- Training lasting about 1 year is available in about 1,100 State-approved programs, mostly in vocational or technical schools.
- Nursing homes will offer the most new jobs. Jobseekers in hospitals may face competition.
Licensed practical nurses (L.P.N.s), or licensed vocational nurses as they are called in Texas and California, care for the sick, injured, convalescent, and disabled under the direction of physicians and registered nurses. (The work of
registered nurses is described elsewhere in the Handbook.)
Most L.P.N.s provide basic bedside care. They take vital signs such as temperature, blood pressure, pulse, and respiration. They also treat bedsores, prepare and give injections and enemas, apply dressings, give alcohol rubs and massages, apply ice packs and hot water bottles, and insert catheters. L.P.Ns observe patients and report adverse reactions to medications or treatments. They collect samples from patients for testing, perform routine laboratory tests, feed them, and record food and liquid intake and output. They help patients with bathing, dressing, and personal hygiene, keep them comfortable, and care for their emotional needs. In States where the law allows, they may administer prescribed medicines or start intravenous fluids. Some
L.P.N.s help deliver, care for, and feed infants. Some experienced L.P.N.s supervise nursing assistants and aides.
L.P.N.s in nursing homes, in addition to providing routine bedside care, may also help evaluate residents needs, develop care plans, and supervise the care provided by nursing aides. In doctors offices and clinics, they may also make appointments, keep records, and perform other clerical duties. L.P.N.s who work in private homes may also prepare meals and teach family members simple nursing tasks.
Most licensed practical nurses in hospitals and nursing homes 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.
L.P.N.s 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 692,000 jobs in 1998. Thirty-two percent of L.P.N.s worked in hospitals, 28 percent worked in nursing homes, and 14 percent in doctors offices and clinics. Others worked for temporary help agencies, home health care services, residential care facilities, schools, or government agencies. About 1 in 4 worked part time.
All States require L.P.N.s to pass a licensing examination after completing a State-approved practical nursing program. A high school diploma is usually required for entry, but some programs accept people without a diploma.
In 1998, approximately 1,100 State-approved programs provided practical nursing training. Almost 6 out of 10 students were enrolled in technical or vocational schools, while 3 out of 10 were in community and junior colleges. Others were in high schools, hospitals, and colleges and universities.
Most practical nursing programs last about 1 year and include both classroom study and supervised clinical practice (patient care). Classroom study covers basic nursing concepts and patient-care related subjects, including anatomy, physiology, medical-surgical nursing, pediatrics, obstetrics, psychiatric nursing, administration of drugs, nutrition, and first aid. Clinical practice is usually in a hospital, but sometimes includes other settings.
L.P.N.s should have a caring, sympathetic nature. They should be emotionally stable because work with the sick and injured can be stressful. As part of a health care team, they must be able to follow orders and work under close supervision.
Employment of L.P.N.s is expected to grow as fast as the average for all occupations through 2008 in response to the long-term care needs of a rapidly growing population of very old people and to the general growth of health care. However, L.P.N.s seeking positions in hospitals may face competition, as the number of hospital jobs for L.P.N.s declines; the number of inpatients, with whom most L.P.N.s work, is not expected to increase much. As in most other occupations, replacement needs will be a major source of job openings.
Employment in nursing homes is expected to grow faster than the average. Nursing homes will offer the most new jobs for L.P.N.s as the number of aged and disabled persons in need of long-term care rises. In addition to caring for the aged, nursing homes will be called on to care for the increasing number of patients who have been released from the hospital and have not recovered enough to return home.
Much faster than average growth is expected in home health care services. This is in response to a growing number of older persons with functional disabilities, consumer preference for care in the home, and technological advances, which make it possible to bring increasingly complex treatments into the home.
An increasing proportion of sophisticated procedures, which once were performed only in hospitals, are being performed in physicians offices and clinics, including ambulatory surgicenters and emergency medical centers, thanks largely to advances in technology. As a result, employment is projected to grow much faster than average in these places as health care in general expands.
Median annual earnings of licensed practical nurses were $26,940 in 1998. The middle 50 percent earned between $23,160 and $31,870 a year. The lowest 10 percent earned less than $20,210 and the highest 10 percent earned more than $37,540 a year. Median annual earnings in the industries employing the largest numbers of licensed practical nurses in 1997 were as follows:
|Personnel supply services
|Home health care services
|Nursing and personal care facilities
|Offices and clinics of medical doctors
L.P.N.s work closely with people while helping them. So do emergency medical technicians, social and human service assistants, surgical technologists, and teacher assistants.
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For information about practical nursing, contact:
- National League for Nursing, 61 Broadway, New York, NY 10006. Internet: http://www.nln.org
- National Association for Practical Nurse Education and Service, Inc., 1400 Spring St., Suite 330, Silver Spring, MD 20910.