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Licensed practical nurses (LPNs) are also known as licensed vocational nurses (LVNs) in California and Texas. LPNs generally have more training than certified nursing assistants, and less training than registered nurses.
These individuals usually have twelve months to two years of training in anatomy and physiology, pathophysiology, pharmacology, and practical patient care. They must pass state or national boards (such as NCLEX-PN in the U.S.) and renew their license periodically.
LPNs can perform simple as well as complex medical procedures, but must operate under the supervision of either a registered nurse (RN) or a physician. They can administer most medications, in some states may start IV's and administer IV push medications, monitor patient response to medications, implement wound care, perform vital sign measurements (blood pressure, heart rate, temperature, oxygen saturation, etc), maintain patient records, help with patient-care planning, surgery, Basic Life Support, sterile and isolation procedure, collect samples for lab testing and provide a standard and consistent level of care.
LPNs work in a variety of health care settings. They are often found working under the supervision of physicians in clinics and hospitals, or in private home health care. In long term care facilities, they sometimes supervise nursing assistants and orderlies.
The United States Department of Labor's Bureau of Labor Statistics estimates that there are about 700,000 persons employed as licensed practical and licensed vocational nurses in the U.S.
LPNs must at least be high school graduates. They follow the rules of State Boards of Nursing. Requirements for taking boards usually include a clean criminal record and graduation from an approved practical nursing program.
The first practical/vocational nurse training occurred at the Young Women's Christian Association in New York City in 1892. The first official training was three months long, offered at the Ballard School in New York in 1893. Students studied homemaking as well as learning how to care for patients. Some states did not have licensure for LPN/LVNs until 1955. Current training is usually college-based.