LPN and LVN Career Information
It can be easy to think of nursing as simply one generic position. In reality, the world of nursing involves multiple designations. Licensed practical nursing (LPN)—referred to as licensed vocational nursing (LVN) in CA and TX—is one of the designations.
LPNs hold a special responsibility when it comes to providing healthcare to those in need, and are often the professionals who can leave the most lasting impressions on their patients. The scope of responsibilities held by an LPN can be broad.
An LPN/LVN is:
- A health professional who is qualified to handle bedside care of patients dealing with injuries, illnesses, terminal illnesses, disabilities, etc.
- Able to work under the direction of physicians, registered nurses, and other health care professionals
LPNs (or LVNs) are trained to perform a very broad range of tasks related to patient care. They tend to be the main point of contact for patients since they take care of the day-to-day tasks involved in basic bedside care. Therefore, patients often trust and relate to nurses more than any other health professionals, such as surgeons or specialists. This is important because it can mean that patients are more likely to become comfortable enough with an LPN to talk about new or recurring symptoms or to disclose important background information (which the LPN, in turn, can pass on to physicians and other health professionals involved in a patient's case).
Here are some of the most common duties assigned to an LPN or LVN:
- Cleaning and dressing wounds
- Administering IVs and drips (as prescribed by physicians)
- Basic care, including assistance with personal hygiene
- Gathering patient information and history
- Collecting lab samples
- Giving injections (e.g. flu shots)
- Performing enemas and monitoring catheters
- Monitoring patients' conditions and responses
- Clerical work (e.g. managing patient files, scheduling appointments, etc.)
- Monitoring vital signs (blood pressure, heart rate, temperature, and respiratory rate) and blood glucose levels
In order to become an LPN, a post-secondary education is required. However, there are a few different options when it comes to programs.
Many vocational schools and career colleges offer short-term, career-focused certificate or diploma programs. Generally, the only prerequisite for these types of programs is a high school diploma or GED. Another option is to take an degree program from a nursing college or university.
Regardless of what type of program you choose to take, and where you choose to take it, most will include:
- Various nursing areas, such as medical-surgical, pediatrics, obstetrics, geriatrics, and pharmacology
- Classroom studies
- Hands-on lab experience
- Clinical rotation or externship opportunities
Some of the common areas covered include:
- Restorative, therapeutic, and preventive care
- Basic bedside nursing
- Infection control
- Tracheotomy care
- Medication administration and documentation
- Common diseases
- Anatomy and physiology
- Patient education
- Legal and ethical responsibilities
The average training duration for an LPN/LVN certificate or diploma program is one year. However, practical or vocational nursing degree programs can take up to two years to complete.
The first portion of a practical or vocational nursing program is generally made up of theoretical training within a classroom, followed by onsite laboratory training with industry-related equipment. Most programs end with some form of real-life training, such as an externship or clinical within a real medical setting. Some of the most common settings for practical experience include hospitals, health clinics, and physicians' offices.
The cost of schooling depends entirely on the type and location of school you decide to attend and the program level you choose. That being said, the average on-campus diploma program will generally cost a few thousand dollars per semester. Degree programs tend to be around $5,000 or more per semester.
Regardless of which nursing school or program type you choose, most schools are able to provide some form of financial assistance to students who meet the eligibility requirements. It's a good idea to speak to a school's financial aid department upon enrollment, as they can provide insight and information about funding options and may even help you complete the application process.
LPN/LVN programs can keep you pretty busy, but flexible jobs for students in nursing school are definitely available if you need to earn some extra money. Of course, if you do plan to have a job while going to school, excellent time-management skills are important. Talk with a program advisor at your school if you're wondering whether a job is a realistic option for you.
Becoming a Licensed Practical Nurse
Aside from the educational prerequisites, there are also legal requirements. After graduating from an LPN program (and before you can legally work as a nurse), you must successfully take the NCLEX-PN (National Council Licensure Examination — Practical Nursing) certification examination.
Developed by the National Council of State Boards of Nursing (NCSBN) to help ensure that nursing standards remain consistent across the country, the exam can be quite challenging and will require that you spend time and effort preparing for it.
Here are additional important facts about the NCLEX-PN:
- The exam is different within each state, and eligibility for licensure can also vary by state.
- You are only legally allowed to work in the state in which you took the NCLEX-PN. If you move to a different state, you must re-take the exam in order to become legally certified within that state.
Prior to booking the NCLEX-PN, the NCSBN advises visiting its website for additional information, including where to find the nearest testing site.
Job prospects are expected to grow much faster than average—12 percent during the time period between 2016 and 2026, to be exact.*
The reasons for this favorable outlook are thought to stem from a few different factors:
- A large share of the population is becoming older. As a whole, the elderly population requires more healthcare services since they face a higher number of injuries and illnesses.
- On the whole, the average lifespan is increasing due to improved medical technology. This, in turn, increases the demand for long-term care.
- As baby boomers reach retirement age, many LPNs are retiring and, therefore, leaving the profession permanently. Their positions must be replaced, creating job openings.
Aside from hospitals, LVNs and LPNs can find positions within a variety of healthcare settings, including:
- Nursing homes
- Physicians' offices
- Public health clinics
- Home health care services
- Community care facilities for the elderly
- Psychiatric and substance abuse hospitals
There are also dozens of different specialties to be found in the nursing profession. Some may be open to graduates of an LPN program while others may be more advanced and require additional education or certification.
Some of the specialized areas within the nursing field include:
- Ambulatory care
- Critical care
- Addiction care
- Developmental disability
- School nursing
Referencing US statistics from 2018, the average yearly wage for LPNs was $47,050.** However, the same statistics also show that salaries can vary widely by location and industry.
- The highest-paying industry is junior colleges, which pays a yearly average wage of $62,050.**
- The regions that pay the highest average annual salary for LPNs are Rhode Island ($59,130), Massachusetts ($58,990), Alaska ($58,250), Nevada ($57,140), and Connecticut ($56,970).**
A poll by Gallup showed that Americans view nursing as the number one profession in terms of honesty and ethics. It's no surprise that people see nurses in such a positive light, especially when you consider that their job entails helping to care for others and even save lives. Other pros of the job include:
- Having the ability to make a positive difference in the lives of your patients and their families.
- Working within an in-demand field, which could allow you to choose from a broad range of job opportunities. It can also mean better pay.
- Having many different potential health care work settings to choose from (e.g. hospitals, long-term care facilities, clinics, surgical centers, schools, physicians' offices).
- Enjoying the chance to meet new people and perform different tasks each day.
- Having dynamic job responsibilities, which can allow you to enjoy continuous learning.
Research the available practical and vocational nursing schools and programs and find the training that can put you on the path to an LPN or LVN career. Take advantage of the opportunity to contact the schools that interest you for further information!
* Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, website last accessed on January 4, 2018.
** Bureau of Labor Statistics, U.S. Department of Labor, Occupational Employment Statistics, website last accessed on July 18, 2019
National Council of State Boards of Nursing (NCSBN), website last accessed on November 28, 2017.