Licensed Practical Nurse Career Information

Significant Points

• Training lasting about 1 year is available in about 1,200 State-approved programs, mostly in vocational or technical schools.
• Applicants for jobs in hospitals may face competition as the number of hospital jobs for licensed practical nurses declines; however, rapid employment growth is projected in other health care industries, with the best job opportunities occurring in nursing care facilities and in home health care services.
• Replacement needs will be a major source of job openings, as many workers leave the occupation permanently.
• Becoming an LPN offers a quick entry path into nursing and licensed LPNs can then advance to RN through lpn-to-rn transition programs.

Licensed Practical Nurse - Nature of The Work

Licensed practical nurses (LPNs), or licensed vocational nurses (LVNs), care for the sick, injured, convalescent, and disabled under the direction of physicians and registered nurses. Most LPNs provide basic bedside care, taking vital signs such as temperature, blood pressure, pulse, and respiration. They also prepare and give injections and enemas, monitor catheters, apply dressings, treat bedsores, and give alcohol rubs and massages. LPNs monitor their patients and report adverse reactions to medications or treatments. They collect samples for testing, perform routine laboratory tests, feed patients, and record food and fluid intake and output. To help keep patients comfortable, LPNs assist with bathing, dressing, and personal hygiene. In States where the law allows, they may administer prescribed medicines or start intravenous fluids. Some LPNs help to deliver, care for, and feed infants. Experienced LPNs may supervise nursing assistants and aides.

In addition to providing routine bedside care, LPNs in nursing care facilities help to evaluate residents’ needs, develop care plans, and supervise the care provided by nursing aides. In doctors’ offices and clinics, they also may make appointments, keep records, and perform other clerical duties. LPNs who work in private homes may prepare meals and teach family members simple nursing tasks.

Licensed Practical Nurse Working Conditions

Most licensed practical nurses in hospitals and nursing care facilities work a 40-hour week, but because patients need round-the-clock care, some work nights, weekends, and holidays. They often stand for long periods and help patients move in bed, stand, or walk.

LPNs may face hazards from caustic chemicals, radiation, and infectious diseases such as hepatitis. They are subject to back injuries when moving patients and shock from electrical equipment. They often must deal with the stress of heavy workloads. In addition, the patients they care for may be confused, irrational, agitated, or uncooperative.

Licensed practical nurses held about 726,000 jobs in 2004. About 27 percent of LPNs worked in hospitals, 25 percent in nursing care facilities, and another 12 percent in offices of physicians. Others worked for home health care services; employment services; community care facilities for the elderly; public and private educational services; outpatient care centers; and Federal, State, and local government agencies. About 1 in 5 worked part time.

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2006-07 Edition, Registered Nurses, on the Internet at http://www.bls.gov/oco/ocos083.htm

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