How to Become a Licensed Practical Nurse

Becoming a licensed practical nurse can be the start of a fulfilling career in nursing in the United States. These compassionate professionals complete a state-approved nursing programme and pass the national exam for licensed nurses (NCLEX-PN). They work in various settings, including doctors' offices, schools, and nursing homes.

In India, you can become an auxiliary nurse/midwife or a general nurse/midwife before you complete your training and examination as a registered nurse. Although these roles are similar to a licensed practical nurse, the qualification process to become an LPN is slightly different. 

After weighing your options, you may find it helpful to understand the role of a licensed practice nurse and how it compares to other types of nursing. If you've already decided to become an LPN, begin exploring the paths you can take to get the training you need to start your career as an LPN working in the US.

Licensed practical nurse (LPN): Job description

A licensed practical nurse, or LPN, provides routine patient care, such as taking vital signs, dressing wounds, administering medication, monitoring a patient’s status, performing specific lab tests, and assisting in tasks like eating, drinking, and dressing. The primary goal of an LPN is patient comfort, so they will need to ensure a patient is comfortable and cared for, whatever their needs might be.

The scope of practice for an LPN is much narrower than a registered nurse. They may assist registered nurses or doctors or work independently outside the traditional health care setting in a patient’s home. LPNs may be called LVNs or licensed vocational nurses in Texas and California.

What are the daily tasks of a licensed practical nurse?

The daily tasks you’ll engage in as an LPN, including assisting other medical professionals, will vary based on the needs of your patients and where you work. On any given day, a licensed nurse may: 

• Assist in conducting procedures administered by a doctor or RN 

• Perform basic lab tests or assist in testing 

• Provide routine care for someone who is ill or healing from an injury or surgery 

• Monitor a patient's health 

• Report patient progress to doctor or RN 

• Follow health care plans as laid out by a doctor or RN 

• Provide personal hygiene care 

What are the types and specialists in nursing?

Nurses work in various environments; you'll find different types and specialties, from nursing assistants to nurse practitioners and paediatrics to oncology. One way to group types of nurses is by education: diploma, degree, or advanced degree. Licensed practical nurses fall into the diploma and degree categories, depending on the nursing programme they attended.

As an LPN, you may specialise in an area such as hospice, gerontology, or home health. LPNs also work in doctors' offices, schools, theme parks, mental health centres, and insurance companies. In some of these roles, you may work under the direct supervision of a registered nurse or doctor. Your specific role may be more of an assistant than primary care, primarily if you work in a hospital or doctor's office.

Medical assistant vs. licensed practical nurse

A medical assistant is a health care clerical position that involves bookkeeping and administrative tasks like scheduling patient appointments, filing medical records, and working with insurance companies to manage and file medical claims. Unlike an LPN, a medical assistant does not work one-on-one with a patient or provide patient care. 

You can become a medical assistant by completing a formal medical assistant programme at a vocational or community college. You can get hired without experience or formal training and receive on-the-job training. The only way to become an LPN is by completing an LPN program, passing the NCLEX-PN, and getting a licence to work as an LPN in the state you wish to practise in.

The salaries for the two professions can be similar, but LPNs tend to earn more. The average median salary for a licensed practical nurse in the US is 62,340 USD annually [1]. The median salary for a medical assistant in the US is 44,200 USD a year [2]. 

What are the skills needed for a career as a licensed practical nurse?

The skills needed for a career as a licensed practical nurse include a healthy mix of human and technical skills. LPNs work closely with patients recovering from an illness, injury, or surgery. Compassion and good communication skills are critical, as are basic nursing skills like dressing wounds and taking vital signs. Successful LPNs have a few skills in common: 

• Empathy: You may encounter people in pain or under a lot of stress. Empathy can help you better understand their situation to meet their physical and emotional needs.

• Ability to work well as a team: You will likely work with other LPNs, RNs, and doctors. Having the ability to work well with others is beneficial in this profession.

• Strong ethics: LPNs work with confidential data and records. You may also provide physical hygiene needs and basic care that will involve a sense of discretion and ethical standards.

• Physical stamina: You may work on your feet most of the day as an LPN. You may also need to move patients, help them dress, or perform other skills requiring physicality.

• Attention to detail: An LPN may be required to monitor patients and their progress. Attention to detail is essential when monitoring patients and tracking their status.

• Medical terminology: You need to know the basic medical language to communicate with doctors and nurses and understand a patient's care plan as provided by doctors.  

Licensed practical nurse schooling and certification

You do not need a degree to become a licensed practical nurse. Educational requirements for LPNs include a one-year practical nursing programme (also called a diploma programme) for licensed practical nurses and a passing score on the NCLEX-PN. The school will likely ask to see your high diploma or GED and expect you to pass the Test of Essential Academic Skills (TEAS) before you enrol in a practical nursing program. 

You may pursue an optional specialisation certification after you become an LPN. These certifications can help you expand your options of where you can work and what you can do as an LPN and even boost your income. A few specialisation certifications available to current LPNs include: 

• Breastfeeding specialist 

• Wound care

• IV therapy 

• Transplant coordinator 

• Urology 

• Gerontology 

What degree do you need to be a licensed practical nurse?

Although you do not need a degree to be a licensed practical nurse, it is possible to become an LPN by earning your Associate of Science in Nursing (ASN) degree instead of an LPN diploma. Each option has pros and cons, as outlined below. 

Diploma 

Vocational schools and community colleges often offer practical nursing programmes, which you will need to complete to earn an LPN certification (also called a diploma). These programmes typically take between one year and 16 months to complete. Coursework in these programmes focuses on the basics of nursing, as the programme intends to prepare you for the national exam, the NCLEX-PN. Some schools also offer bridge programmes to help you become a registered nurse (RN) from an LPN.

Degree 

Your other option is to earn an associate degree in nursing. You will still take the same national exam, but you can also take the NCLEX-RN to become an RN and an LPN at the end of your degree program. This is an appealing option if you want to eventually become an RN or further progress your career in the field of nursing. It takes longer (usually about two years in total) than a diploma programme and may cost more, but you stand to earn more when you start working. 

The nursing job market

The job market looks promising over the next decade for LPNs in the US. The US Bureau of Labor Statistics (BLS) projects a 3 per cent growth for licensed practical and licensed vocational nurses for the next ten years, estimating an average of 54,000 job openings each year through 2033 [3]. This is considered average job growth for this profession, with the growth due to an ageing population, medical advances and technologies in health care, and growing rates of chronic conditions. The nursing job market offers a lot of mobility, as you can add specialisations or move into higher-paid positions by earning certifications or degrees. 

How much can I make as a licensed practical nurse?

You can earn an average of 62,340 USD annually, or 29.97 USD per hour, as a licensed practical or licensed vocational nurse in the US [1]. Of all LPNs working in the US, the top 10 per cent earned 80,510 USD a year or more, and the lowest 10 per cent earned 47,960 USD a year in 2024 [4]. 

The top-paying states for LPNs include Washington, Rhode Island, Alaska, California, and Oregon [5]. The top-paying industries for LPNs are employment services, insurance carriers, the federal executive branch, management, and office administrative services [5].  

How long does it take to become a licensed practical nurse?

Traditional practical nursing programmes take one to two years, depending on whether you attend full-time or part-time. This breaks down to between 36 and 40 credits. Some schools may offer accelerated practical nursing programmes that you can complete in as little as seven months. An associate of science degree in nursing (ADN) will take two years if you choose that pathway, but it’s not a common educational pathway for LPNs. 

Where do licensed practical nurses work?

Licensed practical nurses work in various health care settings, from hospitals to home care. A few typical work environments for licensed nurse jobs include nursing homes/ residential facilities, physicians’ offices, hospitals, rehab centres, and patients’ homes providing home health care services. A considerable number of LPNs work in nursing facilities and residential care homes. 

How do I begin a career as a licensed practical nurse?

To begin a career as a licensed practical nurse, you’ll need to complete your 10+2 and meet any other requirements specified by your educational provider, such as passing the Test of Essential Academic Skills (ATI TEAS). From there, you can research accredited practical nursing programmes or nursing schools that fit your needs and long-term career goals. 

1. Complete prerequisites and choose a nursing school.

When selecting a nursing programme or nursing school, consider accreditation, programmes offered, and programme structure. Look for a programme approved by the state board of nursing where you want to work. Consider online options and part-time options. You may need an online programme if you juggle other demands in life, and you may feel more focused when you attend class face-to-face. 

Take note of the prerequisites for the nursing school or programme you choose. Approved practical nursing programmes may require you to pass the TEAS to be eligible. 

2. Choose a route: Diploma or degree.

You can earn your diploma by completing a practical nursing programme, or you can earn your degree by completing an associate degree in nursing. If you want to get started as an LPN but want to expand your career in the field of nursing, consider a degree. Having the degree in hand may make it easier to become a registered nurse later. Pursuing the diploma option may help you start working sooner.

3. Pass the national licensure examination for practical nurses.

Once you’ve completed your practical nursing programme or graduated, you can take the NCLEX-PN, the national licensure exam for practical nurses. To schedule your test, apply for authorisation to test through your state board of nursing or the National Council of State Boards of Nursing.

4. Start applying for employment.

Once you've met all educational and certification requirements, you are officially a licensed practical nurse. You can apply for employment at health care facilities or in-home care opportunities. When deciding where to look, keep in mind the type of facility where you want to work, the specialties you want to learn, and the education requirements of the prospective employer.

5. Gain professional credentials.

Though optional, gaining certificates or certifications in nursing specialisations can expand your realm of care and make you a more attractive candidate when it comes to finding a job as an LPN. For example, the National Association of Practical Nurse Education and Service (NAPNES) offers several certifications in various areas, including pharmacology, IV therapy, and long-term care.

Ready to start your career as a licensed practical nurse?

Begin your learning journey to become a licensed practical nurse by finding a diploma or degree programme that fits your needs and long-term career goals. You can become an LPN in as little as seven months with an accelerated programme and get to work immediately after completing all requirements. Whilst waiting for the programme to start or whilst exploring your options, consider building your knowledge of the medical field through courses like Clinical Terminology for International and US Students from the University of Pittsburgh on Coursera.

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