No, LPN's will not be replaced by unlicensed personel but our areas of practice are shrinking. CMA"s are an attractive alternative to LPN's in a physician's office. You will see 1 licenced nurse and a bunch of Certified Medical Assistants, wearing a name tag without a job title. The patients coming into the office THINK they are nurses assisting the MD and them. Been there, done that, scared me half out of my wits. They are not trained to recognize an emergency situation or how to handle said situation. I felt compelled to remove myself from that situation. Hospitals have limited areas that an LPN can practice nursing, some have no areas at all. If you are not a Real Nurse (RN), you are out of the hospital setting or you are in a clinic area. Even after 27 yrs of nursing practice, I still get a bitter taste in my mouth when I hear LPN's degraded by RN's with the phrase "Let's Pretend Nurse". An LPN is not recognized as a nurse, the RN is the professional nurse. In order to join South Carolina Nurse Association, as LPNs we have to register under "other", though you pay the same dues as the "Professional Nurse". You will find the majority of LPNs working in LTC. It is a difficult, fast paced, underpaid, overworked area of nursing practice, unattractive to RNs. Criticized and looked down on, like geriatic nursing is as low as any nurse can get on the ladder of hierarchy.
I will retire from nursing in 7 yrs. I came into this profession with such hope and promise. My dreams were never realized, life can hand us some great hardships, but the hope has never died. The hope that there would be enough of us lowly LPNs to fight for and attain the recognition we deserve. We are working professionals. No, we don't have a degree but how many RNs do you have to teach to be a nurse before you are recognized as a NURSE. It used to be that PN graduates could go into a hospital setting after graduation and actually apply the knowledge in their heads and learn how to nurse. What I am seeing is a too many young women with the knowledge that is not utilized by working at least a year in acute care and they are forgetting so much without that practical application. Can you sense the frustration?
We deserve better than we get. But how do we go about teaching that to others?