Topic: Roles of the CNA, LPN, and ADN/BSN RN nursing essay

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Module 02 Roles of the CNA, LPN, and ADN/BSN RN

  • Roles of Certified Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Associate Degree Nurse (ADN), /Bachelor of Science in Nursing (BSN) Registered Nurse (RN)

CNA – activities of daily living including bathing, dressing, feeding, vital signs (taking and recording), bed-making, and elimination; work under the supervisor of nurses

LPN – in addition to the duties of the CNA, LPNs administer medications except for intravenous medications, dressing changes, giving injections, monitoring catheters; work under the direction of nurses and physicians

RN – in addition to the duties of the LPN, the RNs design and implement the health care plan, they analyze diagnostic tests; operate equipment, and provide education clients and family about management of illness.

Nursing Process

The nursing process is a systematic format used by nurses to identify actual or potential client issues to create a plan of care. In the initial phase, the nurse is continuously evaluating the nursing process and follows a cyclical pattern in a logical sequence. After the initial phase is developed, the steps will overlap, and when unexpected events occur, adjustments are made to the plan of care.

Assessment (Data collection for the LPN)

Assessment is the first phase of the nursing process where nurses collect and organize relevant health care data. During this phase, the nurse will collect subjective and objective data and document findings. The data that is collected includes physiological, psychological, sociocultural, spiritual, economic, and lifestyle considerations. The RN completes the assessment, and the LPN collects data.

Nursing Diagnosis/Analysis (RN only)

The nursing diagnosis/analysis phase of the nursing process is where the RN focuses on the interpretation of the data that is used to develop the goal. This part of the process lays the foundation for creating the individualized plan of care. The RN develops this phase of the nursing process.


The planning phase of the nursing process uses data and the nursing diagnosis/analysis to set goals for the client and identify the nursing actions and goals to achieve individualized nursing care. The RN develops the plan, and the LPN contributes, maintains, and revisions.


During the implementation phase of the nursing process, the nurse is performing the action and basic therapeutic care. The nurse is providing safe and effective care based on the plan of care created during earlier phases. The nursing care implemented during this phase is documented in the client records. The RN and LPN may implement the plan based on their scope of practice.


Evaluation is the last phase of the nursing process. During this phase, the nurses are evaluating if the care provided during the implementation phase has been effective. If the nursing care has been effective and the goals were achieved, then the plan was effective. If the nurse identifies that the goals were not achieved, the plan is adapted to the ongoing needs that were not met. The RN evaluates the plan of care, and the LPN contributes to the discussion.

The table below provides an example of the nursing process including the responsibilities of the LPN and the RN.


Data Collection / Assessment

  • Collect and document objective and subjective data
  • Report data to a registered nurse

Diagnosis (RN Only)

  • Does not diagnose


  • Contribute to the development, maintenance, and revision of the nursing plan of care
  • Report the plan of care and any recommended revisions to the registered nurse


  • Administer medication and treatments per order
  • Provide basic nursing care under the supervision of the registered nurse
  • Collaborate with the interdisciplinary team


  • Document and communicate responses of the interventions to the registered nurse
  • Contribute to the evaluation of the client’s response to interventions and revising the plan of care


Data Collection / Assessment

  • Collect and document subjective and objective data
  • Delegate data collection to the LPN
  • Report data to members of health care team

Diagnosis (RN Only)

  • Interpret and analyze relevant data
  • Establish or revise the nursing diagnosis


  • Develop, revise, or maintain the plan of care
  • Communicate the plan of care


  • Provide direct nursing care
  • Delegate nursing care appropriately
  • Collaborate with the interdisciplinary team


  • Examine the client responses
  • Determine if goals were met
  • If goals were not met, identify potential needs and may need to start the nursing process over

Type of service: Academic paper writing
Type of assignment: Essay
Subject: Nursing
Pages/words: 1/275
Academic level: Masters
Paper format: APA
Line spacing: Double
Language style: UK English

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