What is a Vocational Nurse? LVN and LPN Explained

Vocational and practical nurses are the friendly faces who take care of patients’ basic needs in a hospital or similar medical setting. Licensed vocational nurses (LVNs) and licensed practical nurses (LPNs) play an important role in any medical setting. In this role, you will make sure that your patient is comfortable. You will take care of various tasks that contribute to the overall well-being of patients. Some of your key responsibilities would include administering medication, monitoring vital signs, dressing wounds, and assisting with personal care activities.

In addition to clinical duties, LVNs/LPNs are often the primary point of contact for patients, offering emotional support and ensuring that they understand their treatment plans. Your friendly demeanor and compassionate care can contribute significantly to the overall patient experience. 

A licensed vocational nurse (LVN) provides basic patient care under the supervision of a more qualified nurse, like a registered nurse (RN). Both licensed vocational nurses and licensed practical nurses perform the same duties. In California and Texas, the title for this role is LVN, while the rest of the country uses the term licensed practical nurse (LPN) for the same role. 

Licensed Vocational Nurses (LVNs) or Licensed Practical Nurses (LPNs) play a major role in the healthcare system, providing direct patient care under the supervision of registered nurses or physicians. The specific roles and responsibilities of an LVN/LPN may vary depending on the healthcare setting and state regulations. 

Here are some general duties that LVNs/LPNs perform:

1. Patient Care:

   – Administering medications as prescribed by physicians.

   – Monitoring and recording vital signs such as blood pressure, pulse, temperature, and respiration.

   – Assisting with activities of daily living, such as bathing, dressing, and feeding patients.

   – Collecting and recording patient health information.

2. Wound Care:

   – Dressing changes and wound care.

   – Monitoring for signs of infection or complications.

   – Preventative measures to curb the infection from spreading.

3. Collaboration and Communication:

   – Collaborating with registered nurses and healthcare providers to develop and implement patient care plans.

   – Communicating with patients and their families regarding care plans and health education.

4. Observation and Reporting:

   – Observing and reporting any changes in patient condition to the healthcare team.

   – Notifying physicians or other healthcare providers of any emergencies or significant developments.

5. Documentation:

   – Maintaining accurate and up-to-date patient records.

   – Documenting nursing interventions and patient responses to care.

6. Patient Education:

   – Providing health education to patients and their families.

   – Instructing patients on medication management and self-care.

7. Assisting with Diagnostic Tests:

   – Assisting with diagnostic tests and procedures, such as blood draws or electrocardiograms.

8. Ethical and Legal Compliance:

    – Adhering to ethical and legal standards in nursing practice.

    – Understanding and following state nursing regulations.

LVNs/LPNs work in various healthcare settings, including hospitals, clinics, long-term care facilities, and home healthcare, and their responsibilities may be tailored to the needs of the specific setting.

According to data from the Bureau of Labor Statistics, licensed vocational and licensed practical nurses held 655,000 jobs in 2022, and the demand is expected to increase further. A majority of nurses found employment in nursing and residential care facilities; other facilities to employ nurses included hospitals, home healthcare services, and offices of physicians; a few even found employment in the government. 

A lot of LVN/LPN jobs may require nurses to be on their feet. You may find yourself walking up to patients, checking on them, bending to help them move and stand, and helping them with medications. Since you will work directly with patients who are sick, you will have to take preventative measures for your safety as well. 

Your kind gestures can really make an impact on how your patients perceive the medical environment, and your support can go a long way in helping them feel cared for and at ease.

You will probably be the one whom patients will rely on and seek help from, so make sure you’re there when they need you. 

This role may be your first step into a nursing career. Nursing is one of the most rewarding careers out there for the reason that you get to directly help people who need you; you get to watch them recover and build a bond with them. Your job may be emotionally demanding, but all in all, it is worth it. 

Becoming a Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) generally takes about 12 to 18 months. This timeframe includes completing the required educational program, passing the National Council Licensure Examination for Practical Nurses (NCLEX-PN), and obtaining licensure through the state board. The duration can vary based on your pace and state-specific requirements.

To get your licensed vocational or licensed practical nursing certification, here are 4 steps you will need to complete:

1. Eligibility: 

Begin by completing your high school education or obtaining a General Education Development (GED) certificate. 

Related – How to get into a Nursing School 

2. Complete a state-approved educational program: 

To become Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs), you need to complete an accredited educational program. These programs are available at community colleges, technical schools, and some high schools. After you successfully finish the training, you will receive a certificate or diploma. The required time to complete this program is about a year. 

3. Pass the National Council Licensure Examination (NCLEX-PN): 

After completing your state-approved educational program, your next step is to apply for the National Council Licensure Examination (NCLEX-PN). This examination is conducted by the National Council of State Boards of Nursing. 

4. Apply for Licensure:

Once you pass the NCLEX-PN, you can apply for licensure with the state board of nursing in the state where you plan to practice. Requirements for licensure vary by state, so check with the appropriate state board for specific details.

5. Further Education 

LVNs/LPNs further have the option to get certifications in areas such as gerontology, wound care, and intravenous (IV) therapy. Your certifications will show that you have advanced knowledge in specific subjects. Not only will it add to your skill set, but you will also stand a better chance of gaining employment than other candidates. 

Some employers also require or prefer LVNs/LPNs to hold certifications in cardiopulmonary resuscitation (CPR) or basic life support (BLS). 

With experience, LVNs/LPNs can get promoted to supervisory positions. Another popular option is to study further to become a registered nurse; there are LPN/LVN to RN bridge programs available for you to advance your career.

LPN/LVN courses are designed to provide a comprehensive foundation in practical nursing skills and knowledge. While specific courses may vary slightly between programs, here are some common subjects you can expect to study:

1. Anatomy and Physiology:

   – Understanding the structure and function of the human body is crucial for providing effective patient care.

2. Fundamentals of Nursing:

   – Learning the basic principles and skills of nursing, including patient assessment, vital signs, and hygiene.

3. Medical-Surgical Nursing:

   – Studying nursing care related to medical and surgical conditions, including the management of various diseases.

4. Pharmacology:

   – Gaining knowledge about medications, including their uses, side effects, and administration procedures.

5. Maternal and Child Health:

   – Exploring nursing care for pregnant women, newborns, and children, including topics such as obstetrics and pediatric nursing.

6. Psychiatric Nursing:

   – Understanding mental health issues and learning to provide care for patients with psychiatric disorders.

7. Nutrition and Diet Therapy:

   – Studying the principles of nutrition and dietary requirements for various health conditions.

8. Gerontology:

   – Learning about the unique healthcare needs of elderly patients and geriatric nursing.

9. Nursing Ethics and Legal Issues:

   – Understanding the ethical and legal aspects of nursing practice, including patient rights and responsibilities.

10. Clinical Experience:

    – Gaining hands-on experience in clinical settings, applying theoretical knowledge to real-world patient care under supervision.

These are just some of the common courses; you will learn more subjects in addition to these. These courses will collectively prepare you for the National Council Licensure Examination (NCLEX-PN). You will learn the knowledge and skills necessary for entry-level practice as an LPN or LVN. Keep in mind that the specific curriculum may vary between institutions, so it’s essential to review the course offerings of the program you are considering.

According to the Bureau of Labor Statistics, the median annual salary for an LPN/LVN is $54,620 per year. Here, the lowest 10 percent earned less than $40,490, and the highest 10 percent earned more than $72,650. 

The salary you earn as an LPN/LVN can differ based on your education, experience, location, industry, and specialization, among other factors. Some LPN/LVN specializations tend to pay more than others. Gaining further education is a good idea if you wish to advance in your career and earn a better salary for your skills. 

The demand for LPNs/LVNs is on the rise. The nursing industry, particularly the jobs for LPNs/LVNs, is increasing faster than average for all other professions, with a projected increase of 5 percent from 2022 to 2032. It certainly seems like a favorable time to join the nursing profession. 

As the population ages, we’ll need more healthcare services. LPNs and LVNs will play a vital role in caring for older individuals, both in their homes and residential care facilities. The increasing prevalence of chronic conditions, such as diabetes and obesity, means LPNs and LVNs will be crucial in providing necessary assistance. Nowadays, a lot of medical procedures are happening outside of hospitals, creating a demand for LPNs and LVNs in places like outpatient care centers. These are just some of the factors driving an increasing demand for nurses.

As per data from the Bureau of Labor Statistics, here are some states that pay high salaries to LPNs/LVNs: 

State	Hourly Mean Wage	Annual Mean Wage
Washington	$ 33.63	$ 69,950
California	$ 33.62	$ 69,930
Massachusetts	$ 32.78	$ 68,170
Rhode Island	$ 32.10	$ 66,770
Alaska	$ 32.07	$ 66,710

Here are a few aspects in which licensed vocational nurses or licensed practical nurses differ from registered nurses:

Aspect	LVN/LPN	RN
Education	Less schooling is required. LNV/LPN need to obtain their diploma/certificate which can be done in 12-18 months	RNs have a longer educational path. They can choose between an associate’s or bachelor’s degree in nursing. The duration of their study can range from 2 to 4 years.
Scope of Practice	Their scope of practice includes basic patient care tasks, medication administration, and monitoring vital signs.	RNs have a broader scope of practice, including assessing patients, developing care plans, administering medications, and performing more complex nursing interventions.
Position	LVN/LPN are entry-level roles for nurses who are starting out.	RNs are higher-level nurses than LVNs/LPNs
Responsibilities	Responsibilities include providing basic patient care. Tasks could include administering medications under supervision, helping patients turn in bed, taking care of their hygiene requirements, changing the sheets, and such.	Responsibilities encompass a more comprehensive range of tasks, such as patient assessments, critical thinking in care planning, coordination of care, and often specialized nursing duties.

Online nursing programs are an option for those who want to study in their own space and at their own pace. These programs are recognized and offered widely. The training and qualifications received through them are also considered just as valuable as their offline counterparts. Bear in mind that your degree won’t entirely be online; you may have some in-person training as well as clinical practice to provide practical hands-on training.

When considering online LVN/LPN programs, it’s essential to ensure that the program is accredited by the appropriate nursing education accrediting body and approved by the state board of nursing in the state where you intend to practice. 

To find online LVN programs, you can:

1. Check state requirements: Understand your state’s requirements regarding LPN/LVN education and meet their set requirements.

2. Research Institutions: Explore reputable institutions that offer online nursing programs and verify their accreditation status.

3. Check Program Structure: Review the program structure, including the balance between online coursework and in-person clinical components.

4. Read Reviews and Testimonials: Look for reviews and testimonials from current or past students to gauge the program’s quality and effectiveness.

Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) play an essential role in healthcare, and there are several benefits that come with being in this profession:

1. Faster Entry into the Workforce: The education and training required for LPNs/LVNs are generally shorter compared to registered nursing programs, allowing you to enter the workforce more quickly.

2. Hands-On Patient Care: LPNs/LVNs provide direct patient care, including administering medications, monitoring vital signs, and assisting with daily living activities, allowing for meaningful interactions with patients.

3. Diverse Work Settings: LPNs/LVNs can work in various healthcare settings, such as hospitals, clinics, long-term care facilities, rehabilitation centers, and home healthcare, providing versatility in career choices.

4. Career Stability: The demand for healthcare professionals, including LPNs/LVNs, remains strong, providing career stability and job security.

5. Opportunities for Specialization: LPNs/LVNs may have the chance to specialize in certain areas of healthcare, such as pediatrics, geriatrics, or specific medical specialties, enhancing their expertise and career prospects.

6. Bridge Programs for Advancement: LPNs/LVNs who wish to advance their careers can often enroll in bridge programs, such as LPN-to-RN programs, allowing them to become registered nurses.

7. Contribution to Patient Education: LPNs/LVNs often play a role in patient education, instructing individuals and their families on topics such as medication management and self-care.

8. Team Collaboration: LPNs/LVNs work closely with registered nurses, physicians, and other healthcare professionals, fostering a collaborative healthcare team environment.

9. Personal Fulfillment: Providing care and support to patients during challenging times can be personally rewarding, contributing to a sense of fulfillment in the profession.

These are some of the reasons that make the LPN/LVN profession worth it. Every nurse in this role has their own personal list of reasons that keep them going. But most importantly, the satisfaction of helping others, making a difference in their lives, and being a part of a respected profession are some of the prime reasons why people go into this field. 

The licensed vocational nurse or licensed practical nurse role involves many duties, but most importantly, it requires you to genuinely care for your patients. Being a good fit for this job would require you to perform all your tasks with professionalism and compassion. 

Find out if you’ll be a good fit in this profession. Here are some factors to consider if you’re evaluating whether you will be a good fit for the role:

1. Interest in Healthcare: Do you have a genuine interest in healthcare and a desire to help others? A strong commitment to patient care is crucial for success in the LVN/LPN role.

2. Empathy and Compassion: Successful LVNs/LPNs often possess empathy and compassion, as they frequently interact with patients during challenging times.

3. Communication Skills: Effective communication is essential in nursing. LVNs/LPNs need to communicate clearly with patients, their families, and other healthcare team members.

4. Detail-Oriented: Attention to detail is important for tasks such as administering medications, monitoring vital signs, and maintaining accurate patient records.

5. Adaptability: Healthcare settings can be dynamic, and LVNs/LPNs should be adaptable to changes in patient conditions or healthcare protocols.

6. Physical Stamina: The role may involve standing for long periods and assisting with lifting or moving patients, so physical stamina is beneficial.

7. Emotional Resilience: Being emotionally strong is crucial for an LVN/LPN. The nature of healthcare work may involve facing challenging and emotionally charged situations. Emotional resilience enables LVNs/LPNs to provide compassionate care while maintaining their well-being in the face of stressful or difficult circumstances.

8. Team Player: LVNs/LPNs work as part of a healthcare team, collaborating with registered nurses, physicians, and other healthcare professionals. Being a team player is essential.

9. Problem-Solving Skills: LVNs/LPNs often encounter diverse patient needs and unexpected situations. Strong problem-solving skills contribute to effective patient care.

10. Compliance with Regulations: Understanding and adhering to state regulations and ethical standards in nursing practice is crucial for LVNs/LPNs.

If you possess these qualities and are willing to undergo the necessary education and training, you may be well-suited for the LVN/LPN role. Make sure to research specific program requirements, speak with professionals in the field, and consider shadowing or volunteering in a healthcare setting to gain insights into the profession.

Becoming an LPN/LVN is a great way to start a nursing career for several reasons. You’ll gain hands-on experience early in your career, and the education is more affordable too. As an LPN/LVN, you can expect to have excellent job prospects as there is a good growing demand for this profession. You can eventually take a bridge course and become an RN if you wish to advance in your career and get a better position and salary. 

Becoming a part of this respected profession will also give you a sense of fulfillment and joy. If you do find yourself attracted to this career, then take time to do your research and volunteer at hospitals to find out if you enjoy the job. Wishing you prosperity!