Can a LPN or RN work in a position that is below the level of his/her licensure?
A. There are no laws or Iowa Board of Nursing rules that prohibit a licensed nurse from working in a position that is below the level of his or her licensure. However, the board has previously determined that the nurse who does so is held to the highest level of his or her education. If a nurse is working in a position lower than the nurse’s licensure and fails to act prudently based on education preparation, the nurse’s license would be subject to sanction by the board. Q. Does the Iowa Board of Nursing recognize “Graduate Nurses”? A. No, a graduate from an approved nursing program may not practice nursing in a role of the Licensed Practical Nurse or Registered Nurse until they have successfully passed the NCLEX and have been issued a nursing license. Practicing nursing without a license violates Iowa law and leads to discipline. Until the graduate has become licensed they may work as a tech, aide or direct care worker in accordance with the facility’s job description and policies and
