(29) Intro Lecture 1 - Role of the Healthcare Provider/Levels of Education

Key Objectives of the Video
- Understand roles and responsibilities of the LPN (Licensed Practical Nurse)
- Differentiate between LPN and RN (Registered Nurse)
- Identify various levels of education for LPNs
- Recognize factors affecting LPN practice
Importance of LPN
- LPNs can take State Board Licensing after the first year of nursing school to start working before RN year begins.

Professional Behavior
- Essential to demonstrate professional conduct, accountability, and adherence to legal/ethical standards.
Communication Skills
- Effective communication is crucial alongside collecting holistic assessment data.
Collaboration
- Collaborate with other health care team members effectively.
Care Implementation
- Execute patient care under the direction of an RN, MD, or dentist.
- Must possess skills necessary for effective teamwork, functioning safely and demonstrating accountability.
- Reviews of foundational texts, such as Box 1.3, for additional requirements.

Independent Functioning
- LPNs work under supervision; they do not function independently.
- They offer input but cannot delegate responsibilities to RNs.
Scope of Practice
- Detailed scope of LPN practice can be found on the KBN network.
Education and Role Expansion of RNs
- RNs complete one of three programs:
  - 4-year BSN (Bachelor of Science in Nursing)
  - 2-year ADN (Associate Degree in Nursing)
  - 3-year diploma program
- RNs possess roles including educator, administrator, and prescriptive authority.
- Career development opportunities exist beyond the LPN level, addressing varying nurse duties based on educational background.

Practical Nursing Education
- Programs must meet minimum state standards and vary from 11 to 18 months.
- Educational settings include high schools, trade/technical schools, hospitals, and community colleges.
- Sky offers a Mobility Program for accelerated progression to PN boards.
RN Responsibilities
- RNs conduct patient assessments and evaluate care while performing under the state Nurse Practice Act.

Advanced Practice Nurses
- Requires a minimum of a master's degree and specialized education.
- Specialized areas include:
  - Clinical Nurse Specialists
  - Nurse Practitioners
  - Certified Registered Nurse Anesthetists
  - Certified Nurse Midwives
Nurse Educators and Administrators
- Educators teach in nursing schools and health care facilities.
- Administrators provide leadership within healthcare settings.
Nurse Researchers
- Aim to conduct research aimed at improving patient care quality.

Need for Trained Caregivers
- Historical context of self-taught practical nurses dating back to World War I in 1940.
- New York mandated LPN education post-1940.
Evolution of Nursing Education
- The American Nurses Association's position on nursing education recommended a 2-year technical program leading to AS degrees for practical nurses.
- Impacted the overall structure of nursing education.

Rising Health Care Costs
- The aging population and increased chronic diseases result in higher patient care demands.
- Economic factors include healthcare costs, limited coverage, and technology costs impact patients.
Health Care Accessibility
- Economic constraints lead the uninsured to avoid preventive care, increasing burden on emergency services.
- Rising medical malpractice insurance costs affect overall healthcare expenses.

Case Management Nursing
- Utilizes clinical pathways for efficient patient care planning, reducing patient length of stay.
Cross-training Staff
- Optimizes staffing costs, e.g. cross-training clerical support with patient care technicians, ensuring quality patient care is maintained.
Multi-System Health Care Networks
- Integration of hospitals, clinics, nursing homes, and pharmacies under fixed-rate care frameworks such as HMOs.