficient to show necessary
knowledge, judgement, and skill to be a beginning RN. The teachers in a nursing program have years in which to discern whether, for example, a student is 'safe' in clinicals. But somehow LPNs should be r recognized for all their knowledge, judgment, and skills they do have after several years experience.
I believe that to say that RN students know the why as well as the what is too broad a statement, too large a claim.But there is something to it. I believe that a compromise should be looked for here that is respectfiul of LPNs, while, of course, keepng the protection of the public as the main priority. Tom Dolan, MPH, RN

Thomas Dolan,  clinical instructor,  MGH IHPJune 25, 2008
Charlestown, MA

I do not agree with LPNs being able to "test out" to the State Board licensing exam for RNs. They might have experience, but they lack the education component that was recieved by RNs. The education and training is not the same. If it were there wouldn't be two different catagories of nurses. Testing out of specific courses on the path of education to become an RN is very different than trying to test out of the whole thing. My family and I sacrificed a great deal for me to get the education that I needed to become a bachelor's prepared RN and so I don't want to hear the whining about how hard it is to find the time and money to do it. Most employers will pay for tuition and books as long as a certain grade is earned. They should find the time and find the money, just like all the RNs that earned their title. And RN and an LPN with the same level of experience is simply NOT the same.

Sabra Booth,  RN Team Leader,  Children's Medical CenterJune 25, 2008
Dallas, TX

It is time for the nursing profession to establish the minimal entry level requirements into the profession. The BSN level of education provides a sufficiently rich educational and clinical background to best ensure consistent quality bedside care.

As an ADN, then BSN, and now an MSN, I find that investing in one's education, and ultimately in one's patients, takes commitment, intellectual curiosity, and creative time and financial management.

Patty Bartzak,  Staff RNJune 25, 2008
Boston, MA

Employers sometimes do subsidize tuition for employees, but tuition is so high that it is hard for most employers to do more than they do (even if they do nothing now). Two of the most out-of-control costs in our society are health care and higher education.In both cases people often do not pay for themselves. This can result in higher costs as consumers (patients, students, clients ) do not comparision shop or alter their behavior in the way that consunres usually do. I am not sure that LPN's should be able to challenge the RN licensing exam, but efforts should be made to make it easier for them to prepare for the RN exam. I think that it is not unreasonable to have LPN's challenge a number of courses in AA, As, and BSN programs, especially clinical courses. Most students who took didactic courses but no clinical courses would not have a clue about the material in their classroom nursing courses - you have to see it to really know it, but in the case of many LPN's they could understand the material in a way other students can't. In general
nursing programs should as much as possible eliminate make-work and eliminate any requirements that are not really necessary to preparation for the profession ( I don't mean eliminating humanities, social science, or natural science rerquirements).
I don't necessarily mean eliminating any course, buteliminating papers or reading, if the objectives can be met in a more student-friendly way. Educatros should view the time and energy of their students as a finite resource to be called on only with good reason.

Thomas Dolan,  clinical instructor,  MGH IHPJune 25, 2008
Charlestown, MA

The time has come to establish an entry level educational requirement for the nursing profession. I think the BSN should be the entry level requirement. As one who started as an ADN, then BSN, and now MSN, my experience is that the critical thinking skills needed to complete the BSN constitute the baseline requirement to deliver consistent quality bedside care.

Patricia Bartzak,  Staff RNJune 25, 2008
Boston, MA

This is a good thought, to be able to challenge the boards for your RN degree. I also am an LPN, and yes at times I feel very strongly that this could be a good idea, but it isn't. As LPN's working in the nursing field, yes we get hand's on experience, but not any of the actual theory and pathophysiology that is required to be able to work as an RN. I am currently in the process of attempting to get my RN and it is NOT easy. Yes we need some sort of HELP from the establishment's to aide in this course. The hospital's in my area are now requiring all LPN's to get their RN degree or they will be out of a job. A time period of 2 years is what will be allowed to achieve this goal. So as we work we also have to find time,,which we do not really have, to attend classes. To be able to just attend class and not worry about how we can pay for these would most likely speed things along.

entered on June 25, 2008

dawn mcintyreJune 25, 2008
palm coast, FL

I totally disagree with this proposal. "Running circles around RN's" is not exactly the standard that I would judge a good nurse by. I also started out with an AA degree and worked my way up to MN. An LPN may think that they know as much as an RN, but you really do learn on a deeper level each time you tackle the next step in a nursing education. We are supposed to be patient advocates and scientists, not waitresses that compete over who can go faster.

My bigger question is why employers don't step up to the plate and give LPNs and other staff that are wanting to become RNs a FREE education and paid time off, or at least work with them. Healthcare is a booming business right now,(no matter how they always cry poor mouth). The means are there to deal with the nursing shortage.

sheila malmberg,  RN, MNJune 25, 2008

I do not believe a bridge is the answer. I believe that LPNs still need the college body of knowledge that a RN receives whether in a AA, BSN or hospital program. Despite the nursing shortage and the report of same, I am appalled at the quality of service that is evident in the profession at this time. I am embarassed and very perplexed by the lack of what I perceive as caring and the fundamentals of caring for the whole person. You cannot learn this profession unless you have the necessary infrastructure knowledge and learn the "whys". LPN's know the how. I should know, I was trained in a hospital based PN program in 1965. I went back to school. I obtained my AA, BS and MSA the hard way. I say go back to school, enjoy Fundamentals of Nursing, culture germs in Micro and find out what Pathophysiology is. As an older nurse close to retirement, it amazes me how everyone wants a quick fix. Sorry for the long epistle but it burns me up to believe that you can challenge RN programs, you really can't. Blood, sweat and tears comes with the territory.

Gloria Speller RN, MSA,  Operations Manager,  GovernmentJune 24, 2008
Philadelphia, PA

This sounds like a wonderful idea on the surface. However, there is more to this than just challenging. An RN education is more indepth and includes theory and pathophysiology. True there is nothing like experience but this is saying a law clerk can be a lawyer or a nurse after 10 years can become a doctor. Education, education, education. To remain a respected professional and protect patient safety there must be a minimum level of education to enter a professional field such as nursing. I applaud any LPN that wants to become an RN but it should be done through the education process. True there is a shortage of nurses but grandfathering in or allowing someone to take a test does not qualify them for the increased level of responsibility of an RN when compared to an LPN. If nursing wants to remain the most trusted profession we must as a group ensure there is a basic of 2 year degree to even sit for the exam. A four year would add to our profession. No other profession such as lawyers, physicians, engineers have as many levels of entry into a single profession. The public already is confused why add to that for the sake of a shortage. The answer is to provide better funding and incentives for instructors and LPNs that want to become RNs I would love to be a NP but cannot afford to go to school full time so I do it one class at a time.

Rosemary appelt,  RN/MSN,  VAJune 24, 2008
Las Vegas, NV

I was an LPN, who went to a diploma RN program, and then got my BSN. Regretfully, until you go through the educational programs "you don't know, what you don't know." While it was the long road, all of it was well worth it. I'm glad there was not a "test out" option, I would not be as good of a nurse.

However, I strongly believe nursing programs need to be more creative in helping others who wish to advance their career in nursing. There are all kinds of AD to BSN & MSN programs, and even BSN to PhD programs; how about RN programs for CNA's, EMT's, and LPN's.

Diana June 24, 2008

I have mixed feelings about the bridge from LPN to RN by challenge exam. I've heard all the arguments: So-and-So RN's care is nothing compared to the LPNs she works with; LPNs that can "run circles" around the RNs she works with; etc, etc. I have heard the same about LNAs compared to LPNs and RNs, have heard the same about RNs to doctors. Many patients have said as much to the nursing staff - the "gee-you're-so-smart-why-aren't-you-a-doctor?" schmaltz.

"Grandfathering" a diploma RN to ADN, an ADN to a BSN should not be done w/o some collegiate classwork: you think and feel differently about your practice everytime you advance a degree. A sense of professionalism, if you will. It is no different w/ LPN to RN status.

I attended a state college that offered LPNs the opportunity to challenge-out the first semester (or two) of their ADN program, and I embrace as that as the most professional approach. To simply slide in the door w/o any collegiate exposure to upper level nursing classes makes a mockery of the registeed nurse as a professional.

It's your learning experience; don't you want to get something out of it? My BSN courses opened my eyes to a whole new point of view of professional nursing I had not conceived. To have "slid through" to a BSN w/o that knowledge would have made the advanced degree meaningless.

Desiree Wyatt,  BSN, RN, CCRN,  Springfield Medical Care Systems/Springfield HospiJune 24, 2008
Springfield, VT

As a newly licensed Registered Nurse, I feel that I must comment on this issue. I started my nursing career as a Licensed Practical Nurse and continued my education with Distance Learning because there was not availibility in my home state of Connecticut for acceptance into an RN program without a two year wait. I have been on both sides of the fence and my education to become an RN has provided me with the professional and extended knowledge to perform my job to the best of my abilities.
On the other hand, when I was an LPN, I frequently performed many tasks that were designated to an RN, while being supervised ny an RN. I never forgot that she/he was responsible for my actions and did my job to the best of my abilities. I was the primary nurse on a busy rehab unit that was a step away from acute care. I learned much through hands- on experience. I
The difference in my professional care manifests itself with all of the preparation my RN program has required of me. To take this a step further, perhaps that if LPN were to complete the General Education courses and an abbreviated matriculation program, then they could challenge the RN exam and become Registered Nurses.
I did not forget where my beginnings were, as it has been a bumpy road to get to where I am and I firmly believe that the profession must be kept to a standard of education; a Registered Nurse is a college educated nurse and it must continue to be.
I am currently in a BSN program because I believe that the field of nursing is a continuous leraning process.


Rosalie Shabet, RN,  Unit Manager,  Harborside HealthcareJune 24, 2008
Woodbridge, CT

Let me first state, I have worked with some excellent LPNs in the past and literally could have not given the care to patients unless I had such wonderful support. Upon reading Ms. Morell's comments it occured to me although I had my Associates Degree in Nursing (2 year program thenupon completion passed the state board) I understood acquiring my BSN was going to be the entry level in the future. I sacrificed and secured a BSN. I did not say let me take the tests without taking the courses first!!! That said, it seems to me LPNs should want to learn more about the profession and proudly strive to earn a degree (2 or 4 years). Then,at that point, they could sit for their state board exam to be licensed as a Registered Nurse.

Diane Luke,  RN, BSNJune 24, 2008
Gainesville, FL

I have been working on my RN off and on for about 5 years now and am enjoying the review. I have done most through excelsior, so it has been fairly easy to do. But I wouldn't dare take this route had it not been for the varied experiences I have had during my 10 year career in acute care settings and some per diem long term care. I don't think all LPN's are prepared to become RN's by merely challenging the test. At least through excelsior you have the opportuniy to prove your clinical experience after doing the bookwork at home. Although at this point I wouldn't mind being able to just take the exam! But really, how is this any different then say an RN with 10 years experience wishing they could just take a test and get their BSN? I have been very fortunate to get the experience that I have and to work with people who trust my judgement and have helped me to become a good nurse, but I have worked with a lot of LPN's who just dont have the experience or confidence to work independently as an RN in any setting. I'm sorry, but going back to school is the only responsible way to do it. There are so many flexible ways to do it now!

stacy thomas,  LPN,  hospitalJune 24, 2008
Quakertown, PA

I agree with the Nurse who feels that LPNs should be allowed to challenge the NCLEX. After 10 years of nursing experience surely they have learned the ropes and have a clear understanding of the things RNs do that LPNs are not allowed to do in a hospital setting. Experience counts!

Catherine Jedynak,  Nurse Auditor,  HCAJune 24, 2008
Palm Harbor, FL

Why does someone practice as an LPN for 30 years in the first place? What stopped her from pursuing an RN eduation over this lengthy period. Taking one class a year would have been sufficient. It's kind of like being 10 credits short of your BA for 30 years!

Daniel Polowetzky,  RNJune 24, 2008
New York, NY

I have been a nurse ( with critical care experience)for 21 years. I have 2 masters and more than one certification, maybe I should challenge the medical board and request to take the medical examination.That`s ridiculous!!!!!! LPN to take the RN exam? what about the nurse aides taking the LPN board? we do need nurses so let`s have the aides take the exam as well.
I would strongly suggest that the interested LPN to go back to school, take loan/tuition reimbursement, use their valuable time toward taking online classes than to support this idea of challenging exam.They need the knowledge, they need the education just like everyone else. Do not sit down and listen to anyone who would make them incapable of learning and would gear them toward the "short cut". It is nonesense; they can learn, they can afford better education. Most of the professional out there are full time parents, employees and students what makes them (LPN) so different? to the nusre who is encouraging the LPN to lobby for this idea of challenging RN exam, please encourage our colleagues (LPN) to use their expertise, their knowledge to ace the RN classes. They (LPN) can do it!!!!

Carmel Garcon,  RN, MSN, FNPJune 24, 2008

I understand the rationale behind this petition and have yet to form an opinion.

However, many of the comments are bothersome:
"LPNs who could nurse circles around them"
"many LPNs...who are far superior to new RNs:

Your argument has more weight if you can support your agenda without denigrating someone else. Explain why LPNs should be allowed to challenge the NCLEX-RN. Merely comparing them to RNs is not a valid argument. There's a top and bottom of the barrel in every profession.

Steph ,  RNJune 24, 2008
TX

I was an LPN for 12 years before sitting for my RN boards. The LPN experience was invaluable, but not enough. There are plenty of accelerated ladder programs for LPN to RN. The education is more broad for RNs, and to omit that education would be a mistake. I am also seriously opposed.

Christine ,  RNJune 24, 2008
NJ

I am completely for alowing LPN's with a certain amount of experience to challenge the RN exam. I would like to point out that there are many RNs with a diploma. That is a hospital based, nursing related only course. There are many LPNs that I have worked with who are far superior to new RNs. IN EVERY WAY!! We need nurses. Book smarts does NOT mean the person is a good nurse, or knows what they are doing. If an LPN can challenge and pass the exam, why shouldn't they. We don't restrict the numbers of times RN grads can take the exam, and not all of them pass the first time. What does that say about the level of education? We deffinitely shoud have LPNs with 10+ years of hands on experience challenge the exam.

Heidi June 24, 2008

To the LPNs who want to become RNs: GO BACK TO SCHOOL! YOU ARE ALMOST THERE! If hospitals want LPNs to become RNs, they need to give more support to help them achieve that goal. I have met many LPNs in my practice, and I could not see, with few exceptions, letting LPNs practice as RNs just because they can pass a test! Take out loans, utilize tuition assistance, and finish your education.

Thomas Viscuso,  Staff Nurse,  Riddle Memorial HospitalJune 23, 2008
Media, PA

As a nurse w/10+ yrs exp,Ive met many RNs who just don't have the technical knowledge that we are supposed to have(new grads & experienced nurses) & I've met LPNs who could nurse circles around them.I support it.Healthcare NEEDS nurses period!Let's stop drawing lines in the sand & work 2gether.

Adrienne  Brown ,  RNJune 23, 2008
Plainfield , IL

Just because someone has been an LPN for 10 years the educational background is different. What about an RN with a BSN or AD degree. There are man other courses that are required. What about the humanities, social sciences, nursing theory and research? I am seriously opposed.55

Karen .,  RNJune 23, 2008
Browns Mills, NJ


     

Email: *

Email, first name, comment and security code are required fields; all other fields are optional. With the exception of email, any information you provide will be displayed with your comment.

First * Last
Name:
Title Field Facility
Work:
City State
Location:

Comments: *
To prevent comment spam, please type the code you see below into the code field before submitting your comment. If you cannot read the numbers in the below image, reload the page to generate a new one.
Captcha
Enter the security code below: *

Fields marked with an * are required.
 
 
 

Search Jobs

Zip

Go
 
 

Search Articles

Search our archives for print and web articles.

Go >