[Sharon]

Many nurses and nursing leaders are uncomfortable with the overlap between the RPN and RN roles and would like a list of who can do what to cover all possible scenarios. Are you able to articulate the roles of the RPN and RN?

[Katie]

Specific to the community nursing sector and to my organization, yes. The role of the RN/RPN is the same and is based on the knowledge, skill and judgment of each individual nurse and the clt they are caring for. The escalation process can differ slightly, for example RPNs administering conscious sedation are required to complete a double check with a qualified RHP, RPNs must reach out for updated MRP orders related to initiation of wound care, where as the RN is able to initiate that plan of care and then follow up for the orders. These nuances to policy and procedure have been updated over the years as the scope of practice has developed.

[Maame]

In the long term care home I work in the articulation between RPN and RN is very clear. On day and evening shifts the RPN is in charge of 31 residents plus adminstering medications , doing treatments, and assigned assessments. Whereas, the RN’s role is more of a supervisory role. On each floor the RN is floating between both units assisting with doctor rounds, following up on orders and assisting the RPNs when needed. The RN will only work on the unit when there is no replacement for an RPN.

[Johanna]

At one time, it was necessary for RPNs to have a set of “acts” that they were licensed to perform. However, in the interest of cost-effectiveness and improved education, RPNs and RNs learn how to perform many of the same skills. The difference is that RN education is more in depth and longer than RPN education. RNs are more skilled to handle patients with a higher acuity and unpredictable outcomes.

[Jeanette]

In my place of work the role of RN/RPN is very similar and is based on skills and knowledge of the individual’s . There are more working directives for the RPN’s then the RN’s. We currently have RPN’s in supervisory roles not just RN’s. It makes for a very good working relationship to learn from each other.

[Katie]

Its great to see that blend of scope happening in a variety of sectors. What everyone brings to the table makes for a much more comprehensive provision of care for patients and support of staff.

[Author]

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