You know you’re an LPN when…

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How do you know you’re an LPN (or an LVN if you’re practicing in California or Texas)?

See if you recognize yourself in the following tongue-in-cheek list, compiled by a 30-something Mississippi-based LPN.

1. You feel like Malcolm in the Middle—stuck between the RNs and CNAs.
2. You’re so used to eating cold food that you don’t bother microwaving anything other than coffee.
3. You put scissors, tape, TAO, Band-Aids and a black pen in your pocket everywhere you go.
4. You can identify pills found on the floor whether they’re brand-name or generic.
5. You are used to getting cussed out at 7 a.m. daily, thanks to the RP phone calls letting them know Mom’s Colace has been changed from capsule to tablet.
6. You go through more shoes than Paris Hilton to ward off foot pain.
7. You label all the meds you have at home with the “open” date and circle the expiration.
8. Your lunches sometimes consist of Mountain Dew and Snickers—the wrapper allows you to eat and chart without dirty fingers.
9. You get more puke and poo on yourself than a new mom.
10. You date and initial your kids’ Band-Aids.

Sound familiar? What would you add?

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Rachael Rainer

Rachael Rainer is a thirty-something LPN in Mississippi working the night shift. You can find more of her writing on her blog: and get her Twitter feed at

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121 Responses to You know you’re an LPN when…

  1. brenda gabrielli

    you are smarter than most rn’s that you work with….

  2. i am a cna and i am smarter than most rn’s i work with

    • keonikare

      then get credit for that knowledge and become an LPN!!

  3. Sarah

    WOW Catherine; you’ve got another thing coming with that attitude

  4. then why arn’t you licensed??

  5. mary

    Alot of Cna’s can follow directions well. However, they do not have the education to understand why they are performing certain tasks. Go to school if you want to be a real nurse.

    • Deidra47 RN

      I agree with you……if your a CNA and smarter then the nurses….prove it and go to school for nursing and then pass the boards. You don’t have the knowledge base to understand the whys of what is being done/the critical thinking being done in assessments.

  6. jessica

    yes, CNA’s usually think they are smarter than the nurse’s, although they lack the intelligence to get into nursing school.

    • cna2lpn Student

      I am a CNA and i am also a nursing student!!! You may want to think before you type! Just a friendly reminder!! Thanks!

  7. Amanda

    Every piece of the nursing chain is a critical one, but I do think we LPN’s deserve more respect than we get. I only went to LPN school because the waiting list for RN was too long then I started working towards my BSN and started a family so havent made it back yet. But I will.

  8. Janet

    You been an LPN so long, you feel you could pass RN boards, if they would let you try, but are too old and tired to go back to school. 8)

    • keonikare

      I have 41 years in nursing..I am very comfortable as an LPN..and glad sometimes that there are somethings I can’t do..and most of the time I get to go off shift while the RN has to stay!!

  9. Kari

    Wow, I thought this was supposed to be funny. Not putting people down for their job preference or intelligence.

    • Piratelady1192

      im an LPN, I agree I know a lot of CNA that are smarter than some nurses, but they like what they do so they stick with it. I think everyone in the health care proffession is wonderful and everyone has there own job to do to make everyones stay, at a hospital or whatever facility it is, to be a comfortable one, and I just want to thank everyone that provides this comfort that can be a hard thing to do :)

  10. cal

    Sheesh! Why are we bashing each other? I thought it was all about the patients. We all have our gifts and duties, just do them and quit complaining.

    • nurse4life LPN

      IKR! where’s the camaraderie here? I thought this site was for ALL nurses to gather and share stories and jokes….not bash one another. WOW…

    • sandrawallin

      I was told by my instructors that nurses “eat their young”, Wow I guess they weren’t exaggerating!

  11. Karen

    There are good and bad RN’s, LPN’s and CNA’s, all we can do is our best and encourage each other to do better. We can all learn from one another.

  12. Roz

    when things run smoothly its great but when one link decides not to follow protocol everything falls apart. The LPN is always in the middle. RN,s think they are smarter but forget we do the same job, CNA’s think the LPN’s can also do their jobs. So where are we running like a circus act doing everyones job

    • keonikare

      At my current job there are Unit managers that actually supervise RN’s that are med nurses…so actually the LPN and the RN have become interchangeable!!!….for me however..I gladly step out of the way on certain tasks that i’m glad i am restricted from doing (PICC lines for example)..I still have the upmost respect for an RN..and often wonder why some RN’s work in nursing homes when there are some exotic jobs that RN’s can have (cruise ships, amusement parks and flight nurses as an example)

  13. Rachael

    I would just like to say that this is my list and I was very disheartened to see the tone that the comments section took. I started out at 17 as a CNA and went back to school 15 years later and became a LPN. I chose to go to LPN vs. RN. It wasn’t because I couldn’t get in. I already had my A.S. degree and an ACT score of 27. I maintained a 3.8 GPA throughout college. I WOULD have gotten in the RN program if I had applied. We have all met people in every profession that we feel are complete morons; however; in a SNF, it requires everyone from laundry and housekeeping to the DON’s and Administrators pulling their weight to make it run successfully. Every person’s job is critical to the success or demise of our facility. EVERYONE’S JOB IS! So no matter if you are maintenance or social services or nursing staff; you are not only needed but valued by the Residents for the role you play in making their new home just that–their HOME.

  14. such and interesting thread. Why is there so much put down? Arent nurses suppose to be caring community? I became an LPN because that was the fastest way to get into the profession. I have a Bachelor’s degree in accounting, lived in five continents. Not as a tourist, but lived and worked in those countries. Let us not diminish each other’s experience. To the CNA, you have a role to play…you may know more about what is going on with the patient you are caring for than the nurse passing meds. but her job does not end with med passing. She has more other administrave work to do….even trying to decipher and make sense of your reports so that your facility will get paid, and you get paid. I wish you well though with your attitude.

    • keonikare


  15. JoAnne Byers

    I have been an L.P.N. for 26 years and I love my job. Many times I held the Chg Nurse/ Unit Manager position. I never felt any better than anyone. Cna’s Rn’s…no one. I believed we all worked together. I treated all with the same respect. I did my job and I also changed depends, did bedpans, started IV’s. answered called lights, filled their water containers, called the Phys. and anything else that was needed of me. I appreciated my staff, my cna’s were my eyes and ears, they reported to me things I was there to see or hear. My RN’s passed my meds, and helped with treatments, just like I did. And I would include them in everything I did. I may have been an LPN chg nurse, but they held a higher title than myself. I included them, even though I was told I didn’t have to. I always told My staff, we all worked together, It was a 24-7 facility, where one shift left off another one started. We picked up where the other left off. Yes I had worked with a good many people that worried me. But I looked back when I was “new” and I am glad someone was there to help me and work WITH me.
    Some of the statements above made me worry if this is the attitude out there in the work force, I hope not. Residents/ Patients can “feel” that. If they are there and it’s their home, they shouldn’t have to live like that. They need happy people who get along with each other, help each other. We need to make every day of their’s be great. So next time you want to made a “statement” instead, think of ways you can help these other employees, YOU will be the one who will feel good about yourself….. We need good cna’s and nurses, it’s a hard job, stressful enough ; why make it harder ?. ^j^

  16. theresa gorton

    I enjoy everyone I work with,we do well together.Its great to help a resident [or patient] to make their life better,and I like to feel appreciated. So do my residents. Its their home,they should enjoy it and the staff that takes care of them.

  17. heather

    if you’ve ever eaten out of a bed pan or used a tongue depressor as silverware…

  18. Trish

    Licensed Practical NURSE, Registered NURSE… both are still NURSES!! The article is funny, and in some ways true. I am so used to dating my medication bottles and my dressings, I automatically do that at home too. Just like I sign my checks with a RN after my name…

  19. Shannon J

    LOL Heather! So done that!

  20. Kathie

    You know you are the LPN when…
    crap rolls down hill and your the first to get caught.

    your passing meds, doing tx’s, Dr. orders, and patient care while your supervisor sits at the desk.

    you have learned to use the bathroom at the end of your shift.

    By the way, I just knew that the tone of this comment section would go negative. I have been in this business long enough to know. WE EAT OUR OWN YOUNG.

  21. Terri E.

    I have been an LPN for 24 yrs. now and have enjoyed it! If I wanted to go on to be an RN I could have but chose to help my husband who is self employed so I feel I have the best of both worlds. Life is what you make of it ! All nurses are needed for a good team! RN’s, Lpn’s Cna”s

  22. Tammie

    I have been a LVN for 22 years…I have learned many things from CNA’s…little tricks of the trade…that makes your patient more comfortable..most CNA’S do not have the chance to go further…they do most of the back breaking work…with little pay or respect…shame on you who would say one bad word agaist them. I bet, you got into nursing for the money,right?

  23. Tammie

    You know your a nurse when you can eat while talking about wound drainage

  24. Patricia

    My CNAS are awesome they have a job to do and they do it. They are my equal. I’m 57 I became a LPN 10 years ago because CNA work was to damn hard. God Bless all good CNAS. I can’t imagine my job without them.

  25. Angela

    The bashing and stating that anyone is smarter than the other is just wrong… everyone has their “smarts” so to speak. I started out as a CNA, went and got my MA, and now onto LPN. I dropped out of my RN program when I received my LPN due to the fact that I’m a single mother and my program required me to be away from my family 6 days a week and then homework for hours and hours every night. Oh, I plan to go back and no, I’m not getting any younger, but I’ve never felt like I was superior or inferior to anyone else. Yes, you tend to feel “in the middle” and yes there are those nurses out there that “eat their young” but in general, I’ve been really lucky to manage units with really good CNA’s and those that I felt did not do adequate cares were spoken to cause after all we are there for the patients, residents or clients.

    As for MY add to the list: You can direct the entire show better than any director and still perform massive feats of multitasking while still getting incident and assessment reports in on time.

  26. Sylvia

    Nurses are the eyes and ears of the physician, CNA’S are the nurses eyes and ears. I have a great deal of respect for the CNA’S. We should all listen to them.

  27. RuthAnn

    I am an LPN in the home health field and love it. the patients feel comfortable at home and love to kid around, its always an adventure everyday. As for coworkers i treat them as equals i have been on the cna side, do not wish to be an RN, they get more paperwork, i get to do the hands on stuff., oh and i have the habit of signing my name on checks with my title. out of habit. :) i can eat and talk of wounds, i carry scissors and bandaids everywhere. i have thought of what i would do if i had to choose another career, i come up totally blank. I love being an lpn.

  28. I love being a nurse, I am an LVN and will not make a comment such as “I’m going back for my RN” as if I am making an excuse about my LVN status…There a soooo many individuals that would give hand over fist for a nursing license and we see them all the time in the guise of nurse imposters…I am an LVN and proud of it, just ask any Pt that I have cared for….

  29. sue

    I have never in 30 yrs seen a CNA that is smarter than an RN…..NEVER, EVER! maybe more compassionate, but not smarter. no way, no how. Never will happen. I am an LVN and I will never ever say I am smarter than an RN, they have more eduacation, more training. CNA’s are good at what they do…..assisting the nurses, thats it….they are not smarter than the nurse.

    • pawillia0210 LPN

      Are you kidding !

    • caspear LPN

      I can’t believe you’re saying this with 30 years of experience! Do you work alone?

    • MsTee

      You are losing your damn mind…..I’ve been an RN for 8 yrs and many of the nurses I work with are complete idiots….CNAs are a gift from God And most I work with know more than some nurses….Think before u type

  30. Rhonda

    WOW! We’re supposed to be about patient care. That includes everything that these patients require! I’m an LVN, and I don’t hesitate to change briefs or anything else my patients need. I’ve been a CNA, and I know how hard my job would be withouth them. My CNAs are priceless, and I try to let them know they are appreciated often.

    Now, about the list…You know you’re an LVN when you can identify three different bodily fluids on your shoes, none of which are yours, and it doesn’t bother you at all.

  31. Debbie

    I am an RN. I was a nursing assistant while I was in nursing school. I said then that I would never ask someone to “go do this for me” I would ask for help. I hated it when nurses treated me like a grunt and I swore I would never do that to anyone else and after 20 years of nursing- never have. I have worked with LPN’s, LVN’s, CRNP,s and everyone else along the way. I want to tell you there were plenty of times I would have grabbed some of the LPN’s I worked with to go into a code than some of the RN’s I worked with. I don’t care what letters you have behind your name- we are all nurses. Some better than others…

  32. denise

    CNA’s are my backbone…I feel that I am a good nurse, but was told long ago by a brilliant nursing instructor,” if your a good nurse , your a good nurse..whether CNA,LPN,or RN..depends on your heart” she also added “nurses eat their young beware of the trap and respect everyone for the impotance of their role”…she started as a CNA just I did, and for those that think its about education and not compassion and teamwork , please find a new career, I am sick of working with you arrogant SOB’s that went to nursing school and have no respect for your team, YOU do not know what nursing is about!!!

  33. you know it is disheartening when fellow healthcare professionals bash each other, I am 51 yrs. old and I am a CNA, and and CNA 2 and a med-tech and I have been at the top of an assisted-living community as a Resident Care Director and did hiring and firing and orientation for new hires and training for staff and families in Dementia care of loved ones and it not easy at any level of this profession, and to get respect, you have to know how to give it, I work now in a nursing and rehab center in North Carolina, and we have some of the best RN’s and Lpn’s anywhere, our CNA’s and upper staff work well together and we all mulit-task fairly well together, go team, ya’ll have a great career and God Bless you all from the top to the bottom of the nursing profession.

  34. Jen B

    i too am diss harntened by all the damn bashing, STNA o LPN. in Procss of obtaining BSN. My 1 st day of clinicals an old RN at local hospital asked where we were in clinical and we said 1 st semester she replied, “get the hell outta my way, nurses eat their young…watch out.” Now reason for that crap. Police andFire have a brother hood,,why cant nursing have the same repoor, i absolutlely love my job and profession, not eveyone can do this job, we all have gifts but all we seem to do is one up eachother. I treat others how I am. I know where the line is and demand respect from my coworkers but I also give it, I believe its the nature of a woman dominated industry. i just dont understand where others get off pulling rank when not called for. Theres a way to handle and help teach and not come across so damn critical. Yes there are many that dont belong in the field and usually dont survive long…it would be gret for the majority of older nurses to be more willing to teach rather than push off the new ones…yes it taked time but we all know nursing school teaces u barely the tip of the ice berg…

    • CorrectionalNurse2012 Student

      The reason law enforcement has that brother/sisterhood feeling is cause your fellow cop or c/o is it when you are in the fight of your life. Different mindset. Plus the fact that nurses are trained to be passive and suppress what they truly want to say cause we have to be supportive and compassionate to people who are non compliant with treatment for whatever they are dealing with. All that suppression builds up and thus the eat your young attitude develops. If law enforcement were passive it wouldnt be a very effective system. Why do law enforcememt officers wear the colors they do? Psychological presence. If a cop were to wear other colors would you respect them less than when wearing typical cop colors?

  35. Tammy

    I am an LPN. I have never wanted to be an RN, I like the hands on part of the job too much. Before I became a nurse I was an aide for most of my adult life. I feel EVERY nurse should HAVE to be an aide before they can move forward. There is no such thing as “just an aide” (as I was told by my RN when I was an aide) as they are 1 of the most critical parts of the nursing TEAM. If the above posts are any indication of our thoughts and feelings towards the other parts of our team, its no wonder we have and will continue to have a nursing shortage.

  36. shirley lynn

    I am sickened by the negativety on this page. I was looking for funny ha,ha and find the same old crap..The RN is the real nurse and the LPN is lets pretend and no respedt for the CNA..This is revolting..As always the pt comes last while everyone else is butting heads…

  37. Brian

    So, lets turn the negativity around? I have to say. I know CNA’s, LPN’s, RN’s, and NP’s that could do each other’s jobs up and down. it’s about the PERSON, not the letters!!! That being said, i LOVE being an LPN. I like it when others thing i’m “below” them because I know better. I don’t have to advertise that! CNA’s are the Flo Nightingales and need to be respected! Imagine what we’d be doing without them!!!!!!!!!!!!!!!!!!!!!!!!!!!

  38. Jocelyn

    I have been an NA, CNA, CMT, and LPN. A good, HONEST team is the key to making our job a success.As a nurse, my aids and/or CMT can make me or break me. We are all equal. It is a wonderful thing when you have a group that has the same goal and works together to achieve it. I am very lucky to have found this out personally. I’ve heard it is a once in a lifetime thing. Wouldn’t trade my profession or experiences for the world!!!

  39. Tina R

    I AGREE with the following;Brenda G,Sarah,Rachael,Kathie is absolutely right ! ,and Janet most definately took the words right out of my mouth…..And Tammie’s comment should DEFINATELY be added to the list….

  40. Julzz Fico

    i was a CNA for 22 years before i was blessed with the opportunity to attend nursing school & its my expeience that those years @ the bedside providing direct patient care were a HUDGE asset when i began clinicals during LPN school..i had NO fear when it came to performing proceedures due to this experience & i’m SO greatful for the experience & confidence those years gave me…ROCK ON all you prudent CNA’s!!!

  41. SCaskeyRN

    LoL…I loved this! I was an LPN for 8 years before I became an RN.
    I pretty much love me some awesome CNA’s and LPN’s! :)

  42. Nema

    This putting each other down is sad…You have your good CNA’s,LPN’s/LVN’s and RN’s…Then there is the not so good one’s…Then there is the one that think they are above all the other and refuse to get their hands dirty and that’s your bad ones…I was a CNA for 7 years before I became a LPN…We all put our BFF started at bottom then she worked her way up slowly to become a RN…If you look closely we all have a “N” in our signature… C”N”A…LP”N”…R”N”…God put us here to take care of each and their love ones because without God we have nothing and we are nothing…So we need to thank our God and love and respect everyone on here and at work.

  43. Karen

    Just because someone is a CNA does not make them incapable of being a nurse if they had the time or money. I don’t think that any of us should bash the other. I am fortunate enough to work with nurses who work together to help each other out instead of stabbing each other in the back. CNA’s do not get paid that great here in Georgia. Matter of fact, they could make more money elsewhere without needing a license, so the majority have to be in it because they love the patients. I have total respect for them.

  44. Michelle

    I am a CNA, and I just started my 3rd year as a CNA. I am currently pursuing a BSN. I chose to go onto nursing school because I really, really LOVE working in healthcare. I also have been blessed to work under some really great RN’s and LPN’s. Those were the people who really inspired me to go onto nursing school. I’m not doing it for the money or the respect; I’m doing it because I feel that God has given the the talents and abilities to care for people. I must say that some of the comments above made me feel like I was less of a medical professional because I’m a CNA and not yet an RN or LPN. Then there are some of you who made me feel good about what I do. Thank you to all of you RN’s and LPN’s who make being a CNA such a wonderful job. I am super excited about becoming an RN, not because I don’t like being a CNA, but becuase I feel that’s the perfect next step for me in my career.

  45. Barbara

    As a LPN, I have learned from many people with a variety of initials after their names. We can all help to, “make or break” our fellow employees. I will be forever grateful to the CNA who taught me how to put a pull-up on a resident sitting on the toilet without removing his pants…..this trick has probably saved me hours throughout the years. I once worked with a RN who pointed out the fact that a lot of RNs only have one to two more years of schooling than LPNs or CNAs, yet don’t show professional respect to them. Most of these same RNs expect to be shown respect from MDs and DOs, with approx. eight more years of schooling.

    Once, when “floated” to a different floor, I overheard a CNA tell a RN that a patient had expired. The RNs reply was, “You are supposed to be getting vitals, not making nursing assessments.” The CNA’s reply, “Pulse 0, respiration 0, temp. 75.8, bp 0/0. Make your own nursing assessment.”

    Remember, “United we stand” refers to all areas of life.

  46. Wanda

    my Lord have never seen such comments about each other, anyone that works in a healthcare facility knows that everyone works as a team and should above all put the resident, patient, or customer first!! We should provide a red carpet serivce to the one who most of all needs our help, remember we go home at the end of our shift but they can’t! Attitudes should be checked and bring out the caring, love and forgiveness that brought us into this profession! Doesn’t matter what level of education you have but as long as we provide a smile, great attitude and kick it up a notch to ensure that when we go home we can know that we helped someones life that day!!

  47. JoBeth

    I am a LPN of 21 years! I feel I have been a witness to so much experience and situations and am grateful! Yes, the job gets so hectic and you must be a jack of all trades, sometimes you can’t give all to everyone all the time but first and foremost is your patient!!
    Delegation is a hard job for me because I feel and think that everyone working needs to do their job and if they don’t then I will do it and sometimes exhaust myself mentally & physically. I do not know any other way! I LOVE being what God made me for!!!!!!!!!

    • nurseygirl LPN

      I love being a nurse too. I know I was born to take care of others. I love joining others and taking care of my patients.

  48. Jessica

    Well, I for one have been a STNA for 10 years, I am now going to Nursing school to become a LPN, And I have you know, I have ALWAYS been able to go to school to go on with my career in nursing, sometimes things just do not allow it! But I hate nurses that come in straight out of school and start to put us down. Until you have done the things that I have, and taken care of the things that I have as an Aide, keep your mouth shut! I will not be a nurse that takes her aides for granted! I know what they go through. I APPRECIATE my aides!

  49. Patricia

    well let’s get back to the funny. I love the Cna’s i work with and i have empathy for them and I thank them for all the hard work they do. I was a CNA for thirteen years before CNA.s had to be certified and we did not have lifts to heip us lift patients,I did not have any prior training. We got our training on the job through on the trial and error basis and there were no limitations on what we could do. If the Nurse in charge asked us to do vital signs, do wound care ,change colostomy bags,tubefeedings and clear the pumps we had to do it even if we were short of staff and had 50 patients a piece to take care of and we had to wash and dressed some patients in the morning and get them up in put them in their gerichairs or wheelchairs and also do 4 rounds at night. That is one reason i went to School for LPN because I felt I knew a lot about nursing and I wanted a less strenuous job but after I became a nurse i realized that we all have a hard job to do because the stress of being in charge of the whole floor when you have 30 pts. a piece and when emergencies occur everyone looks to you to handle it and you have the job of calling the doctor and convincing him that this patient needs to go to the hospital is not an easy job maybe not as physical as the CNA but mentally stressing which can also wear on you physcially as well and the paper work is just horrific, i dread it but if they dont then you can’t get paid. sometimes i think i am just a paperwork nurse. but I thank my CNA’s because they are the ones that have helped me when i was new at a facility and have given me much insight into my patient needs and care but i have also been helped by my fellow nurses LPN’s and RN’s alike with out all of us people would not live as long as they do and their lives would be worst off so hats off to all of us Nurses and CNA’s.

  50. Dawna

    I once was pulled over, and in Fl you are apparently asked “Do you have drugs, or weapons in your car?” and then “Will you allow me to search your car?” Replied yes, as the officer got to my glove box, he said, “Are you a nurse” replied “yep”… apparently, all my bandage scissors, bandaides, and alcohol wipes and other paraphernalia were enough he knew!
    Another time, one asked me where I was going in such a hurry. I told him on my way to the hospital. He found a bottle of honey I had just bought that morning in my glove box, he said “I hate to ask, but is that a urine sample in your glovebox?” LOL
    Just a funny story of what we carry and why. Yes, I tend to be heavy footed, dont bash me OK? I have never been cited.
    As for the rest of the comments: I have been a proud LPN for 18 years. I have learned something from all the people I work with, CNAs, fellow LPNs and RNs alike. I have managed a LTC care unit, and I will say that if it were not for my CNAs respecting me as much as I do them, my job would be much harder. There are good nurses and bad nurses. But, our job is our residents/patients, and we have to work together so that they get the best care you can provide. No one and I mean no one, needs to bash others. No matter your initials Your job will be much harder if you do not learn to get along, do your job to the best of your ability and with in your scope of experience. We are here to care for others, and learn from each other. When you stop doing that, it is time to get out of the profession.

  51. Shelly

    That’s so crappy, I’m a CNA…and it’s true. Most of the nurses I’ve worked with are lazy and they treat LPN’s and us Aid’s like crap. Maybe they should sit back and realize that “passing pill’s” isn’t a hard job like they think it GO LPN’s AND CNA’S!

  52. Vickie

    As a hospice LPN I love it when we get meeting notices in our mailboxes that read: Nurses’ meeting Tuesday at 1 pm. Mandatory for ALL nurses. Then I find out the LPN’s are to do the visits while the “nurses” attend the meeting. Actually, in this line of work I get the cushy part – 25% of the paperwork, 75% of the pay.

  53. Sue

    I have been an LVN for 10 years now, and I get so tired when I tell others that I’m a nurse they assume that I’m a RN,and when I tell them I’m a LVN all they can say is Oh,and alot of RN that I have worked with treat you as a glorified CNA, and I was a CNA for 10 years before I got my LVN license, I think that we as LVN/LPN should get the same respect as RN do and not be look down at. Since we can DO almost everything thing an RN can do, but yet jobs are far and few between for LVN/LPN’s and that sucks !!!!

  54. Ronni

    As a home care and school LPN I agree, do they forget that we ARE nurses. LPN’s are trained in patient care not administration, that’s why I don’t want to go back to school for my RN. I love the patient part of the job.

  55. Gecko64

    *I check expiration dates on all food and non-food items and throw them out when expired or no date is found.
    *I use non-medications ways to alleviate pain and fever first.

    I love it when a RN asks me what I saw in a wound, or some sort of assessment and I say jokingly :”IDK I can’t assess, I’m LPN.” Or rather solving a problem I pass it onto the RN. It all depends who I work with and what the situation is. I would never endanger the safety, welfare or comfort of a patient at expense of making an off color title related joke.
    Sometimes some things and people just get under my skin!

  56. Julie

    I’m an LPN who is working shifts as a CNA because of being short staffed again…this is in a skilled nursing facility. I respect wholeheartedly the hard work that CNA’s do everyday and I don’t mind doing the work. I also find it interesting that no RN has been asked to do this however all LPN’s on staff are “filling in” CNA shifts; are we going to start having CNA’s filling in nursing shift??

  57. Krissy

    I find Shelly’s comment offensive. Nurses do more than pass pills, and saying that is as hurtful to me as it may be hurtful for a CNA when people say that all they do is wipe butts. Both stereotypes are untrue and we all know that. We are all an important part of the healthcare team, can’t we all just get along?

  58. Jenn

    The comment that really goes through me is this…
    “That shift is for a nurse and an LPN”.
    Um wait, aren’t I a nurse? I believe that everyone is an important part of the medical team, why is it necessary for some to belittle eithers. None would succeed without the other.

    In my job, I have the same exact Pt load that RN’s have. And yet I get no recognition for what I do sometimes. It’s disheartening. I love nursing but something has to change.

  59. Have been in “nursing” since 1970! started as a CNA right out of high school became a Licensed psych tech (california) and then back to my Alma mater as part of their 1st LVN grads…now 40years later and countless experiences..”I’m still a nurse’ now doing homecare as an Independent Homecare provider’, and seriously considering entering an RN program. I tell people they will find me dead doing charting & careplans..but its a love I guess!!

  60. jamie

    To the above CNA…LPN’s are NURSES. So NOT ALL NURSES ARE LAZY and treat CNA’s like crap. In my job, the CNA’s are the ones who don’t know where thier role stops and the nurses (RN,LPN)role begin. Go to nursing school, work as a LICENSED PRACTICAL NURSE and see how it gnaws at you to not be considered a NURSE. Oh and BTW, LPN’s can do EVERYTHING a CNA can do PLUS alot of what an RN can due. Remember that and realize the LPN is OVERWORKED and UNDERPAID.

    • MsTee

      CNAs are also overworked and underpaid….I’m an RN and at one point was a Cna….The problem is when a CNA tells a unexperienced nurse how to do something they take it to heart…’s not about over stepping boundaries it’s about doing your job& giving the proper care…I think ALL N NURSES should be CNAS before becoming a nurse….Than You would have a different attitude

  61. Audra

    I’m an LPN in a nursing home, with the exception of IV meds, I am the RN without the title. I get yelled at by doctors and family, I get the paper trail, I get the mandatory inservices on my day off… fortunately I graduate an RN program in May and I should get the pay raise I deserve for doing the same job I’ve been doing for 2 years!!!

  62. Stacy

    Wow. Kindergarteners mad at 3rd graders who are mad at 6th graders who are mad at 8th graders who are mad at 12th graders. So goes the CNA, LPN, ADN, BSN, MSN pecking order. Don’t like it? Not happy with people schooling and learning more than you, therefore making more money and having greater responsibility? Go to school or continue to be unhappy. Your choice.

  63. JoBeth

    I went into Nursing to do one thing! Provide the best care to those who can not at the time care for themselves. I love being a Nurse regardless if I am “just an LPN” I have considered and am at this time wanting to obtain a RN degree but I keep “postponing” my decision. Why I can only guess is that I am so comfortable as a LPN. Others can treat me as they want if that makes them feel better but I do my job for the ones that count! The client,patient,resident,etc. Not for the Dr.,RN,family,CNA or even Dietary for that matter!
    Some people act “higher than thou” and treat their co-workers badly but it sounds to me they have a serious self esteem issue…so let me do my work and go elsewhere for the drama!
    I LOVE being a LPN:)

  64. I hate when i have to go to RN to do my work..i then feel less than a nurse…or i’m told to let the RN’s do this or that when i am qualified. Thank-God i work with good bunch of RN’s that also get irritated at the separation..I realize by State some things are allowed or not allowed, thats not a problem..I plan to move forward to RN i don’t care how old i am. I am now 53. boy that sounds so old.

  65. I hate when i have to go to RN to do my work..i then feel less than a nurse…or i’m told to let the RN’s do this or that when i am qualified. Thank-God i work with good bunch of RN’s that also get irritated at the separation..I realize by State some things are allowed or not allowed, thats not a problem..I plan to move forward to RN i don’t care how old i am. I am now 53. boy that sounds so old.

  66. yoshiki56

    You go Jamie! i was a STNA for 4 yrs, now i am a LPN for a year. I walked in both shoes as STNA and LPN. I agree we could do anyone job, but no one is willing to do our job! I know how to clean, turn and feed my clients. I know how to pass meds, change dressing, insert foley and IV, and deal with the grumpy doc. and family.

  67. Norma R.N.

    Well i am a R.N. And have been for 2 decades I started off as a CNA so to say nurse’s are lazy there are good cna’s that are so good they should become a nurse and there are both LPN”S, and RN’s that should have never become a nurse I have never seperated myself from a LPN we are all nurses, I encouraged my friend who is a lpn to go back for her RN because I was one of the few rn’s that would defend her from the mean rn’s at work, i also worked with a lpn that had a attitude with me because she was a lpn and she would downgrade all the rn’s i told her shut up and go back to school stop displacing your meaness onto others. We are all an important part of taking care of patient’s I treat everyone the same and demand the same in return. BTW my husband is a 2 yr lpn grad and luvs what he is doing and has no desires to go to rn school so remember for every rn that treats a lpn l or cna out there like crap there are us rn’s that don’t as long as we are treated with the same respect we give. God bless all of us in the medical profession no matter what your tittle is we as a team make the outcome for the patient the most poisitve.

  68. Allison

    I am an RN who has a Masters in Nursing, and I will be the first to say that we would me in a big mess if not for the LPN’s who care for patients. I got my real education into nursing shortly after I got my RN from an LPN, have taught nursing (LPN because I chose to teach LPNs over ADNs), and am back in the nursing home setting—I see every day how valuable CNAs and LPNs are. I have worked as a CNA and can say first hand they work very hard and get very few THANK YOU’s! THANK YOU LPNS AND CNAS FOR ALL YOU DO!!!! YOU ARE VALUED–

  69. Sherry

    Well…..I have read all the comments, and I can say I would have to agree with them all. I started out in the medical field in 1983.I was first kitchen staff in a nursing home then became a CNA. Back then the CNA’s did almost as much as the LPN/LVN does today. The LPN/LVN back then did mostly specialized treatments and passed medications while the RN was the charge of the floor. The RN rounded with the Doc, called abnormal labs values, etc. Everyone respected each others’ titles. We ALL chipped in together and did team work to care for the patients/residents. In the years since those times, both the CNA and LPN/LVN roles slightly changed, but the RN still was the charge or worked in specialty areas. Much of the skills and requirements varied among states, facilities and that individual staff person and their extra training obtained. I managed small urgent care which was part of a chain of urgent cares in one state. It was very strange for me that in 1995 when I moved to Southern Ca., the roles of the LPN/LVN were extended past what I had ever done. I basically managed an AIDs clinic, scheduling appointments and transferring patients to hospital for more extensive treatments and education on prevention and treatment. I worked on a tele floor. As part of my requirement I had to be ACLS, EKG and IV certified. The tele staff, regardless of their title, floated to ICU, ERD, Rehab, Out Pt Procedures and Med/Surg. The CNA seldom went to ICU but occasionally they were floated to help with heavier patients. What I was shocked at that LPN/LVN’s were required to take IV cert class which included hanging blood! Not TPN, but Blood. Now once I got my certification and I had an outstanding record of compentancy, under an RN, I could hang a replacement TPN bag as long as it did not contain lipids. I also gave some pushes, on narc and non cardiac meds. LPNs were part of an IV team that would rotate staff every day. We were responsible to report if an IV was needed and usually hung out at the ERD. I put so many IV in, even in pediatrics, I was very good. Now I live in Az. Laws are a bit different. But in the 10 yrs I have been here, the roles for the LPN has extended. Piggy backs, IV fluids, No blood or TPN, No pushes. Central and Picc line IVPB are also added and as of 2010 wound care assessments. Now the kicker is: where I work, most if not ALL of these skills have been taken away to now I feel we are more or less a glorified CNA. They have removed LPNs from one our sister site facilities. They have allowed CNAs to draw blood and given them titles PCT (Patient Care Tech, with training).But LPNs were not allowed to draw blood, start IVs etc. So after all these years I am trying to get my RN. It has been tough and I am almost there. I love being a LPN but I cannot take the uncertain job security and the constant changing and confusion of scope of practice. I can do wound care but I cannot assess the wound. I can give pain medication but I cannot assess for pain. I can give insulin but I cannot teach my patient about blood glucose and insulin. There is something wrong with this picture. If you keep up with the medical journals, CNAs will require a license like the LPN. The LPN will require a degree the the Associate RN. The Associate RN will be dissolved as was the diploma Rn (3 yr RNs), and to be an RN you must have a bacholers. The associate RN will be witness to much of the confusion and scrutiny as the LPN has. Medical world is changing. For the good or bad? Who knows? To me a CNA, LPN, RN: we are ALL nurses. We ALL care for patients and we ALL should respect each other and work together. As a LPN I rely on the CNA to tell me what they know about the patient we are caring for. They spend more time with them. Many of the RNs I work with rely on the LPN to do the same for them. I know Rns I can do circles around and I know CNAs who can do circles around us both. We are all CARE GIVERS. Have a great night folks.

  70. Barb

    I find it interesting (amusing/irritating) that some RNs show little respect for LPNs with one or two less years of schooling. At the same time expecting respect from DOs and MDs with six more years of schooling.

  71. jessica

    wow all the drama….i was a cna for 3 yrs and went back to scool for my RN, i been a RN for 2 yrs but i remember all the work i did as a cna, now its mostly paper work, i dont mind gettin down and dirty wit my cna’s now an then! cant we all jus get along! lol!

  72. charity

    I’m glad its not all that drama at the facilities I work for. We all get along great. I guess you could say we know the real meaning of team work. We all walk out toether talking and laughing, all glad to be headed hpme not putting each other down. Work is alot better and the day goes faster when each team member is doing their part. I am proud to work where i do. We all appreciate each other, to us its not only the way it should be but its the only way we will have it.

  73. Kim

    You are always going to have classification in ranks mainly due to the insecurity in that person who wants to make their classification known. I am a CNA/PCT for 13 yrs and counting I have the utmost respect for the RN and the LPN because it does take hardwork and dedication to have those careers. I have worked with some nurses where I had to remind THEM that they needed to chart or get ready for report and I can finish the grunt because they are so into what nursing is all about, the entire aspect. I do think that I would be good as a RN/LPN, but I do know my boundaries as a CNA/PCT as to what I can perform and what I can say to the patients since I feel have being training to be nurse all of my life coming from a family full of RN’s, LPN’s, and paramedics SO from my grandmother to my sisters, to my father; leaving their manuals, nursing notes, text books, (all by the way I’ve picked up for curious reading when I was younger so I was able to keep up with the dinner/gathering conversation, lol). I have a innate passion and love for the profession and whatever degree I chose to take it to another level (nothing wrong with growing and wanting to do something more), it saddens me like most the posts here that there is division when CLEARLY unity is needed to provide patient care that is so desparately needed by sick individuals who come to us needing aid and assistance. Respect works both ways, the superiority attitude from either group only injuries the patient, and think about it, how would YOU feel as a healthcare professional if someone were to half-ass on their duties assigned to your loved one because of some drama that’s not really about patient care, but status and some other BS?

  74. Gena

    I to was expecting giggles at the beginning of these post but was shocked by the posts I read…I have been in the health care profession before you even had to be licensed as a CNA, then got my CNA, worked everything from home health , nursing homes, rehab, hospitals, ER, you name it. After 25 years of that and a divorce later I finally got my LPN instead of RN due to 3 kids to raise and time. I have been very fortunate to have worked with some outstanding Nurses and health care providers, not all have the same mind set but in the end I hope we are all here for our patients…that is what makes me feel good about what I do.

    You know you have been in the health care profession to long when:
    -you can hold your urine for 12 plus hours
    -you can eat your lunch of chips in a bed pan
    -salsa in a spit basin
    -use a tongue depressor as a knife
    -go from cleaning poo to craving a snickers bar
    -making bets on what the alcohol level will come back as on your pt that just rolled in and pee’d on you and through up on your shoes
    -putting KY on the phone or the door and waiting for someone to get it…hope it wasn’t the
    -go from rolling down the hall in a chair in a race and squirting each other with syringe water to a pt coding at the door and everyone does all they can to help save their life and help the family
    – the family you make in your coworker and pt’s you pray for and will never forget
    -I feel blessed to have been a part of such a long and prestigious career of health care providers as a CNA. LPN, and hopefully one day as a RN…

  75. product

    I love the cnas smarter than most RN comments. how many cnas have you met that can describe the diff types of shock and treatments for each? how many cnas can pick up a posterior MI on an ecg? how many cnas can breath and walk at the same time? ok maybe some can do the latter.

    • Abby

      There is a difference between smart, intelligent, and educated. I was a cna and am currently a nursing student. Just because someone doesn’t have the education of an LPN/RN/BSN/MSN… doesn’t make them any less smart. Most of us who have been to college or have read about INTELLIGENCE elsewhere know that it is not necessarily only made up of what one has learned. I am not anymore INTELLIGENT now than I was as a CNA. I am only more educated. When it’s an issue of education, it is not an insult. Anyone: CNA/HHA/PCT and I’m sure I’m forgetting some, might have the potential to become just as educated or even more than LPN/RN/BSN/MSN… They just might not have had the opportunity to do so.

  76. ReNee

    When you truly cease to believe what you have been told about being a “pill-pusher”, that that is the main role of an lpn….I worked my tail off when I was one, learning and taking on many, many different tasks, and I’m still working my behind off….much respect and white hats off!

  77. KLRRN

    Why is it that LPN/LVNs and CNAs are allowed to bash the RN, but not the other way around? All I’ve seen on this thread were multiple LPNs and CNAs stating how “stupid” RNs are. Well, I tell you what. I started out as an Aide. I wiped many a butt in my day as an aide AS WELL AS during my career as a RN. I’ve also had eight patients, as well as admissions/discharges working alone with ONE other RN on a floor with a patient load just like mine. How many of you are willing to do that?? I’ve seen LPNs walk off a floor because there was no aide. Also, for all of you saying that “s*it rolls downhill”, guess what, as the RN on the floor, if one of the aides or LPNs doesn’t do their job, who gets called out? That’s right, the RN because “you were supposed to be watching them”. So please, think before you speak. We all made a choice to join this profession, no matter what capacity. I do not treat anyone that I work with like crap. From the US to the MD. Evidenced by the friendships that I have made over the years. Believe me, most days I would gladly trade the responsibility of my title for the responsibility for yours. However, I also like my paycheck. Have a nice day.

  78. Abby Student

    This whole thread is just a perfect sample of relational agression. I suggest a book that I am currently reading, “When Nurses Hurt Nurses”. Oh by the way, anyone in healthcare can benefit, and there is a reason why we’re all hired by the Nursing Department.

  79. cocochigg

    The RN’s come running to you because they can’t figure out how to put in a foley, NG tube, unclog the feeding tube, etc.

  80. penny LPN

    You tell a person what you do for a living, and the first response you get is….”Oh, when are you going to get your RN?” This used to really annoy me, until one day when I was hanging out with my friend who is a Family Nurse Practitioner (FNP), She told the person we were talking to what she did for a living, and their response was…” Oh, when will you go on to be a doctor?”Do what you are good at doing and always be true to yourself! There are a lot of not very nice comments to this post. Every person has value from the boy who boxes your groceries-to the surgeon who saves lives on a daily basis. Be kind, and compassionate. It makes you a better person no matter what you choose to do for a living.

  81. cna2lpn Student

    To jessica…..I am a CNA and i am also a nursing student!!! You may want to think before you type! Just a friendly reminder!! Thanks!

  82. laura00seven LPN

    Oh my! This has become a very heated discussion. Intelligence and job title really are two independent things. And many people who have not advanced as far as they have wanted probably either love where they are or can’t because of money or family situations, not because they are stupid. I have worked with nurses who feel they are better than others because they carry a higher title, or have better judgement than nurses with a lower title, and most of the time, that arrogance gets them brought back down to earth pretty quickly. I’ve always learned that the most important people to trust are the most experienced. You may have a very experienced tech who has more tricks up his/her sleeve than the charge nurse.

  83. nurseygirl LPN

    I am disgusted by some of the comments. Wow, what egos in an occupation that none should exist. I believe in the old saying, give someone enough rope, they’ll hang themselves. I don’t deem myself better or worse than anyone. When I go to work I have in my mind and heart to do good work for God. I also believe in doing unto others what I would want them to do unto me. I believe this, it is written. I am young, I am an LPN. Am i stupid because I am an LPN? No. Is an RN more intelligent? Well, that depends because everyone is different and our intelligence levels are different. Are some RN’s not highly intelligent? yes, and I can say the same about EVERYONE including fast food restaurant workers, janitors, teachers, you name it….Do you have the right to bash someone online? No. What is it in your life that you are so disgruntled about or so affected by that you need to bash another individual in order to make yourself feel better about your crappy life. I don’t believe that anyone is so self absorbed or egotistical to even think such a comment, let alone have the audacity to type it. In all of these cases, I choose to consider the source. I hope I don’t work with you on a regular basis, I would complain about such an attitude and you are definitely not part of any team I would ever consider being a part of. My intellect is under a microscope because I am an LPN? I have been in college for years. When I am finished, I will have a bachelors degree in criminal justice, an LPN (which I have already obtained), as well as RN. I am close to finishing. I am not stupid, I do not deserve to be up and running the entire shift because you think you have ONE year more than I do in college. If that is the case, I’ll be taking your seat, and you can do my dirty work because I have well over 6 years invested so far in regard to my education. I would not want that attitude and choose different for myself and my life. I hope none of you that believe this horseshi* have any children. I pity them if you do. That’s where our bullies come from. What a crappy attitude. You should be ashamed of yourselves. You are a disgrace to the most gentle occupations out there.

  84. nurselori

    First of all, let’s all stop being “catty” with each other over titles..Titles alone do not make you any better than anyone else. I was an aide for seven years, an LPN now for four years and I am now enrolled in the LPN to RN each their own..seriousily?
    I know I’m an LPN when DAYTON, OHIO hospitals hire only RN’s and LPN’s need not apply..same for Doctor offices in Ohio that hire medical assistants vs Nurses to save money….

  85. nursingnat

    thank God I cannot relate to this top ten! I have done everything from IV starts, infusions, wound vacs, teaching, meds, I have even done charge nurse duty when short staffed. I am not about tao and bandaids. If that was all i did, i would quit

  86. wvsista

    I started out as a CNA in a LTC facility for 2 years this was the hardest job of my life.I obtained my LPN and continued to work hard in acute care,home health,rehab this for 14 years.I then obtained my AS RN. It takes everyone working together and I have personally never asked anyone to do a job that I wouldnt or couldnt do myself. My head has spinned several times with remarks made by others which only shows their ignorance. We should be encouraging to others let them know when they do a good job.Take the opportunities to teach and lead by example. I am proud of my nursing career not bad for a high school drop-out.
    You know your an LPN when you have to remind yourself to slow down and turn off your multitasker when you are not at work.

  87. NurseJ

    I am a LPN, graduated when I was 20-so on top of being “just a LPN” I was VERY young and now I’m 24 and granted I know no where close to everything I’m a pretty damn good nurse! One of the things that makes me a good nurse is that I ask questions, I ask my CNAs questions, my RNs, my director, my cooks, ANYONE because they all have different experiences and ideas!
    I have had many a conversations that started out “I would like to talk to you in private about the way I feel like you are treating me”. Never be afraid to stand up for yourself. Your age, degree or anything else doesn’t matter as long as the patient is getting the care they deserve from the nursing staff! The nursing staff is a team and must all work together as one with the residents goal in mind-and with common respect and decency that can happen.

  88. keonikare

    A co-worker (newly hired 22Y/O RN) asked me why I never went on for the R.N. (I’m an LPN with 41 years of experience) just at that moment another nurse interrupted our conversation to notify her that an IV had infiltrated on a patient waitng to go on an appointment ,..and the patient next door to that one had to have a PICC line D/C’d before discharge and was mad cuz it was supposed to be out 2hours ago!!..I looked at her..and smiled without having to say a word..she nodded..and said..”I understand”!!

  89. waylvn2002 LVN

    On my day off when im n a deep sleep…..i jump out of bed to answer a call light or bell…then realizing that im off and not at work!

  90. SunTreasure

    You know you’re an LPN when saving your patient’s life entails educating them about patient rights and all of your observations — “not assessments” regarding their acute change in condition because your charge, A.D.O.N. and D.O.N. refuse to believe the patient because of continued non-compliance and they are now taking all of the patient’s actions personal; and the patient’s physician who is also the medical director nor any other physician has returned any of your pages. Surprisingly, the patient then calls 911…!! Your heart is in your throat… because your boss is livid asking “WHO CALLED 911?”… Must have been the patient. Just to follow-up with the ED to find them being admitted for multiple critical issues including septicemia, K+ > 7.5, blood clots, acute kidney failure….. on and on. And all the A.D.O.N. can say is “I thought she was faking it.”

    Being a nurse means being a strong patient advocate and doing what’s in the best interest of the patient. I worked as a C.N.A. for seven years prior to going to school as an L.P.N. And yes I went to school after one of the floor nurses stated “if you’re so smart then go back to school for your nursing degree.” And if you’re asking why I am not R.N. if I’m sure I know more than most… I dropped out of nursing school to fight for custody of family members who really needed someone in their corner. One of the best and most knowledgeable health care workers I have ever worked with is a C.N.A. and has been for over 16 years and when I asked her why she won’t go to school to become a nurse she says that it’s because of the poor attitudes of nurses like some on this page.

    Also as an L.P.N., I have had CNA’s, LPN’s, RN’s, and physicians alike ask me for my professional opinion, used me as a reference of knowledge for drugs, procedures, treatments, and have been chosen to participate in codes over licensed RN’s. The reason is because I make it a point to remain current in my field so that I remain a valuable asset for the entire interdisciplinary team in which I operate and for the patients I am responsible for. At the start of my shifts I have CNA’s arguing over who gets to work with me and charge nurses breathe a sigh of relieve when they see my name on the schedule. As a new nurse five months out of school, I was placed by default in charge of a major code because my twenty year veteran nurse froze in her tracks but that does make me better than her, just different.

    What exemplifies a good nurse is integrity, dependability, compassion, and competency; we need to stop eating our young. While working at a premier specialty hospital I commented how excited I was to learn how they did things there and the charge nurse followed by saying “This isn’t a teaching hospital. I hope you know what you’re doing or should I call your agency.” I explained that I am fully aware of what’s required of me and wouldn’t place my patient’s in jeopardy by taking a position in which I was not fully qualified. And that she is sadly mistaken if she doesn’t believe that there is something to be learned within each experience or in every patient interaction. We need to respect what every discipline within health care brings to the table, educate where needed, and assist when we can. We will never be respected as a profession if we cannot respect ourselves. This isn’t a dog or pony show; pedigree doesn’t matter when we’re in the business of saving lives. The patient could care less the initials behind your name when you’re jumping on their chest trying to save their. Teach, volunteer, and give back when you can; make yourself worth being called a nurse. Take responsibility for your own actions; teach one each one.

  91. Jodi76

    It’s a shame that this hilarious article became so negative and a VS fight. Nurses GET more education that CNA’s but that does not mean they are more intelligent than CNA’s, housekeepers, maintenance, ect… I think we should all show respect for each other. A CNA’s job is extremely important and nurses would not be able to function without them. Unfortunately, some nurses have absolutely no respect for CNA’s. I’ll admit that some CNA’s are terrible…But nurses can be just as bad. I’ve experienced CNA’s who are extremely knowlegable, intelligent, and way more diligent than some of the nurses I’ve worked with.

    • Tim

      I started out as a CNA and learned as much about hands on nursing from older CNA’s as I did from licensed nurses. I have great respect for what they do.

  92. Tim

    I have been a LPN for a little over 30 years now. I went back to school back in the 1980’s with the goal of being a RN but never completed it for various reasons. I’m 53 years old today and feel too old and too tired to go back to school at this point in my life. I have a wide range of experience from Med/ Surg, ICU/CCU, ER, Agency, Utilization Review and now work in Public Health. I don’t always feel as respected as the RN’s I workd with. But I have learned not to let it bother me much. I know I am a good nurse who is valuable and capable to my employers. Not arrogant, Its just I’ve been around long enough to be confident even though no where near perfect. If others around me don’t respect me, tough. Thats there own problem to deal with. When young people tell me they want a nursing career however I encourage thenm to go into an RN program rather than LPN. Not because I am ashamed of my position. But I just wnat them to have the chance for better pay and advancement if they plan to stay in the nursing profession. I do wish though that the ANA and some others would finally acknowlegde that LPN’s are professional nurses and not just allied health workers.In many places across the country we are being pushed out of the profession.

    • southernnurse

      I have to tell you that I was an LPN for 8 years and I thought that I knew as much as the RNs did. We did perform the same tasks and I felt like I should be given the opportunity to take the RN boards after a period of time since we were doing the same job. However, that is not the case so I went back to RN school. I really had no idea the lack of knowlege that an LPN has regarding theory, anatomy and physiology, psychiatric issues, etc. I could have NEVER passed the boards if I had not gone back to school. I hope that the LPNs realize that there is a LARGE difference in the knowlege and assessment skills that an RN is taught and that the difference between 16 months of a task oriented job is no comparison to 3 extra years of theory and practice of a professional nurse. It doesn’t mean that LPNs aren’t professional, it just means that they are task oriented and there is a big difference. It would be the same as if a NP thought they should be a doctor just because they perform similar tasks. The training and knowlege base is so far off, there would be no way an NP could pass the medical boards. The RN and the MD may not use all of the skills and knowlege they were taught in school on every patient or every day, but it is there and they have the ability to draw from it at any time, which is very different from an LPN and an NP. So before you post that you know more, it may be that you are just doing more tasks. If you go back to school, I guarantee you would edit your post and give a big mea culpa. I know I did.

  93. angelam

    The comments on this posting is to be expected…. I am an LPN for a number of years. I’ve also been a long time CNA, MA, surgical scrub… etc. I’m a well rounded professional in the medical community. I am now working for a long term care facility with many, many behavioral residents. I’ve encountered many CNA’s who “think” they are nurses, and many “nurses” who should not be and in fact, be CNA’s. I think its a benefit to ALL licensed nurses to work as CNA’s for a period of time… they can be your biggest help or your worst nightmare, especially when they think they are god. I went to school and have a HUGE student loan to prove it and yes, I do take my CNA’s advice into consideration if it makes sense, but I do have additional schooling and there are reasons why I do certain things for certain residents. I’ve been trained to see the big picture and achieve my goals within my nursing diagnosis’s. I do have issues with CNA’s who think they know more… when it comes to patient care, they do know the resident better than most of the nurses and as long as they make a convincing argument, I will go to the mat for them and their concerns, but they have to convince me first. Luckily, I work with great CNA’s and I do take the time to explain why we do what we do and usually get the… ‘oh, I didnt think about that’. I dont play god and I do expect questions… l am a person and I expect people to question my decisions and brainstorm with me over possible solutions. Without my CNA’s, my job would me infinitely harder than it is and I acknowledge that and yes, I do tell them how much I appreciate what they do. Whether your a CNA, LPN or RN…. we are all a team and everyone has a role to play. But until you have a 30k student loan debt to pay off, give us nurses some credit and ask why we are doing what we are doing…. there are many others, such as myself who are willing to teach and explain what the big picture is. Why do I yell at you when you are giving my resident fluid when they are on a restricted fluid intake? Just ask me and I will gladly explain. I’ve encounters many nurses who can make me feel ashamed to call myself one…. But remember that we all have roles to play…. and you may not understand what mine entails or who may be breathing down MY back. As an LPN on Noc shift with just 2 aids, we work closely together… if crap hits the fan, its just us to deal with it. On my shift I wear 2 hats… and yes I do help my aids out but it also goes both ways and for that I am grateful.

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  96. lmthomp90 LPN

    CNA’s and MA are priceless, but they are not nurses and it makes me mad when they try to represent themselves as one. Nurses go through hell in nursing school to learn the theory and then suffer through the NCLEX to be licensed. However, I love when I have a CNA who wants to further their career and asks “Whats the meaning behind that” or “How does that work?”

    • Aux. Nurse CNA

      CNA’s and Medical Assistants are Nurses. They are Auxiliary Nurses. They provide traditional nursing care to their patients. CNA’s are not RN’s or LPN’s but they are sure Nurses. As a CNA I believe our name should be changed to Auxiliary Nurses. The term Nurse has always been applied to caregivers who take care of people. Back in the day all nurses were CNA’s but as needs and times kept coming by they developed more Clinical Thinking Assignments. We are all Nurses. We all have a specific role in taking care of our Patients. The Aux. Nurses(CNA’s) do Traditional Nursing Care meanwhile Practical Nurses and Registered Nurses do more advanced duties. But is all nursing. From historical times individuals that did nursing were called nurses. The term “nurse” means among many things “nourisher”. We all Nourish our patients. I as a CNA have the upmost respect for my fellow Nurses and admire them for the job that they do. The Nursing Profession needs to unite instead of belittling each other.

      Blessings to all.

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