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How to Become a Licensed Practical Nurse / Licensed Vocational Nurse

LPN helping patientBecoming a Licensed Practical Nurse (LPN) can be the beginning of a rewarding career with ample opportunity for growth. Learn about the job of an LPN, how to become one, and how to excel in the field.

What does an LPN do?

An LPN provides patient care as a member of a team of health care providers. LPNs handle a large share of direct patient care, including planning, implementation, and assessment of nursing care. LPNs are responsible for providing emotional and physical comfort and safety to patients. They measure and record vital signs as well as teach healthy habits to patients. Other duties may include:

  • Monitoring changes in symptoms and conditions
  • Administering medications and therapeutic treatments
  • Reporting adverse reactions to medications or treatments
  • Supporting patient rehabilitation

According to the Bureau of Labor Statistics (BLS), LPNs held about 753,600 jobs in 2008, with 25 percent working in hospitals, 28 percent in nursing care facilities, and 12 percent in doctors' offices. LPNs also work in other health care areas, such as clinics, public schools, rehabilitation facilities, and extended care facilities. Other job opportunities can be found in:

  • Industrial/occupational health centers
  • Employment services
  • Community care facilities
  • Outpatient care centers
  • Home health care services
  • Federal, state, and local government agencies

LPN standing at deskThe BLS shows salaries for licensed LPNs in 2009 ranged from $28,890 to $55,090, with the mean annual wage at $40,900. The highest levels of employment for LPNs are at nursing care facilities, general medical and surgical hospitals, and physician offices.

Employment of LPNs is projected to grow much faster than average, with an estimated 21 percent growth between 2008 and 2018. Job prospects should be very good, with the most opportunities in nursing care facilities and home health care services. Growth in the field is due to long-term medical needs of a growing elderly population and a general increase in medical services.

What are the steps to becoming an LPN?

You can become an LPN in about one year, depending on the school and training program. Here's how to become an LPN, step by step:

  1. Make sure you have the basic requirements to enroll. Most programs require a high school diploma or equivalent, although some accept students without a diploma. Some programs are also offered as part of a high school curriculum for students interested in a head start on their nursing careers.
  2. Find the right school. LPNs must complete a state-approved training program in practical nursing, with programs ranging from 7 to 24 months in length, and the average lasting about one year. Your state's board of nursing can provide a list of approved programs.
  3. Study hard. Nursing programs include classroom study, which teaches you basic nursing concepts and patient care, and clinical practice, which is supervised patient care usually taught in a hospital.
  4. Pass the NCLEX-PN. After graduation, you’ll need to pass the NCLEX-PN, a computer-based exam that covers four main topics--safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity.

Once you're a certified LPN, you can look for advancement opportunities. Some hospitals offer LPNs the opportunity to work on IV teams, as treatment or special procedure nurses, and in critical care settings. It's also important to continue your education as some states and employers require continuing education.

How to become a great LPN

Education and certification are just the beginning. To excel in your career as an LPN, there are four important skills and attributes to master:

  1. Communication skills. A great LPN must communicate clearly and listen effectively. LPNs communicate with patients, families, doctors, and other nurses. The best LPNs make sure they clearly understand the patient and advocate for their needs.
  2. Compassion. LPNs are compassionate to their patients' pain and suffering, which is an important part of patient care. A great LPN also recognizes when compassion fatigue sets in and learns how to manage it effectively.
  3. Stamina. LPNs are always on their feet. A great LPN takes care of themselves so they can take better care of their patients. They do so by maintaining a healthy diet, physical activity, and keeping stress levels in check.
  4. Excellent decision-making skills. A great LPN can think on his or her feet to prevent or solve problems. Whether it’s an upset family member, scared patient, or staff management issue, the best LPNs practice good judgement.

Once you've completed your education, passed the NCLEX-PN, and started your career as an LPN, you have opened the door to any number of possibilities. Some LPNs eventually go back to school to become a registered nurse (RN) or go even further to obtain a Bachelor of Science in Nursing (BSN). Now that you know how to become an LPN, get started today to enjoy a rewarding career that helps people and offers you enormous growth and opportunity!

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