LINCOLN -- Madonna Rehabilitation Hospital is making changes in its staff. Hospital representatives are changing the care model by eliminating all Licensed Practical Nurses or LPNs. Transitioning to a full staff of Registered Nurses or RNs and Certified Nursing Assistants or CNAs is working at other hospitals. Madonna representatives said many current LPNs will move to available LPN positions in their long term care facility or are being offered non-clinical LPN positions in other areas. Madonna will be hiring additional Registered Nurses, resulting in no net change to full time employees.