Are LPN Programs Still Relevant Today?

By Lanette Anderson on Thu, Feb 27, 2014

LPN programsLicensed practical nursing (LPN), also called licensed vocational nursing in some states, has a noble history. It started in the early 1940s as a way to get licensed caregivers into the workforce in a shorter period of time, compared to registered nurses. This was important during and after WWII, when many RNs served in the military, resulting in a nursing shortage in the US.

While they filled a definite need during that time period, the question is often asked whether LPN programs are still relevant and needed today.

In the spirit of full disclosure, I must reveal that I am the Executive Director of a Board of Nursing which licenses LPNs. My instinctual response to this question is a resounding “Yes!” But at the risk of sounding self-serving, I have taken a step back to look more objectively at the issue. I think that the answer actually is “It depends.”

How Many LPNs Are There Today?

According to the Health Resources and Services Administration (HRSA), the number of LPN programs has remained stable in the US since the 1990s. While the number of graduates has declined over this time period, the number of actively licensed LPNs has increased.

Possibilities for this scenario are that these nurses are remaining in practice for a longer period of time. It is also important to note that the number of LPN graduates who pass the NCLEX-PN exam has remained stable. Data collected by the National Council of State Boards of Nursing (NCSBN) from January through March 2010 indicates that LPNs pass the licensure exam at a slightly higher rate than RN graduates on their first attempt.

The supply and demand data for LPNs varies. It depends on the location, area of practice, scope of practice, and whether unlicensed personnel can be utilized in their place at a cheaper cost to the employer.

The Present Role of an LPN

Unlike RNs, the scope of practice for LPNs varies from state to state, sometimes with significant differences. In many states, there are nonspecific guidelines as to what the LPN can and can't do, leaving much up to interpretation by the employer. There is at times a lack of knowledge by the supervising RN as to what should and should not be delegated to the LPN, therefore they may be under or over utilized.

The essential difference between the LPN and the RN is not task-related. LPNs in many states engage in IV therapy, communicate directly with physicians and write verbal and telephone orders, etc. LPNs are trained to be the bedside caregiver, while other forms of nursing education typically focuses on more supervisory functions.

Establishment of a clear articulation between LPN and RN in the educational system could be beneficial to both levels of licensure, especially for those who wish to pursue a higher level of nursing education. LPNs have a wonderful base knowledge upon which RN education can be added.

Many facilities including those in long term care could not function without the LPNs. They are often the backbone of the nursing staff, at times managing the building on evening and night shifts when no RN is on site. HRSA data states that LPNs could be used more fully in acute care settings. This is not to say that an LPN can replace an RN; clearly that would be inappropriate even in times of an RN shortage.

The fact is, however, that many of the tasks that the RNs perform could be done by the LPN in many jurisdictions. This is clearly demonstrated by a research study conducted by NCSBN, which obtained information from newly-licensed LPNs. The tasks that these individuals routinely perform include organizing and prioritizing client care, following up with clients after discharge, and using data from different sources to make clinical decisions.

Standardization of education, practice, and programs for LPNs across the states could benefit the profession. Clearer guidelines could be created, which could potentially result in employers being more comfortable when working with them.

While the number of LPNs in the US is less than RNs, they still have influence. Given the right set of circumstances, they can be more than relevant and needed. They are indispensable.

What are your thoughts on today’s LPN programs? Do you think LPNs still play a vital role in the nursing profession? Leave a comment below!



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Laurel Harper 2 months ago
Stop solicitating at this site.

Linda Deadrick 7 months ago
Let me clarify. I did further my career for others but for myself. Wirh healthcare rising cost ,I'm sure LVN's are going to make a come back that's why the schools have not phased completely out plus the previuos article reported LVN's pass at a higher rate than RN's on the
BON exam.

Linda Deadrick 7 months ago
I was a LVN 18 yrs and now graduated ADN from an instate online program. It was intense but
only did it because everyone else
already thought I was a RN. All my
clinical experience is owed to my
LVN license from working in the
hospital, snf, agency, mental health
and home health. I think I was so
good and thorough because I was a
LVN and had to compete with RN's
but could run circles around them.
Since I have become an RN my pay
is stagnant. The secret I had as an
LVN is my negotiation skills I had
before going into nursing as a
salary/commission sales and
banking. I found my counterparts
always got lowballed. I would not
accept a position without
negotiating three times. When the
agencies would try to decrease my
pay I would not accept the lower
rate. Forget the mileage. I wanted
the pay I was worth. When they need
you for an assignment I would
refused unless I recieved $2-3 more
plus mileage. Hold your head high with your LVN degree because it's your stepping stone. Be flexible and work two or three jobs to get diversified until the perfect job comes alone. Most of all don't get lowballed because you are an LVN

Anonymous 6 months ago
What LVN to RN program did you go through?

Anonymous 7 months ago
Jobs are now scarce, competition is huge. The medical assistant is getting the jobs first because companies make them work like dogs for very little pay. I now need to go back to school for something else.
It is very discouraging to be turned down week after week for a job or not called for an interview at all.
Far as I'm concerned, the county wasted my time while I was being trained. I could have done something else, like billing

Anonymous 8 months ago
I graduated LPN in 2011. Most of the ADN students voice, "Why are you in LPN school and not the ADN program?" We even had a few home health agency representatives drop by months before our graduation and truthfully state that, "Although LPN jobs are available, locations that hire are limited". So yes, we can find a job but it would take a while. And they were right, LPN jobs were limited to a few areas. And the answer to the question of: Why a LPN and not RN? For me, I tried that route in 2009 but didn't have the family support needed to push onward, so I had to go backwards in order to move forward. I have been IV certified for over a year and have only had contact with ONE IV line. But I can't blame my agencies or the nursing staff for that, I wasn't vocal enough to let them know what is within my scope of practice ( because APPARENTLY they don't know). Now that I am working on my A.S.N. degree, I am more appreciative of what the LPN has to offer and will probably be more of an RN (when God wills) in the body of an LPN. Are LPN schools still relevant? Yes. The baby boomer population is increasing, and majority of the RNs coming into the nursing field don't strive to work in LTC or ALF. The new RN graduates want ER, ICU, and Telemetry positions. And we (LPNs) can't just sit by and watch unlicensed personnel with 4-hours of contact training take jobs that rightfully belong to us.

whisperingsage . 6 months ago
I'll tell you why I am still an LPN after 10 years- it is almost impossible to get into a step up program (locally here anyway), and when I have the money I don't have the time. My local JC didn't offer an RN program and we are rural so I am stuck.

Anonymous 9 months ago
Private sector hospitals are eliminating the Clinical LPN. Why because
Obamacare Reimbursement is higher if all RN care. This administration has once again cut in to livelyhood of the excellent LPN that give better bedside care than most RN's I've worked with... What a Shame..

Laurel Harper 2 months ago
You can't blame Obama for this. It's been happening for a long time and before he was ever in office.

Ra ana 11 months ago
Ladies and Gentlemen,
Please do google- "lpn shortage" and "rn shortage", now is not a good time to be either, just click on the headers on page 1 of google, that is how I found this article, and with the GOV. promising to bail out Insurance Companies because of the effects from Obama Care, Medicare, and Medicaid, expect to see more nursing home closures and hospital layoffs, it is not the 90's anymore, and if anyone can remember since then it has got much much worse in the medical field. Right now it is the Trucking Companies and Oil/Energy Companies that are hiring, and even providing hire on bonuses too! Please do research.

Anonymous 11 months ago
That is very ignorant. There will be a growing demand for LVN/LPN positions as the baby boomers are aging and long term care, and home health agencies will see an increase of patients and in turn a need for LVN/LPNs. Your comment can discourage individuals from following their dreams. Try researching with 'Obamacare effect on LVN positions' before you post.

Anonymous 11 months ago
I like the article, Thanks! There is no longer a nursing shortage in regards to LPN's or RN's from where I live, even CNA jobs get snapped up. I believe yes LPN Education should stay in USA, Hospitals are laying off RN'S and using Med Techs, Medical Assistants-more because of lower pay, unless you have a RN job lined up and ready when you graduate-why spend 20k on RN school? I have seen much more compassion and hands on care with LPN's then RN'S. There are 40 to 60 nursing applicants for each RN job where I live, and about 20 to 30 applications for a LPN job. It is not going to get better with Obama care either. LPN school is Fine and Top Notch, we do not need any more LPN'S or RN'S where I live, but Good Luck finding a job as a LPN, or a RN and expect many more cuts that trickle down to your job as well, if You can find one. They need to do away with Qmas, though, I find a hard time finding one that is even Thankful for a Job, and to the LPN's that have the extra certficates, studies, etc..., I do not recommend RN school. Expect many more cuts due to Obamacare, = less jobs, especially RN'S AND LPN'S. IF the Medical Profession can do anything, Please get rid of QMA'S.

Anonymous 12 months ago
As an LVN that has built a career as a Medicare reimbursement specialist I am frustrated by the fact employers now require an RN for the job I do. Everything I read about transition between LVN and RN relates to clinical care which I do not do and don't care to do. Now my pay is tied to becoming an RN if I want advancement however I have been in management as an LVN in the past which is not accepted currently. What changed? Why do I have to go back to school to be gainfully employed in my line of expertise?

Hyacinth Bennett 10 months ago
It's all in the course of progress, growth, advancement and needed change. Governments change, products, policies and procedures change and as we discover new information and process for improvement we grow...

Anonymous 1 year ago
I think nurses who were once LPNs are much better than those who become nurses through a bachelor's degree. They are at a vantage point in providing direct care to patients.

Laurel Harper 2 months ago
That advantage is only temporary and it's called "experience."

Devyn Richardson 1 year ago
WOW, the LVN/LPN issue again. This gets old, yet it still lights a flame under me. I have been an LVN for years, and never worked what some consider the LVN areas. In my career I have worked in the ER, the PCU at the VA Hospital and the Urgent Care for the military! I have been contract most of my nursing career, and the ER is my main area. I am currently doing my RN (ADN) another controversy, but we will get to that another day.. I'm ACLS certified and PALS, I have about 15 different certifications to include wound care and Telemetry certification. I am always floored when some of my RN's come to me and ask why I didn't go to school earlier in my career. I always ask why they think 18 more months of school was going to make me more qualified to care for my patients? I have 20 yrs experience in these high level areas and nothing I have learned in school has made me any more capable of doing what I do now. My RN is a piece of paper I will display in my office along side my LVN license, both will be hung proudly, but it will not have made me a better nurse then I am now. I have worked Triage and sutured in the Urgent Care.. I guess the military realizes were not idiots.. I have seen RN's kill people on accident and heard my instructors blame LVN's for this, when a study done few yrs back, clearly showed more RN's have accidentally killed patients way more often then an LVN.. so when an instructor spouts that crud, i get a tad upset and email her the study. Anybody can learn how to be a great caregiver with or without a license, that's why we TEACH people to learn new things.. all the hype of LVN vs the RN is ridiculous. Is it a respect issue, sure likely.. I have to go to school in order to push a few more buttons then I already do, but it changes nothing.. In the 13 months I have been in school, I have never even opened a book or had to study.. Experience and knowledge are something you gain over time, that piece of paper I obtain will not make me a better nurse!!

Laurel Harper 2 months ago
Devyn, I was very happy to see you're working and happy with your ED job. It's remarkable that you were hired by the VA system so quickly. The application and hiring process typically takes months. I know the VA uses LVNs/LPNs and Tele Techs for telemetry, depending on the location. That some states don't allow LPNs to start IVs isn't crazy. It's related to increases in IV injuries that come under the heading of nursing malpractice. It may not be fair, but there it is.

Linda Deadrick 7 months ago
My first work as an LVN was in an level 1 trauma center ER with life flight in Texas. I came from banking
administration to EC tech which
was not my intention but the paramedics in my training class
encouraged me so there I was. I owe
my training skills from my EMT/paramedic friends, an older lady,
plumber turned nurse, carpenter turned nurse and 60+ yr old
geologist turned GN at the time.
Also I worked agency in the local county children ER. Get your
certifications offered from the job if
possible.

Devyn Richardson 1 year ago
Hi Kristin, What state do you currently hold your license in, as you know some states are more liberal then others. I'm in Texas, its one of the states that LVN's can do A LOT in, I got started in the ER thru school believe it or not, Right after graduation I got my ACLS on my own and got a job at the VA hospital.. Yes right out of school, and into the PCU even (step down ICU) they removed LVNs from the PCU and of all places put 2 of us in the ER, I also work contract, the Urgent care I worked at was Military and I transferred into there ER at BAMMC also, I love my job.. When I finish my ADN in 6 mos, I will stay in the ER likely! I absolutely love it there.. Your ACLS is important, Seek ER certification, also helps i'm Telemetry Certified, that was accomplished thru the VA also. Again, alot depends on your state you live in, in some you cant even start an IV as an LVN. That's crazy to me!!
Devyn

Kristin Stark 1 year ago
I would love to know how you got your foot in the door of an ER!! I am an LVN just graduated in December and I am currently working on my RN-ADN.

Debra Wohlhuter 1 year ago
Hmmmmm...got my LPN 42 years ago and am a Florida native and practitioner. My last job was for 18+ years at a med school university clinic here in Fla. . I have listened to valid rumblings of "phasing out the LPN" since I was in training.I have been privileged to see some marvelous things. From iron lungs, to bird respirators to vents.From head sandbags for cataract patients to IOL's and lasers.This journey of mine has seen MA's and CNA's that should have been MD's. RN's who should have parked cars and "stuff" in between. Really..... But it seems that in the end it comes down to very few issues.
First...your heart and reasons for entering nursing.
Second...the quality of the institution you attend. LPN or RN.
Third...Scope of practice for each in the state you train and end up working.
Lastly...What specialty do you wish to pursue?
Pay VERY close attention to your journey from day one.Do your homework before you enroll. Should you wish to pursue some of the lesser "hands dirty" aspects of nursing, add business admin and polisci to your courses. Then apply those choices to your nursing for the benefit of yourself and your patients. As well as your nursing staff. There is no standardized formula for most of nursing. It ebbs and flows over the years. God bless all of us who nurse at ALL levels. Period. Most folks couldn't do ANY of it and that makes us the same. Very very special.
I realize I am a dinosaur. But I would not trade my LPN for gold.
In my arrogance I wonder what would happen if the old institution of the three year RN was reinstated? Those students worked in the hospitals on all shifts while in training. It was like a perfect blend of the best of two training methods. It did narrow the field of students, but wow!
And the LEGAL standardization of the "scope of practice" would be MONUMENTAL! No more "gray areas" from employer to employer.
Sadly, money and politics my Dears.

Laurel Harper 2 months ago
This is in response to Devyn. Sorry, I had to put it here. I understand and empathize with your position. I want to remind us all that scope of practice varies from state to state. (Thanks, Debra, for bringing that up!) I don't hold out any hope of national standardization for scope of nursing practice for LPN/LVN. So, Devyn, for LPNs/LVNs who wish to do more, the RN license may be the way to go. Want to do rescue work for Ebola patients in West Africa? How about working as a flight nurse? Does placing PICCs sound interesting? Devyn, it's not that the extra education makes you more qualified to care for your patients, it's that the extra education make you qualified, period, to prove a certain level of care to all patients. There are areas of nursing that LVNs are not exposed to, or do not have extensive exposure to, again because of scope of practice. So, you didn't have to open a book to learn anything about Med-Surg, for example? And you didn't have to look at book when it came to answering questions about PTCA? I find that hard to believe. Even with all your experience, there are things that you cannot learn outside a classroom, years of experience notwithstanding. That "piece of paper" may not make you a "better" nurse, but it will make you a more knowledgeable one, a more credible one, and one who is legally allowed to do more. Also a lot more responsibility.

Hyacinth Bennett 10 months ago
wonderful comment thanks for the encouragement. I am hoping to become an LVN/LPN instructor. I do believe that they are still needed in a lot of areas.

Anonymous 1 year ago
I have worked in the LTC for many years as an LPN. I was charge nurse for a number of those, and also worked the transitional care unit, the newly discharged hospital patient unit. As an LPN in this facility there was nothing the LPN's did that was any different than the RN's. We started our own IV's if need be, blood draws, and including IV push. The pace was hectic, patient load was heavy, and the lic. nursing staff had better have their stuff together. The hospitals in this are are not hiring RN's with a 2 year degree (even if there was an opening for RN), and the BSN's have been leaving the area to find employment elsewhere. Home care is now hiring on staff that get a three week course in what ever is the necessary need, i.e. trache, g-tube. Licensed nursing staff is being eliminated, as the wages for this new staff will be just a dollar or two above minimum wage. BTW, this will also include at home vent care.

P. Sims 1 year ago
I am an LPN, in South Carolina, I work in a Continuing Care Retirement Community and Rehab. The Technical School that offered LPN, offers RN as well, and a bridge program for those LPNs wanting to obtain their RN. The program is highly competitive only accepting the top 40 students twice a year, just like the RN program. Most everyone who got into the LPN program had the requirements to apply for THEIR BSN. It is basically a space issue for the program where we are located. That being said, I was offered a job even before I tested for my LPN License, at a very nice establishment, leading me to believe that LPNs are needed and not being produced, due to the shift of moving toward an RN focus. Technical Schools need to stay true to their roots and honor/offer LPN Diploma Nursing Degrees, because LPNs are needed at the ever increasing number of "Nursing Homes", long term care facilities, rehabs, home care, hospice care, and government jobs. While I am currently in the RN program and have been an LPN less than a few months it is clear from my friends who have gotten their RN months and STILL DO NOT HAVE JOBS that I took the right steps in doing a degree climb.

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renagapasin 2 years ago
LPN's are great! I think they are helpful in a nurse's day!

Laurel Harper 2 months ago
I agree with Devyn. renagaspasin's comment was ignorant. Does she think LPNs are to nurses? Doe the N in LPN and LVN perhaps stand for Nobody? Congrats to you, Devyn, by the way!

Devyn Richardson 7 months ago
Leilani, Renagapasins comment is ignorant at best, I have been an LVN for 20+ yrs, I WORK in an EMERGENCY DEPT at Baptist hospital in Texas. YES LVN's can and do work emergency, I take 3 rooms, my RN only does the initial assessment, the rest is my job INCLUDING CHEST PAIN and on down the chain. The ignorance kills me when these idiot RN's think they are the total package. Although I will be finished with my RN in 4 mos, I have zero respect for the RN whos never been educated on the true scope of practice for LVN's/LPNs in all states. My own hospital recognizes were licensed professionals. I push narcs (minus Cardiac) and Lasix, ABX and MORE, Dilaudid IV, etc.. I have trained RN's new to the ED and shown them the ropes, I have a background in the PCU and Urgent Care, including 3 different ER positions, SO enough with the BS already. I will never treat any medical professional like some of these GLORY B's who think they are the bomb cause RN is behind the name.. All great medical teams include CNA's Techs, Nurses and Doctors, they need to stop the "Eating of the young!" cause it makes them look less then professional! Bottom Line!!

Leilani Greenwood 1 year ago
I did not like that comment by rengapasin , that LPNs are helpful in a nurse's day. I am a nurse. A Licensed Practical Nurse. I've taken and passed my state board 25 years ago, and I've been paying my license fees to practice nursing. If LPNs are not concerned nurses then I want my money back for all the fees I've paid

Angela Reynolds 1 year ago
This message is in response to (renagapasin) Youyr comment that "LPN's are great, u think they are helpful in a nurse's day"!!! WOW, JUST THIS STATEMENT ALONE TELLS ME THAT U CAN'T POSSIBLY BE A NURSING PROFESSIONAL... because if u were you'd know that LPN"s are NURSE"S and their are not to many things that we as LPN's are licensed to do differently than a RN ( except for maybe IV pushes) otherwise we do almost everything else as an RN!! and in ACLF's and Skilled nursing facilities we are the "Charge Nurse" supervising the floor, patient's and CNA"s!! so truly i beg the differ in regards to your comment about LPN's being helpful in a nurse's day, sweetie we are Nurse's!!! do your research!!

Anonymous 2 years ago
I was an LPN for four years, before i became a RN. The experiencwe was great. I am now the Nurse Manager in a LTC and have some excellent LPN'S working with me. What i would like to say is yes LPN'S are valuable and much needed.

Anonymous 2 years ago


I was an LPN for four years, before i became a RN. The experiencwe was great. I am now the Nurse Manager in a LTC and have some excellent LPN'S working with me. What i would like to say is yes LPN'S are valuable and much needed.



Anonymous 2 years ago
I was an LPN for four years, before i became a RN. The experiencwe was great. I am now the Nurse Manager in a LTC and have some excellent LPN'S working with me. What i would like to say is yes LPN'S are valuable and much needed.

Anonymous 3 years ago
it does not make any sense that any family member can call in report a nurse who refuses to feed a dying pt who can t swallow then is completely pulled off the company list as do not use then they tell all these lies and no one ask any questions just 3 strikes and you are out after 20 yrs as they say the family is always right and we don t have any rights Why?

Bennie Stukes 1 year ago
Oh my word, did you say a mouthful! I've been an LVN for 20 years myself and I wouldn't dare even think about furthering my education as an RN for the newly established "wall street" It's all about the money! I only have one issue with your statement. It's not the family that is always right. In reality, it's the customer who is always right. You mess with the profit, you're going to get the axe.

Anonymous 3 years ago
I don't know that you will listen, but take it from someone who has been there,has friends and family who are/were LPN's and I believe to waste your money and time (one-two years) to become an LPN, possibly not get a job right away, as an RN you may not also in this eonmomy...go into associate degree RN progam, and when finished begin certification in an area you would like to work...ER, Pediatrics, etc, there are intern programs, less pay, but good experience, "Hire Learners" at Atlantic Health, resident programs for RN's. make sure your intention is to continue school once you are employed, and make sure there is tuition reimbursement, apply for loans and scholarships through the nursing organizations, don't waste your time going for LPN, now associate RN degree is almost considered similiar to LPN status, the new mandates pending are requiring BSN (4 year degree) as standard. Don't waste valuable time, and money, use it wisely, you are needed in the nursing field. Do It!

Anonymous 3 years ago
I don't see how in reality, how hospitals can function without LPNs. Not everyone needs an RN much less a BSN to give good nursing care. I have seen some great LPNs and some clueless BSNs. I was taught teamwork and I still believe that is what it takes to make a hospital run successfully. Everyone's position is important. Everyone should take pride in their contribution.

Anonymous 3 years ago
to all lpn/lvn
if you will have the chance to upgrade your knowledge and skills, why not? phasing out of lpns/lvns or not its for the better. No matter what it takes, GO for it.

Anonymous 3 years ago
Likewise in Pa, been LPN for 35 years on med. surg unit with very good evaluation every year and my fellow coworkers with the same evaluations. Not even C.N.A. being hired N.A. with no medical back ground being hired . I have been paying a license fee for what? What happens next? Who defends the L.P.N's?

Anonymous 3 years ago
Hi: I am an LPN in the state of Florida and have been out of work for 7 mos...I didnt realize that the trend is to hire med-techs that have 4 hrs of training and are allowed to take a med cart as LPNs used to,,,the trend that I am seeing is even agency has extremely little work for LPNs,,it is mostly RNs and CNAs & HHAs,,I am very concerned not just for me but for the residents in all these assisted living facilities that are staffed by glorified cnas with 4 hrs of training!! Scary!!

Anonymous 3 years ago
I love in IL and obtained my LPN from a small community college in a small town where all the major factories seemed to have shipped to Mexico in rapid succession. Every wrkr raced to school to get a degree in the medical field, whether it be RN, LPN, medical assistant, Xray tech, etc (good luck shippig THOSE jobs to Mexico!) there was actually a WAITING list to get into the LPN program&only the top 40 scores were excepted-thank goodness i fell in such a category. I actually found work rather quickly as an LPN at the age of 36, i happily worked there for 6yrs until the economy in the area became so bad that i was forced to sell my house&move 45miles north. I now have a job working the floor of a LTC side by side w/RNs-they are treated no better or worse than us LPNs&in fact, only make a few dollars an hour more than I do. There are some RNs that i am AMAZED that they can form a complete sentence, let alone successfully graduate from nursing school...altho, i run into LPN that i hold in the same caliber. Yes, LPNs ARE needed, i DO see hospitals weeding them out at an alarming rate--but they are still very much needed in long term care-as many RNs will not go near a LTC. I believe our greatest disadvantage of being an LPN is that our job options are limited,nevertheless, i have been offered every job i have applied for. And then there is the misconception of the 'lay person' who thinks we are not 'real' nurses, that we only 'play'or 'practice' being a nurse. Like...Lets Play Nurse. My favorite line? 'When are you going to go get your REAL nursing degree?' we most certainly do not command respect from the general public that RNs do--BUT if u want to get into healthcare for respect, than u r in it for the wrong reasons. I do not get the respect i deserve, sometimes, i am talked to like im some sort of hyper, out of control toddler--nonetheless, i LOVE what i do-I LOVE my residents, they love me and depend on me-their faces light up when they havent seen me in awhile &I adore AND respect my CNAs--THEY are the frontline of healthcare.

Anonymous 3 years ago
I am a 62 year old female with a BS degree in Business Admin. Three years ago I was laid off from my job in the Banking Industry after 20 years,and has been unsuccessfull in finding employment in that field again (I believe it is age related). I recieved my CNA license 3 months ago but still hav'nt found employment since the Nursing Homes are asking for one year experience. I also have a HHA license so I am able to find work in that area. I decided against the LPN Program because they are no longer being hired in hospitals and the Nursing Homes work the hell out of you. I am going with Respiratory Care program at the county college and hope to complete my degree in 1 year with an internship. At 62 I feel highly motivated and I absolutely refuse to sit back and allow circumstances to dictate how I live the rest of my life. (Senior Power)

Laurel Harper 2 months ago
Best of luck with your pursuit of a new career. I just want to correct you in that CNA's are not licensed, they are UAP (unlicensed assistive personnel) and may be certified. Home Health Aide are also unlicensed but may be certified. Please, please do not use the word licensed when referring to unlicensed positions. The word "license" infers a standard of care and a level of responsibility you don't have. When you say Respiratory Care, are you talking about Respiratory Therapy? Tough program. As far as your patients, your age will work for you.

Anonymous 3 years ago
I am a 51 y/o LPN who has been working in a Family Practice clinic for almost two years. I graduated owing a lot of money and find there are very few opportunities for LPNs. I am now pursuing ADN degree and am very nervous -- Good luck to all of you --

Anonymous 3 years ago
I'm from CT and I too am starting an LPN program in March..like you Annette, I'm getting a little nervous as to what Im hearing about LPN's I STILL an tossed about whether to go the LPN route or Medical assistant route. I know the pay is less but fortunately that's not my concern. My concern is paying all that money for LNP and not finding anything. So any suggestions...LPN vs MA???

Brandy Griffin 1 year ago
I would definetly do LPN. I was A CNA that became a MA then a LPN and now working on my RN. I can say I wasted my time and money with the MA program the pay is between 10-12 an hour and the field is full it's hard to find a job and most places would only let you do vital signs a room patients. The office nurse did everything else at least with LPN right out of school I made 20/hr and I have never had a hard time finding a job. Good luck but chose nursing.

Anonymous 3 years ago
I am signed up to start a 15 month LPN program in January, but now am hearing the stories of LPNs being phased out of hospitals and over staturating the LTC field now. Will I find work? I sure don't want to waste my time or money going to school and not be any better off than I am now. Also, I don't want to have to go to RN school , I want to be a hands on nurse without all of the admin. duties.

Laurel Harper 2 months ago
"Also, I don't want to have to go to RN school , I want to be a hands on nurse without all of the admin. duties." -- Not a reason to avoid an RN program. Having an RN license opens up new opportunities, it doesn't force you into administration. Where'd you get that idea? What admin duties are you talking about?

Anonymous 3 years ago
Hey char p, listen, stop right now. Don't do it. Do not go to LPN school. Its not worth it. I was an LPN in a nursing homes for years before I became an RN. Its just not worth it. The job is torture. Very degrading and draining with very little pay or stability. Don't waste your time and money on an LPN program.

Anonymous 7 months ago
I have been an LPN for 20+ yrs, at my current job for 15. There is a definite separation between LPN/RN treatment. However, with that being said, I didn't go into nursing expecting alot of accolades. I have worked with amazing nurses- both LPN and RN. I have also worked with LPN's and RN's that couldn't find their way out of a shoebox.
Who and where you work is going to very much test both your patience and your skills. I work hard for sure but I also leave work everday knowing I had the opportunity to make a difference on other people's lives. That is a blessing in itself.
The job outlook for LPN's has always fluctuated, stick with it and decide for YOURSELF if you want to further your education. I chose not to pursue my RN because the hands-on nursing an LPN does is my forte. Good luck to you whichever decision you make.

Anonymous 3 years ago
In other words the younger generation hasn't got a clue. It appears that the reasons to become an RN are so we won't have to do the leg work and management here we come. LPN, huh, why would we really want to be a care giver. Now we have a money issue or is it just that the industry of RN's may feel threatened and LPN's actually stand a chance at getting something done. We will see maybe the nation will finally wake up and see the need for both in any large institution.








Sororama2011 1 year ago
If RNs don't do leg work then I don't know what I did when I ran most of the time all the way through my shifts. I didn't go into it to get a management job.

Anonymous 3 years ago
I am an LPN who has been working in Nursing for 20 years 12 years as a LPN. It is tough getting a job these day as a LPN having much experience we are being passed over for new grad RN with little or no experience so I am wondering if this is not discrimination, because the expectation in long term care homes RN's and LPN's skill do not differ except in supervisory and management positions.

Anonymous 3 years ago
i have been a nurse for 20 years a lpn, and worked in hospital until recently when they decided to go all rn now cannot find a hospital that will hire lpns now, do not understand this, we have been the back bone to hospitals for a long time to just change the rules is not fair to us we cannot find work er are very experienced in our fields of work, what are we to do i am 52 years old and would love to work until 62 as a nurse don not know what i am going to do only choice i guess is go back to school or nothing

Anonymous 4 years ago
Wow!! To all the lpns and lpn students in their 50’s and 60’s, I’m 48 and am starting lpn school in sept. you’ve all inspired me and given me a boast of confidence in going into the program. Thank you!!! My soon to be instructor did tell me that lpns were being phased out of hospitals and I’m still very much concerned on whether I’ll find work when I graduate. but it is where my heart lies. I’m a certified phlebotomist and a med asst. and am currently employed at an onco/hema treatment center and throwing it all away for lpn school! I spoke with a recent lpn grad in my area and she hasn’t been able to find work for a year. Hope I’m not making a mistake. I really need this job even though its not paying too well. I live in NY and if anyone here can shed some light on whats going on in the lpn world for the 2011/2012 that would be great!!!! Thanks all! :-D

Anonymous 4 years ago
Wow!! To all the lpns and lpn students in their 50’s and 60’s, I’m 48 and am starting lpn school in sept. you’ve all inspired me and given me a boast of confidence in going into the program. Thank you!!! My soon to be instructor did tell me that lpns were being phased out of hospitals and I’m still very much concerned on whether I’ll find work when I graduate. but it is where my heart lies. I’m a certified phlebotomist and a med asst. and am currently employed at an onco/hema treatment center and throwing it all away for lpn school! I spoke with a recent lpn grad in my area and she hasn’t been able to find work for a year. Hope I’m not making a mistake. I really need this job even though its not paying too well. I live in NY and if anyone here can shed some light on whats going on in the lpn world for the 2011/2012 that would be great!!!! Thanks all! :-D

Anonymous 4 years ago
Labor and Delivery LPN in northwewst ga. for 28 years now being phased out at end of Dec. have had a wonderful, and satisfying career. Iam still in my prime heavy on skills and have taught and enouraged both LPN, RN, I am blessed looking for a Job that fits my experience which is vast pretty much nothing i cant do because of have be train to keep up with the movement of nursing .... its always a good day ... to take care of a pt with a smile ..!!!

Anonymous 4 years ago
I have been an LPN for 16 years.13 yers spent on a med/surg telemetry floor. Now out for 6 years, I am unable to find a prn position anywhere. I am qualified as are many other LPNs and I miss working in the hospital. Bring back 2009 when all types of nurses were needed.

Anonymous 4 years ago
as an lpn in new mexico and california lpn/lvns perform
services the hospitals and clients need continue writting we are hearning you
out here!

Anonymous 4 years ago
via NurseTogether Facebook page:

Here's a shout out to all my LPN friends! You Rock!

Anonymous 4 years ago
via NurseTogether Facebook page:

So valuable to our profession!

Anonymous 4 years ago
via NurseTogether Facebook page:

Many wonderful LPN's I know!!

Anonymous 4 years ago
I am an LPN of 15 years. I have a broad base of experience in LTC, Med Surg and clinic work. Presently, I work as the only nurse in a single physician family practice. I have gone so far as to complete prerequisites for RN program. Was accepted to nursing program at local comunity college, but chickened out at the last minute. I am proud of the experience I have and wouldn't change that. I have read a lot of posts on other sites from people who sound bitter saying they could work circles around any RN. I don't feel that I am smarter or better than any RN just because of my years of experience. In fact, it has taken me these years to become a good nurse. I hope one day to finish what I started. I do hope we are not a dying breed, because I may chicken out again...

Anonymous 4 years ago

Hi, I'm a 50's something male STNA (CNA) that is in school to become a LPN. They have been talking about getting rid of the LPN's in hospitals for the past 20 years. Truth of the matter is that LPN's are just as an important part of the health-care system as the RN's all the way up to the Doctors. The health-care system is set up on a teamwork based society and I really don't see that changing. More strict guidelines might be put out there to better define the scope of practice for all levels in the health field, but there will always be the LPN's RN's, BSN's and so on.


Anonymous 9 months ago
Back in 82 they said they were getting rid of LPNs but look at us still in the game I don t think they will ever get rid of the LPN

Anonymous 4 years ago

Hi, I'm a 50's something male STNA (CNA) that is in school to become a LPN. They have been talking about getting rid of the LPN's in hospitals for the past 20 years. Truth of the matter is that LPN's are just as an important part of the health-care system as the RN's all the way up to the Doctors. The health-care system is set up on a teamwork based society and I really don't see that changing. More strict guidelines might be put out there to better define the scope of practice for all levels in the health field, but there will always be the LPN's RN's, BSN's and so on.


Anonymous 4 years ago

I am 63 yrs old and have been an LPN for five years. I work in LTC. Thank God, presently, there is a place for me in the nursing field. I didn't find my "calling" until I applied at a LTC facility to earn my certification as a nurse aide. I knew then I wanted to work in LTC. Since receiving the LPN status, I have toiled over returning to school to earn the RN degree. Recently, I decided to earn LPN certificates instead of earning a RN degree. RNs who work in my facility respect LPNs and the feeling is mutual. However, the majority of RNs who work in LTC are in supervisory positions,not LPNs. I feel there will always be a need for LPNs in LTC. One reason, is that the wages of LPNS are much lower than RNs. Some RNs would probably not like to be presented as "glorified Med Techs" or "glorified aides" as they are in some LTC facilities. Im the area I live few LPNs are hired at hospitals. I pray there will always be a need for LPNs. In my opinion, LPNs are so lucky to be able to work the floor and build relationships with residents and apply "hands on" care. Unfortunately, another question being asked frequently is: Are Associate Degree RN programs still relevant today? The nursing profession consists of so many levels of care. There should be a need for all of them. I feel blessed to be in the nursing profession.


Anonymous 4 years ago

Hi I'm an LPN student hoping to graduate this coming June. I was very happy at the beginning of school but now I'm a scared. The facility where I do my clinical experience told me that nursing homes will not be able to hire LPNs only RN. But they do hire med techs. I live in Swansea MA. Is this problem going on all over the country. Any advice. By the way I'm a 55 year old woman returning to school.


Anonymous 4 years ago

Hi I am a Rn for 20 years worked along side excellent Lpn's for most of my years on telemetry units and skilled units. They have orientated me and taught me skills in the beginning of my career that I had never known. Rn programs due teach supervisory and leadership roles,not much hands on.But when the time comes in a crunch you need that hands on experience. I do thank all those Lpn's who got me through my beginnings.


Anonymous 4 years ago

Hi I am a Rn for 20 years worked along side excellent Lpn's for most of my years on telemetry units and skilled units. They have orientated me and taught me skills in the beginning of my career that I had never known. Rn programs due teach supervisory and leadership roles,not much hands on.But when the time comes in a crunch you need that hands on experience. I do thank all those Lpn's who got me through my beginnings.


Pon Yee 2 weeks ago

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Jeannie Burkard 10 months ago
I am an LPN and proud of it also losing my job on med surg floor ,and being replaced by new young rn grads ,who ask if they should administer insulin to a patient with a blood glucose of 64 ,hmm and they are educated .kind of scary if you ask me