Working to the Top of Your License: Empowering Caregivers and RNs

Working to the Top of Your License: Empowering Caregivers and RNs

Within senior living communities, the phrase 'working to the top of your license' is often used to describe the practice of nurses and caregivers operating at the highest level of their training. This approach holds significant value in today's growing senior living landscape where a shortage of nurses and caregivers is always top of mind. The following four ideas explore the reasons this is so important.

Maximizing Efficiency

One of the fundamental reasons for professionals to work to the top of their license is to maximize efficiencies in the senior living community they work in. The skills and expectations vary widely between caregivers and nurses. By allowing each to perform tasks that fall within their scope, it frees up the time and expertise of those who have other duties.

For example, a caregiver who is delegated by a local RN can now carry out nurse-level duties. These additional hands-on tasks ensure faster, more attentive care, elevating satisfaction for the residents. Delegating these tasks frees up the nurse to focus on high-level care for the residents that caregivers are not able to perform, such as injections. This may even replace the need to hire more nurses, saving hundreds of thousands of dollars per year.

Improved Patient Care

Working to the top of one's license is paramount to providing resident-centered care. When caregivers and RNs can fully use their knowledge and skills, the residents benefit from more comprehensive and holistic care. This approach enhances the overall experience the resident and their family have in the community. Residents feel more interaction and attentiveness to their care. This allows caregivers and RNs to build stronger relationships with their residents, which can lead to healthier, happier residents and family members. This has a bottom-line effect on the turnover of residents in the community.


Efficiency in senior living is not just about time but also about costs. By having caregivers and RNs work to the top of their license, Executive Directors of senior living communities can reduce labor costs and optimize resident care. This is especially important in senior living communities where costs are critical for the community and family members alike.

Caregivers have lower hourly wages compared to RNs and LPNs. By giving caregivers top-end training and delegating tasks that encourage them to work at a high level, senior living communities can reduce the cost of care without compromising the quality. This, in turn, can contribute to more accessible and affordable services.

Professional Growth and Satisfaction

Empowering caregivers and RNs to work to the top of their license also fosters professional growth and job satisfaction. When these professionals are allowed to perform tasks in which they feel confident, they experience a greater sense of accomplishment and purpose in their roles. This has a direct effect on job satisfaction and burnout rates.

Also, the opportunity to work to the top of one's license can be a stepping stone for more career advancement. The expanded knowledge and skills lead to potential career progression and specialized certifications. 

In conclusion, working to the top of one's license is more than just a senior living buzzword; it is a crucial approach for bridging the care gap and increasing the quality of care while decreasing the costs associated with a top-level senior living community. In a world with a growing aging population and not enough nurses to care for them, this approach is a win-win for both residents and the communities that serve them.

For more information on how delegation can help your caregivers work to the top of their license, contact On it RN."