Culture of LPNs and RNs in Team Nursing
Team nursing is a way of providing care that has been around for a long time. In this model, registered nurses (RNs) take on the role of coordinating patient care, assigning tasks to licensed practical nurses (LPNs) and other healthcare team members. LPNs carry out tasks, like giving medications and performing procedures, under the guidance and supervision of an RN. The team usually handles a larger number of patients together, and each team member has specific responsibilities.
While this approach may seem straightforward in theory, it may or may not function smoothly in practice. Just like in any profession, there are both good and not-so-good practitioners. Nurses, both RNs and LPNs, have different styles of practice that can significantly impact the effectiveness of a care team. LPNs who understand their scope of practice well know when to report unusual findings to the RN. On the flip side, some LPNs, who are experts in their field, may take action before reporting to the RN. This mindset puts both the LPN and RN at risk of making mistakes and exposes them to potential legal issues. Seasoned licensed practical nurses (LPNs) may find it challenging to report to an RN, especially if the RN is new to the field or a particular care area.
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In some instances, RNs may take their role as the “director of the care team” very seriously, acting like a military general and giving orders to LPNs and other staff. Some RNs may not support the team nursing approach and refuse to work in organizations that implement this model. Certain RNs may dislike working with LPNs, possibly because they want full control over their patients’ care or feel threatened by the presence of LPNs.
However, there are licensed practical nurses (LPNs) and RNs who understand and appreciate the value of each other’s roles. By putting aside personal feelings and concentrating on patient care, the team can collaborate effectively to accomplish tasks. Recognizing and periodically refreshing their understanding of their scope of practice can help the team function smoothly, leading to excellence in nursing care.
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