Licensed Practical Nurse Career Guide

    February 25, 2020
    Confident nurse wearing scrubs holding onto stethoscope

    If you are considering a career in healthcare, becoming a Licensed Practical Nurse (LPN) may provide you with the job security, compensation, and fulfillment you have been searching for. 

    Use this guide to explore what it means to be an LPN and whether this career path could be the right choice for you.

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    Part One What is a Licensed Practical Nurse (LPN)?

    An LPN is a vital part of the healthcare system and is responsible for providing patients with essential care, which includes helping them to eat, dress, bathe, etc. They also assist Registered Nurses (RNs) and Doctors in keeping detailed records, maintaining clear communication between the entire care team and working with patients and their families to understand procedures and how to care for sick relatives.

    While many nurses spend their entire careers working as an LPN, this position is also a great stepping stone to furthering your education and enjoying a pay increase by becoming a BSN-RN or Nurse Practitioner (NP). 

    Part Two What is the Difference Between An LPN And An RN?

    Licensed Practical Nurse

    Registered Nurse (RN)

    Duties: LPNs are directly involved in providing basic patient care and ensuring that patients are comfortable and well cared for. There will be times when an LPN administers certain medications and performs other duties such as taking blood pressure, inserting catheters and recording other vital signs. Duties: RNs take on more of a management role and are in charge of overseeing LPNs and other healthcare aides. They are also more involved in administering medications, treating patients, creating and coordinating care plans, and working closely with doctors to ensure optimal outcomes.

    Education Requirements: Becoming an LPN requires completing an accredited practical nursing certificate program, which is usually offered at community colleges and take about a year to complete. Students can expect to take courses in biology, pharmacology, and nursing while also receiving hands-on clinical experiences.


    Education Requirements: There are three main paths to becoming an RN.

    • Bachelor of Science in Nursing (BSN) -  Takes 4 years to complete
    • Associate Degree in Nursing (ADN) - Takes 2-3 years to complete
    • Nursing Diploma or Certificate - Takes 1-2 years to complete 

    Testing: Once you complete your practical nursing program, you will receive a certification, but you will have to pass the National Licensure Examination (NCLEX-PN) in order to become officially licensed and begin your career.

    Testing: No matter what path you take to prepare for your RN licensure, you will have to pass the NCLEX-RN exam before you are able to begin practicing.

    Salary: While salaries vary according to location, the median salary for an LPN is $47,480 - according to the US Bureau of Labor Statistics. The good news is that this is a growing field with high demand and salaries are expected to increase significantly over the next 10 years. Salary: The average salary for an RN is $73,300 although this number will vary according to educational background and area. Those with a BSN-RN will enjoy a higher starting pay rate and overall earning potential.


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    Part Three What is the Difference Between an LPN and an LVN?

    If you have been doing your research and come across the term Licensed Vocational Nurses (LVN) you are probably wondering how this title differs from an LPN. The truth is, they are basically the same. The main difference is that the term LVN is used in California and Texas, so if you live in one of these states, you will need to look for LVN programs.

    Otherwise, both positions require the same certification and licensing process, offer the same pay, and come with similar responsibilities. The exact details of each position can vary according to how different hospitals and facilities delegate tasks, but for all intents and purposes, LPNs and LVNs occupy the same positions.

    Part Four What Does an LPN Do? 

    LPNs are essential to hospitals, nursing homes, doctor’s offices and other healthcare facilities. They also work with individuals to provide one-on-one, private care. As part of their daily routine, LPNs provide essential care for patients that can range from feeding and bathing to checking vital signs and administering medication.

    LPNs are often the first point of contact for family members of patients and are responsible for explaining procedures and care programs. 

    Because LPNS interact with RNs, doctors, patients and their families, it is important that they have solid communication skills and are and able to effectively and compassionately convey important information. A good bedside manner is a part of providing care and putting patients at ease. The best LPNs have a genuine passion for caring for others.

    As an LPN, you will also need to have strong organizational skills. Nursing is a demanding, fast-paced job where people’s health and well-being depends on your ability to manage information and multi-task. It can be easy to get frazzled and make simple mistakes if you don’t have an organizational method in place. 

    Perhaps most importantly, you need to have a certain tolerance for blood, bodily fluids and all the different things you will see, touch and smell while dealing with the human body. Not everyone is cut out for dealing with these challenges and it is important to be aware if you have any limits.

    Part Five LPN Salary

    The median annual salary for an LPN is $47,480 as of 2019 according to the BLS. However, nurses in certain areas can earn over $50,000. Those numbers don’t include bonuses, overtime, holiday pay, and other benefits. Certain facilities may even offer financial help if you choose to further your education. All of these different benefits are something to consider as you shop around for the right job.

    Pay and benefits for LPNs will vary widely according to what area of the healthcare system you are working in and your actual location. In general, LPNs can volunteer for available overtime and earn 1.5 times their normal salary. Full-time positions also come with holiday pay and sick time. Depending on the healthcare facility, LPNs can also earn bonuses and may be able to enroll in profit-sharing programs. 

    The best way to earn more money is to become an RN. From there, you can earn advanced certifications and become a specialist in a wide variety of areas, including:

    • Hospice nurse
    • Informatics nurse
    • Burn nurse
    • Orthopedic nurse
    • Psychiatric nurse

    Specializations will allow you to earn upwards of $90,000 a year. Becoming an RN can also be a stepping stone to earning your Masters in nursing or becoming a nurse practitioner, both of which come with higher salaries and access to upper-level positions.

    If you are flexible about relocating, you might consider moving to one of the top-paying states for LPNs, which include:

    State Average Salary
    Alaska $30.70 per hour or $63,850 annually
    Massachusetts $29.01 per hour or $60,340 annually
    California $28.96 per hour or $60,240 annually
    Rhode Island $28.78 per hour or $59,860 annually
    Nevada $28.11 per hour or $58,470 annually

    The lowest paying state is West Virginia with a salary of $18.03 per hour or $37,500 annually.

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    Part Six Career Outlook for LPNs/LVNs

    One reason that becoming an LPN is an attractive career option is that the profession is forecasted to experience double-digit growth over the next few years. Some experts put the growth rate at as high as 25%.

    That means that LPNs will be in demand and able to command higher salaries as healthcare facilities try to fill positions. This tremendous growth is due largely to an aging population that requires medical attention as they live longer, yet experience more chronic health problems. 

    For those who want to start building a fulfilling career without having to complete extensive schooling, becoming an LPN offers a practical solution.

    Instead of acquiring lots of student loan debt, nurses can quickly complete a degree and start earning money. Once they begin working, they can choose to further their education and take on additional responsibilities in order to earn more money and have access to additional professional opportunities.  

    While there is a $20,000+ difference between the median starting pay of an LPN and an RN, some people find that working as an LPN is more fulfilling because they are able to interact with patients and their families and offer important care that provides comfort during vulnerable and stressful times. 

    Part Seven How to Become an LPN/LVN

    The amount of time it will take to complete your LPN certification depends on which program you choose and whether you decide to go to school full-time.

    There are accelerated programs that can help you earn your certification in just 7 months. However, most people finish the program in 1-2 years depending on how many credit hours they are able to take. 

    Steps to obtaining your certification:

    1. You must have already earned your high school diploma before you can apply for an LPN program.
    2. Most vocational and community colleges offer LPN programs. You will need to be accepted by an accredited program.
    3. Once you have successfully completed the certification program, you will need to apply for Authorization to Test through your local board of nursing and with the National Council of State Boards of Nursing
    4. After you have been authorized to test, you will need to sign up for, and schedule your, NCFLEX-PN exam. There are testing sites located across the country, but spots tend to fill up fast, so you will want to begin the scheduling process as soon as possible. When you register for a date, keep in mind that you will want to allow yourself plenty of time to study. 
    5. After you take the exam, you will be able to view your results in as little as 48 hours. If you passed the exam, you will be mailed official results and your State Board of Nursing will also mail you your license.
    6. Finally, you can start applying for jobs and begin your career as an LPN.

    Opportunities for Career Advancement:

    While working as an LPN can be a lucrative and fulfilling career, it doesn’t provide the same opportunities for upward mobility as other, more advanced, nursing degrees. That being said, there are some certifications that can demonstrate extensive knowledge in a certain area and allow you to offer specialized skills. For example, LPNs can earn:

    • Patient counseling certification
    • IV certification
    • Advanced life support certification
    • Long-term and hospice care certification
    • How to choose an LPN Program or School

    For those interested in beginning an LPN program, there are plenty of options. Chances are that your local community college and/or vocational school offers accredited LPN programs. This means that you can earn a valuable certification while paying affordable tuition fees.

    When choosing the best program for you, look for those that have been accredited, which means that they have been able to meet and maintain a certain standard of instruction and educational excellence. While you don’t have to enroll in an accredited program, it will help you down the road as you look to apply for jobs and further your education.

    Part Eight How to Advance Your LPN Career

    Being an LPN is a flexible career path that will allow you to explore different areas of nursing and find your passion. While you might have been drawn to a certain area during school, you might find that once you are on the job, you are inspired by a completely different area of healthcare.

    As an LPN, you’ll have many opportunities to advance your nursing career. Here just a few:

    Use your LPN to become a BSN-RN

    Becoming a BSN-RN still requires that you earn a four-year degree and earn a Bachelor of Science in Nursing. However, if you have already become an LPN or have an ADN, then you will be able to go through an accelerated BSN program. From there, you will qualify to take the NCLEX-RN exam and become a registered nurse. 

    Use your LPN to become an NP

    The path from an LPN to an NP can be a long and challenging process, but it also provides a whole host of financial and professional benefits. Once you have earned your LPN, you will need to:

    1. Earn a Bachelor of Science in Nursing or a similar 4-year degree. Your best bet is to go for a BSN because it will provide you will valuable and relevant coursework and plenty of clinical experience.
    2. Become a registered nurse by passing the NCLEX-RN exam.
    3. Gain 1-2 years of experience working as a registered nurse. 
    4. Once you have gained some job experience, you can apply for a graduate degree in nursing, which can take 1.5 – years to complete. 
    5. From there, you will need to choose a specialty and complete specific coursework along with at least 500 hours of supervised clinical hours.
    6. Finally, you will have to pass a comprehensive exam in your specialty. Both local and national licensure organizations will need to approve your licensing. You can learn more specifics at the American Nurses Credentialing Center.

    Earn Specialty LPN Certifications

    As an LPN, you can easily transition into different areas of healthcare and become an expert through certification programs.

    These certifications will make you better qualified to work in certain areas and there are plenty of opportunities available. Here are just a few examples:

    • Emergency room LPN
    • Labor and delivery LPN
    • Oncology LPN
    • Pediatric LPN
    • Rehabilitative and Gerontology LPN

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    Part Nine Where Can I Work as an LPN?

    If you want to use your LPN certification to work in a hospital setting, you may find that you face stiff competition when it comes to securing a position. A lot of hospitals are choosing to limit the number of LPNs they hire and instead delegate duties between RNs and nurses’ aides.

    While this isn’t true across the board, areas that are struggling with budgetary issues may not be offering as many opportunities to LPNs.

    The greatest area for growth is in the long-term care and hospice area. As mentioned above, Americans are living longer but experiencing poorer health. This means that they need more help with essential care from a qualified provider.

    If you are looking to capitalize on your certification look for jobs in private ad hospice care where you will have the best chance of receiving offers from multiple facilities.

    When you are feeling at your worst, an LPN is often your first point of contact. They serve an important role within the healthcare system and can add a human touch to scary medical situations.

    Unlike most jobs, LPNs need to possess a certain combination of skills, knowledge and compassion in order to provide essential care when ailing patients and their families need it most.

    It is a demanding job, but for those who love caring for people, nothing could be more fulfilling. Ultimately, there will be no shortage of demand for this unique type of individual who is willing to kindness and help.

    Part Ten Where Can I Learn More About LPNs?

    If you still have questions about what it means to be an LPN, what this career path could mean for your future and how to get started, you have a couple of options:

    1. Check out our LPN to RN guide to find out how you can advance your career with an RN degree.
    2. Visit and contact professional associations, such as:

    Part Eleven Related Healthcare Careers

    If you're interested in becoming an LPN, you might also want to check out these other healthcare careers:

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