GetWiki
Licensed practical nurse
ARTICLE SUBJECTS
being →
database →
ethics →
fiction →
history →
internet →
language →
linux →
logic →
method →
news →
policy →
purpose →
religion →
science →
software →
truth →
unix →
wiki →
ARTICLE TYPES
essay →
feed →
help →
system →
wiki →
ARTICLE ORIGINS
critical →
forked →
imported →
original →
Licensed practical nurse
please note:
- the content below is remote from Wikipedia
- it has been imported raw for GetWiki
{{Short description|Category of healthcare professional}}{{Redirect|LPN|}}- the content below is remote from Wikipedia
- it has been imported raw for GetWiki
factoids | |
---|---|
United States
According to the 2010â2011 Occupational Outlook Handbook published by the Department of Labor's Bureau of Labor Statistics, licensed practical nurses care for patients in many ways:{{Blockquote|Often, they provide basic bedside care. Many LPNs measure and record patients' vital signs such as weight, height, temperature, blood pressure, pulse, and respiratory rate. A licensed practical nurse (LPN) in much of the United States and most Canadian provinces is a nurse who cares for people who are sick, injured, convalescent, or disabled. LPNs work under the direction of registered nurses or physicians. They also prepare and give injections and enemas, monitor and also perform placement of catheters, dress wounds, and give alcohol rubs and massages. To help keep patients comfortable, they assist with bathing, dressing, and personal hygiene, moving in bed, standing, and walking. They might also feed patients who need help eating. Experienced LPNs may supervise nursing assistants and aides, and other LPNs.As part of their work, LPNs collect samples for testing, perform routine laboratory tests, and record food and fluid intake and output. They clean and monitor medical equipment. Sometimes, they help physicians and registered nurses perform tests and procedures. Some LPNs help to deliver, care for, and feed infants.LPNs also monitor their patients and report adverse reactions to medications or treatments. LPNs gather information from patients, including their health history and how they are currently feeling. They may use this information to complete insurance forms, pre-authorizations, and referrals, and they share information with registered nurses and doctors to help determine the best course of care for a patient. LPNs often teach family members how to care for a relative or teach patients about good health habits.}}According to the Occupational Outlook Handbook, while most LPNs are generalists and will work in any area of health care, some LPNs work in specialized settings, such as nursing homes, doctor's offices, or in home care. In some American states, LPNs are permitted to administer prescribed medicines, start intravenous fluids, and provide care to ventilator-dependent patients. While about 18 percent of LPNs/LVNs in the United States worked part-time in 2008, most work a 40-hour week. The Occupational Outlook Handbook states that LPNs may have to work nights, weekends, and holidays; often stand for long periods and help patients move in bed, stand, or walk; and may face occupational hazards which include exposure to caustic chemicals, radiation, and infectious diseases; back injuries from moving patients; workplace stress; and sometimes confused, agitated, or uncooperative patients."In California, licensed vocational nurses (LVNs) empty bedpans, commodes and clean and change incontinent adults. Licensed vocational nurses read vital signs such as pulse, temperature, blood pressure and respiration. They administer injections and enemas, monitor catheters and give massages or alcohol rubs. They may apply dressings, hot water bottles and ice packs. They help patients bathe and dress, treat bedsores and change soiled bed sheets. LVNs feed patients and record their food consumption, while monitoring the fluids they take in and excrete.In May 2008, the median annual wages of LPNs/LVNs in the United States was $39,030, with the middle 50 percent earning between $33,360 and $46,710, the lowest 10 percent earning less than $28,260, and the highest 10 percent earning more than $53,580. Median annual wages differed by setting:{| class="wikitable"Advancement
In some settings, LPNs/LVNs have opportunities for advancement, including the possibility of becoming credentialed in a certain area (such as IV therapy, gerontology, long-term care and pharmacology) or of becoming a charge nurse, responsible for overseeing the work of other LPNs and various unlicensed assistive personnel, such as nursing assistants. Some LPNs/LVNs choose to undergo further education and become registered nurses. LPN-to-RN training programs ("bridge programs") exist for this purpose. These include further classroom study to obtain at least an Associate of Science in Nursing (ASN) and clinical practice followed by another exam, the National Council Licensure Examination-Registered Nurse (NCLEX-RN).The origins of the practical/vocational nurse can be traced back to the practice of self-taught individuals who worked in home care in the past, assisting with basic care (ADLs such as bathing) and light housekeeping duties (such as cooking). Licensing standards for practical nurses came later than those for professional nurses; by 1945, 19 states and one territory had licensure laws, but only one state law covered practical nursing. By 1955, however, every state had licensing laws for practical nurses. Practical nurses who had been functioning as such at the time new standards were adopted were usually granted a license by waiver, and exempted from new training requirements.Janice Rider Ellis and Celia Love Hartley, Nursing in today's world: Trends, issues & management (Lippincott Williams & Wilkins, 2004), pp. 194â195.The first formal training program for practical nurses was developed at the Young Women's Christian Association (YWCA) in New York City in 1892. The following year this became the Ballard School of Practical Nursing (after Lucinda Ballard, an early benefactor) and was a three-month-long course of study concerned with the care of infants, children and the elderly and disabled. The curriculum included instruction in cooking and nutrition as well as basic science and nursing. The school closed in 1949 after the YWCA was reorganized. Other early practical nursing education program include the Thompson Practical Nursing School, established in 1907 in Brattleboro, Vermont, (still in operation today) and the Household Nursing School (later the Shepard-Gill School of Practical Nursing), established in 1918 in Boston. In 1930, there were still just 11 schools of practical nursing, but between 1948 and 1954, 260 more opened. The Association of Practical Nurse Schools (APNS) as founded in 1942, and the next year the name of the organization was changed to National Association for Practical Nurse Education and Service (NAPNAS), and the first planned curriculum for practical nurses as developed.Lois White, Foundations of Basic Nursing (2004), pp. 46â47.Canada
In Canada, nursing, as with all other health care professions and trades, is regulated by the respective province or territory, through an enabling statute legal scheme where an act of the relevant legislature grants delegated authority to a non-sovereign entity such as a college of nurses with powers to regulate the profession within specific parameters and also grants to the respective minister of the Crown oversight and the powers to write regulations through a Ministerial Order in Council.As an example, the Canadian province of British Columbia's enabling act is the Health Professions Act, RSBC 1996, c. 183, and the resulting nursing-specific regulation is incorporated into one Regulation together with a number of other practitioners such as audiologists and naturopaths in the Health Professions Designation Regulation, BC Reg 270/2008.While the act and the regulation outline basic organizational architecture, each professional organization creates its own bylaws and codes of conduct and practice subject to ministerial and judicial review and must be in compliance with accepted norms of administrative law such as transparency and accountability in governance, fundamental principles of natural justice, an internal appeal process and compliance with the Canadian Charter of Rights and Freedoms.Such legal schemes enable self-governance and save costs to governments by delegating regulatory responsibilities to a self-funded and self-administered professional entity, but are also known to engage in protectionist practices since the delegation also grants a monopoly for the provision of services to only one body, as widely studied by the late economistA nurse who is entitled to practice in one jurisdiction cannot work in another without applying to and being granted a license by the local regulatory body. Educational, legal and practice requirements are similar, so mobility is possible; however, the nurse still has to fulfill requirements, such as writing exams and paying fees, in each location they wish to practice. This is akin to all other regulated professions where the provincial government holds exclusive jurisdiction.Practical nurse compensation
The average hourly practical nursing salary at the entry level is 24.00 CAD an hour. The highest practical nursing salary at the experienced level is 36.00 CAD.WEB,weblink Licensed practical nurses: Wages and Salaries in Alberta - alis, However, some practical nurses may make upwards of 40.00 CAD an hour. Many nurses also receive overtime compensation for the long hours and understaffing of many institutions.Ontario
Ontario uses the designation Registered Practical Nurse to refer to a role known as Licensed Practical Nurse in the rest of Canada and elsewhere. This should not be confused with Registered Psychiatric Nurse, a title used in certain other Canadian jurisdictions.WEB, Nursing Programs in Canada,weblink www.cna-aiic.ca, en, 2020-05-03, All nurses in the province of Ontario are regulated by the College of Nurses of Ontario (CNO), to which they must apply for and maintain membership. "College" in this case is used similarly to the word "board"; they are not a school or training provider themselves. To apply for membership, an applicant must satisfy requirements including completion of an approved two year post secondary training program, evidence of recent practice as a nurse, pass both an entrance and jurisprudence examination, be proficient in either English or French, have legal authorization to be employed in Canada, disclosure of certain past or ongoing legal proceedings, disclosure of certain proceedings involving practice of nursing in other jurisdictions and disclosure of certain kinds of health conditions and disabilities.WEB, Registration Requirements,weblink College of Nurses of Ontario, 2020-05-03, In 2008, there were 27,432 RPNs registered as practicing with the CNO.JOURNAL, Membership Statistics Report 2017, Membership Statistics Report, College of Nurses of Ontario, 2017, 7, 38, 40, 1916-047X, By 2017, this has increased to 48,748.By comparison to other classes of nursing in Ontario, there were 104,483 RNs and 3,083 NPs. 90.9% of the 2017 RPNs were female and the average age was 40.8 years. 89.9% attended a nursing school in Ontario; however members who previously attended nursing schools outside Ontario which were not accepted as valid by the CNO at the time of their registration are not reflected in that number.The CNO's definition for a nurse's scope of practice is: "The practice of nursing is the promotion of health and the assessment of, the provision of care for, and the treatment of health conditions by supportive, preventive, therapeutic, palliative, and rehabilitative means in order to attain or maintain optimal function".cno.orgThe College of Nurses of Ontario (CNO) outlines 13 controlled acts, 4 of which can be performed by RPNs and RNs. The 4 Controlled Acts available to be performed by RNs and RPNs are:- Performing a prescribed procedure below the dermis or mucous membrane
- Administering a substance by injection or inhalation
- Putting an instrument, hand, or finger:
- Beyond the external ear canal
- Beyond the point in the nasal passages where they normally narrow
- Beyond the larynx
- Beyond the opening of the urethra
- Beyond the labia majora
- Beyond the anal verge or
- Into an artificial opening in the body
- Dispensing a drug
- Articulating and Promoting Practice Standards
- Establishing Requirements for Entry to Practice
- Administering a Quality Assurance Program
- Enforcing Standards of Practice and Conduct
- Accountability
- Continuing Competence
- Ethics
- Relationships (Therapeutic Nurse-Client Relationships and Professional Relationships)
- Knowledge
- Knowledge Application
- Leadership
United Kingdom
The state enrolled nursing qualification can no longer be gained in Britain. Prior to the implementation of Project 2000 which radically altered the face of nurse education in the mid-1990s, SEN students used to be trained within two years. Their course was a simplified version of the longer training offered to state registered nurses (SRNs, later to be renamed RGNs, registered general nurses and now known as level-one nurses). Some auxiliary nurses with many years of experience were selected to progress to enrollment as a SEN. People training to be SRNs who failed their exams at the third attempt were also able to enter the nursing register as a SEN. No new SENs are trained in the UK today. The Nursing and Midwifery Council (the regulatory body for nurses in the UK) previously used to allow people to be added to the register as level two nurses if they are moving from a similar position from within the European Union, however this has now stopped. Level-two nurses from the EU wishing to gain entry to the Register in the UK must be willing to train as a first level (staff) nurse. This is by two different means: starting their training from scratch as a pre-registration student nurse, or by joining an existing cohort of student nurses starting their second year of training, and completing years 2 and 3 with themJOURNAL, Karen Iley, 2004, Occupational changes in nursing: the situation of enrolled nurses, Journal of Advanced Nursing, 45, 4, 360â370, 10.1046/j.1365-2648.2003.02919.x, 14756830, Formerly, there was a large segregation between the "green" SENs and "blue" SRNs, which were the colour of uniform typically worn. SENs were very much complementary to the nursing team, however did not have the status of SRNs and were ineligible to be promoted, e.g., to ward sister. Many SENs sat or re-sat the SRN exams, however a large number did not and were quite content being a SEN. Nowadays, the divide between level one and two nurses is diminishing due to the small number of SENs still in practice. The demise of the SEN is lamented by many who saw it as a balanced way to staff a ward. However, the divide also meant that potentially, the gap in clinical excellence could be too wide.JOURNAL, Francis, Becky, John Humphreys, August 1999, Enrolled nurses and the professionalisation of nursing: a comparison of nurse education and skill-mix in Australia and the UK, International Journal of Nursing Studies, 36, 2, 127â135, 10.1016/S0020-7489(99)00006-1, 10376222, In many areas, ENs and SENs are being replaced with lesser qualified healthcare assistants educated to S/NVQ Level 3 or 4, being awarded titles such as Senior Healthcare Assistant, Senior Auxiliary Nurse, Senior Clinical Support Worker, Care Team Leader or Senior Care Assistant.Although originally viewed as a less qualified nurse, ENs and SENs are now able to hold the rank of Deputy Charge Nurse in the NHS and Deputy Home Manager in the private sector, as well as unit manager, both within the NHS and the private sector, and in some instances higher, technically out-ranking a staff nurse (first-level RN).Australia
The national Australian Health Practitioner Regulation Agency (AHPRA) issues permission to practise. Enrolled nurses (EN), or Division 2 nurses, in Australia must now complete the Diploma of Nursing and usually spend 18 months training, consisting of 36 weeks theoretical component at TAFE colleges, some universities or private institutions, followed by practical experience in hospital wards for the remainder of the time. The majority of ENs eventually move on to attend university and become registered nurses, although a substantial number remain as ENs in public and private hospitals, and nursing homes. Trainee enrolled nurses (TENs) become employees of the hospital for the twelve-month training period, meaning that, as well as gaining practical experience on the wards, they are paid for hours worked. This attracts a substantial number of applicants, who may wish to pursue nursing as a career, but are unable to afford to become full-time university students. As of 2009, however, the government has stopped working with the NSW Department of Health, and those wishing to become enrolled nurses are not being paid. The enrolled nurse programme also allows people to ascertain whether or not they are suited to nursing before they make the decision to study it at university level.The role of enrolled nurses in Australia has greatly increased in recent years in response to the continuing shortage of registered nurses in the Australian public health care system. In 2004, a medication endorsement certificate was introduced, allowing ENs to administer some oral medication (excluding schedule 8 drugs of addiction) upon completion. Although medication endorsement is now included in the diploma. Endorsement also permits the administration of some intravenous (IV) medications and fluids (intravenous therapy or IVT), as well as intramuscular (IM) and subcutaneous (SC) injections. Enrolled nurses (ENs) are also permitted to check & give Schedule 4 and Schedule 8 medications with a registered nurse. Most enrolled nurses working in public hospitals are permitted to conduct ECGs, collect pathology specimens, and routinely take a patient load under the direct supervision of a registered nurse.Despite the fact that the role of the EN in Australia has been greatly expanded in recent years, opportunities for career progression remain somewhat limited, and for this reason, many choose to go on and study to become registered nurses. In terms of financial remuneration, the earning capacity of an enrolled nurse is capped at five years of service, whereas registered nurses continue to eight years before salary capping is applied.See also
References
{{Reflist}}{{Nursing}}{{Authority control}}- content above as imported from Wikipedia
- "Licensed practical nurse" does not exist on GetWiki (yet)
- time: 6:06pm EDT - Wed, May 01 2024
- "Licensed practical nurse" does not exist on GetWiki (yet)
- time: 6:06pm EDT - Wed, May 01 2024
[ this remote article is provided by Wikipedia ]
LATEST EDITS [ see all ]
GETWIKI 23 MAY 2022
The Illusion of Choice
Culture
Culture
GETWIKI 09 JUL 2019
Eastern Philosophy
History of Philosophy
History of Philosophy
GETWIKI 09 MAY 2016
GetMeta:About
GetWiki
GetWiki
GETWIKI 18 OCT 2015
M.R.M. Parrott
Biographies
Biographies
GETWIKI 20 AUG 2014
GetMeta:News
GetWiki
GetWiki
© 2024 M.R.M. PARROTT | ALL RIGHTS RESERVED