Jefferson is entering the transitions class for licensed practical nurses (LPNs) in an associate degree in nursing (ASN) program at a Coahoma Community College. He feels the transitions class is not really necessary because he has been dealing with transitions his entire life. His nursing career began in high school when he worked as a nursing assistant (CNA) in a nursing home. After high school he became a qualified medical assistant and, eventually, an LPN. So, here he is today working on his associate degree…what is one more step up to nursing ladder? Jefferson feels that making a bed is making bed…passing medication is passing medication… nursing is nursing! He says, “What’s the big deal? I’m ready doing everything the RNs are doing?
1. How did Jefferson’s responsibilities change for each of his roles, from CNA to LPN and, finally, RN? Do you think his employer or other members of the health care team had higher expectations as he climbed the nursing ladder?
2. Do changes in roles, such as moving from LPN to RN, affect the attitudes of co-workers toward you and what you are doing?
3. As you move toward you RN role, how do you feel about the other nursing positions?
During the process of becoming an RN, it is important for the LPN to value past education and, at the same time, meet the challenge of accepting new ideas, improving critical thinking skills, and learning new nursing techniques.