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In the opinion of the State Board for Nursing, the practice of intravenous therapy by LPNs in long term care settings requires RN supervision, which must be on-site at all times that IV therapy is being provided by the LPN (long term care facilities must follow acute care guidelines on sub-acute units).
Starting as a medical assistant wont help much if you ultimately want to become an RN. Beginning as an LPN could be helpful because you will learn some nursing terminology and procedures plus earn income working as an LPN. They also have LPN-RN transition programs that build upon the LPN knowledge and shorten the program length to become an RN.