It's almost like we forgot that they existed because we stopped hiring them in acute care. They all went to post-acute care—nursing homes, assisted living facilities—because their model is such that that's usually the highest-ranking nurse in those facilities and they're paying them big dollars.
Now I have to re-look at my LPN rates and say, okay, we still use them in the outpatient area a lot, but we have to look at their rates on the inpatient side and value them more on the inpatient side than we did prior to the pandemic and prior to not hiring them anymore. Zangerle: It was mostly around the research that if you have a BSN-prepared nurse in your facility you have better outcomes—better quality, less errors, and safety is better.
We listened to the research and the research wasn't wrong. BSNs do improve the outcomes. An LPN as part of the team is very valuable, especially in the absence of having nursing assistants or certified medical assistants and in the absence of having enough registered nurses, but that was really it.
It was like, "Well, look, we don't need you guys and you guys can go work in rehab facilities or assisted livings or whatever," but that's when the nursing shortage wasn't as bad as it is now. Not even close. Now we're circling back and most of the LPNs are saying, "Okay, now we're finally getting some love here. There are hospitals in the United States that don't hire anyone but bachelor's-prepared nurses and I think that's a mistake.
Diploma nurses and associate-degree nurses have great value in our healthcare system and most of those individuals matriculate on to a bachelor's or master's degree and us not recognizing their value is kind of silly.
Same thing with LPNs. Even my own teams kind of looked at me sideways like, "What are you talking about? We're not really buying what you're selling. We can't get the nursing assistants, we can't get as many RNs as we'd like, but we have a group of people that we could reach out to. We have to give everybody the opportunity to do the work if they want to do the work and we have the structures in place to support that work. Zangerle: We have chosen one or two large nursing units—30, 35, 36 beds—at each of our hospitals and we're doing pilot work with what used to be called team nursing but we're calling it blended nursing because we have an initiative with throughout our enterprise called blended health between our provider organization and our payer organization.
There is a cohort of patients that is cared for by a blended team, and that blended team is led by an RN and on that blended team is an LPN and a nursing assistant.
Patients with diabetes and obesity in skilled nursing facilities need the kind of care LPNs can provide. The BLS also notes that procedures that used to happen in hospitals are now also performed in outpatient care centers, creating demand in those facilities. If you want even better job prospects, the conditions should be particularly favorable for LPNs willing to work in rural areas or for those who gain certification in specialty subjects like gerontology or IV therapy.
Being multi-skilled looks great on a resume! A college education is a big commitment—which is precisely why an LPN program may be an appealing option. Many students maintain employment while completing the LPN program, fitting in coursework and clinicals alongside their other commitments. That flexibility can be bolstered by online courses that can give you some wiggle room when trying to plan and balance your work and school schedule.
Becoming an LPN can help boost your lifetime earning potential. Unlike most office jobs, LPN schedules can look totally different based on their employer. If your life demands more schedule variety or flexibility, you might have luck with LPN positions that involve night shifts, weekends, or a few longer shifts a week that leave you with more days off to compensate.
Whether they are assisting patients in long-term care facilities or starting their hospital shifts, LPNs help keep the healthcare system going. Information represents national, averaged data for the occupations listed and include workers at all levels of education and experience. Employment conditions in your area may vary. It has since been updated to include information relevant to There are some errors in the form.
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