Dear Editor:

I am very grateful that you have put into an article something that is very disconcerting to me. I find that I no longer have any tasks or activities that RNs, but not LPNs, are allowed to do, except the administration of blood products. The roles have become so blurred, that no one, not even the RNs working with the LPNs, understand the difference between the two roles. TN is a state that has broad Rules derived from our Practice Acts, such that they can be interpreted by administration to meet the needs of the hospital, but not the needs of the client. I am new to the position of director of clinical services at this facility and would like more rules in place as to what an LPN can do and what the LPN can't do.

I am working on a PhD in nursing. I started the program because I was experiencing this confusion in the clinical setting and desired to do something about this confusion. Please let me know if there is research related to the above subject; I am very interested in becoming involved in this research.

Kathy Smith, MSN, RNc

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Reply by author Greer Glazer

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