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Welcome to a career in Nursing!

The desire to care for others is a noble one. Nursing is a noble profession. And an exciting one. Nurses are needed everywhere and the demand for trained, educated professionals is expected to continue to skyrocket. The following information is according to a report prepared for the Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Office of Workforce Evaluation and Quality Assurance by the Center for Health Workforce Distribution Studies, University of California, San Francisco

LPN educational requirements vary among the States and territories. Most States specify the content and number of hours of training, and some are more detailed than others. Most curricula teach similar basic nursing skills, such as measuring vital signs, patient data collection, patient care and comfort measures, and oral medication administration. Most States have additional training requirements for more advanced skills, such as phlebotomy, IV infusion, and IV medication administration. Even though requirements vary across States, States generally license LPNs that have been licensed in other States without further requirement.

One of the broadest descriptions of LPN scope of practice comes from the U.S. Department of Labor Occupational Outlook Handbook: “Licensed practical nurses… care for the sick, injured, convalescent, and disabled under the direction of physicians and registered nurses" (US Department of Labor, 2002) . State regulations tend to be more specific about the role of LPNs; for example, the California Board of Vocational Nursing and Psychiatric Technicians (BVNPT) States that the duties “include, but are not limited to, provision of basic hygienic and nursing care; measurement of vital signs; basic client assessment; documentation; performance of prescribed medical treatments; administration of prescribed medications; and, performance of non-medicated intravenous therapy and blood withdrawal (requires separate Board certification.)” (California Board of Licensed Vocational Nursing and Psychiatric Technicians, 2004)

In 1998, LPNs accounted for 39 percent of licensed nurses in hospitals and 46 percent of licensed nurses in long-term care settings (Bureau of Labor Statistics, 2000) . Through the 1990s growth in demand for licensed nurses was fairly consistent (Buerhaus, 1996;Spetz, 1996) with that demand being lower in areas heavily penetrated by health maintenance organizations. Additionally, during the 1990s employment of LPNs shifted away from the acute care setting toward long term care (Buerhaus, 1996). This shift was likely related to cost cutting measures in hospitals. The movement of LPNs out of hospitals created a gap in the acute care experience of LPNs, requiring substantial re-training and orientation of vocational/practical nurses who are brought back into the acute care setting (Barber, Bland, Langdon, & Michael, 2000) .

What does all this say? It says that nursing careers, particularly for LPNs and RNs will continue to be important, varied and, by definition, exciting.

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