I was an LPN for 23 years.  For the first 5 years, I worked med surg and obstetrics in 
an acute care hospital.  Then, after 5 years, I took a job as a floor nurse in a long 
term care facility.  To make a long story short, I was promoted to MDS nurse in 1996 
as an LPN under the direction of the MDS Coordinator, who showed me the "ropes" in a 
never ending learning process.  She signed off on all my MDS assessments, and never 
had a problem doing so, because I often heard her say to the DNS, "She does a better 
job than most of the others that have been in that position".  As an LPN, I always 
felt that I had to work harder to prove myself.  I went back to school and got my RN, 
but basically, the only thing about my job that changed is now I can sign off on the 
MDS as the Coordinator, and I can now "initiate" the plan of care, not just contribute 
to it as a member of the team.  I think that if an LPN has an interest in learning 
this type of nursing and has a good strong partner to back her up, it works out very 
well.  At least it did for me.

Donna Browne-Atkins, RN
Resident Assessment Coordinator
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