聚光灯
Charge Nurse, Clinic Licensed Practical Nurse (Clinic LPN), Clinic Nurse, Home Health Licensed Practical Nurse (Home Health LPN), Licensed Vocational Nurse (LVN), Office Nurse, Pediatric LPN (Pediatric Licensed Practical Nurse), Private Duty Nurse, Radiation Oncology Nurse, Triage LPN (Triage Licensed Practical Nurse)
Licensed Vocational Nurses (LVNs)—or Licensed Practical Nurses (LPNs), as they are called in every state but California and Texas—offer essential nursing care to patients in many healthcare settings and situations. From hospitals to private homes and residential care facilities, LVNs perform a diverse array of tasks, such as monitoring patient health, assisting with daily living activities, providing emotional support, and administering medications in some cases.
They work closely with registered nurses and doctors to ensure patients receive appropriate personalized care along their unique healthcare journeys. In addition, LVNs often act as the first point of contact for patients and their loved ones. In-home settings, they may assist families with implementing the care instructions of the supervising nurse. Their compassionate care and clinical expertise are pivotal to the health outcomes of those they serve.
- 对患者的健康、寿命和日常生活质量产生影响
- 医疗保健领域的需求不断增长
- 大量个人和职业发展机会
Working Schedule
Licensed Vocational Nurses typically work full-time, and can expect night, weekend, and holiday shifts.
典型职责
- Monitor patient vital signs (i.e., blood pressure, temperature, heart rate, etc.)
- Provide basic care such as bandage changes and assistance with bathing, dressing, and eating
- Discuss concerns and explain care plans with patients and families, based on instructions from the supervising registered nurse (RN) or physician
- Observe patient behavior and routines; ensure patient safety and comfort
- 向医疗团队成员通报病人的最新情况
- Document given care, maintain diligent records, and handle intake/discharge procedures
- 协助病人移动、运送和准备手术
- Coordinate patient care with therapists, specialists, or others, as directed
- Manage hygienic conditions and practice infection control
- Restock supply inventories, or delegate tasks to assistants
- Set up and maintain medical equipment
- Administer medications based on state guidelines and training
- Guide patients in effective pain management techniques
- Perform wound care, when trained and as delegated
- Respond to emergencies and code blues under supervision
- During a code blue, LVNs may be authorized to start IV infusions, draw blood, perform blood glucose checks, and administer oxygen, if trained
- They may also be tasked to direct responders, record and document staff actions, help move patients, ensure patient belongings are gathered during transport, and explain events to family members
- Be familiar with the Incident Command System (depending on employment situation)
额外责任
- Administer and monitor patient response to oxygen therapy
- 提供术前和术后护理,帮助确保快速康复
- 参与持续培训和专业发展
- Supervise others based on state rules and employer policies
- Advocate for patient rights and provide emotional support to patients and their families
- Assist with specimen collection and laboratory tests, as directed
- 对患者进行自我护理和长期症状管理的教育
- 为患者保密
软技能
- 适应性
- 床边礼仪
- 怜悯之心
- 稳重
- 解决冲突
- 批判性思维
- 文化敏感性
- 可靠性
- 注重细节
- 情绪复原力
- 同理心
- 诚信
- 人际交往技能
- 多任务处理
- 观察者
- 耐心
- 身体耐力
- 建立关系
- 可靠性
- 安全意识
- 健全的判断力
- 强大的沟通能力
- 团队合作与协作
- 时间管理
技术技能
- 熟练掌握电子健康记录(EHR)系统的文档和病史跟踪功能
- 熟练操作和维护血压计、血糖仪和静脉输液泵等医疗设备
- 了解药理学、药物管理和不良反应监测
- 擅长伤口护理管理(如更换敷料、监测感染迹象等)
- 了解病人评估技术、生命体征监测以及识别病情变化的能力
- 能够与他人合作,帮助制定、实施和调整个性化医疗保健计划
- 监测、评估和记录康复进展的能力
- 遵守环境卫生、消毒、个人卫生和感染控制规程
- 正确佩戴和使用个人防护设备(PPE)
- 熟练提供行动辅助和使用辅助设备
- 了解支持病人和帮助病人康复的基本物理治疗方法
- 熟悉应急响应行动(包括静脉输液、供氧、病人转运,以及某些情况下的事件指挥系统)。
- 熟悉医疗软件,如
- eClinicalWorks
- 史诗系统
- 医疗保健通用程序编码系统
- 输液管理软件
- 医疗条件和程序编码软件
- MedicWare EMR
- MEDITECH
- 点点关爱
- 处方处理软件
- 电话分流软件
- 老年痴呆症设施
- 辅助生活中心
- 社区成人日间护理中心
- 持续护理退休社区
- Correctional facilities
- 政府和社区卫生机构
- 家庭保健服务
- 临终关怀机构
- 医院康复科
- 军事和退伍军人设施
- 护理机构(专业护理机构)
- 疗养院和长期护理机构
- Occupational health settings
- 门诊中心
- 康复中心
- Rural clinics
- 学校
LVNs/LPNs have demanding roles and must juggle tasks while maintaining the utmost precision and attention to detail. They’re expected to manage their time efficiently to ensure all patient needs are tended to promptly, correctly, and with suitable compassion. They must be meticulous record-keepers while staying focused on the immediate needs of the patients under their care.
The job can be physically demanding, especially when dealing with patients who have mobility issues—or when required to be up on your feet all day. Sometimes patients are dealing with circumstances that may make them difficult to manage, but LVNs/LPNs must maintain their composure and not let the stress get to them.
Hours can run long, with night shifts, weekends, and holidays often expected. Due to the pressure and laborious nature of this profession, Licensed Vocational Nurses need to take enough time for self-care to prevent exhaustion and burnout, which are common triggers that can drive nurses to retire.
A significant trend in the nursing world is the increased use of technology, such as electronic health records (EHRs) and telehealth services, requiring LVNs to constantly update their tech skills. There’s also a growing emphasis on preventive care and chronic disease management—areas where LVNs can engage in patient education and support.
Due to the national nursing shortage, LVNs are starting to undertake certain additional responsibilities that once fell on the shoulders of Registered Nurses. While this can be burdensome at times, it’s also an opportunity for career growth! The Bureau of Labor Statistics projects a 5% growth in employment opportunities for LVNs through 2032, which is higher than the average projected growth for all occupations.
Licensed Vocational Nurses/Licensed Practical Nurses are often natural caregivers. They may have helped take care of family members in their younger years, or perhaps always felt a strong desire to help others in need. They’re also highly practical and great at providing motivation—traits that could have been developed through extracurricular activities in school. Perhaps their most defining characteristic is the willingness to persevere through challenges so their patients can reach their health goals.
需要的教育
- To apply to a state-approved LVN/LPN training program, applicants need a high school diploma or GED equivalent
- A good GPA plus a solid background in subjects like math, science, biology, chemistry, anatomy, reading, and English is beneficial
- Entrance requirements vary by school. LVN/LPN programs generally require applicants to take an entrance exam, such as ATI’s Test of Essential Academic Skills (TEAS)
- The TEAS consists of four general subjects: Reading, Mathematics, Science, and English/English language usage. The exam may be taken online or in person but must be proctored
- Programs also require a math or English placement test, or even a college placement test such as the SAT or ACT
- Some programs may require that applicants first earn a Certified Nursing Assistant (CNA) certification
- LVN/LPN training programs are offered through community colleges, vocational/technical schools, and some four-year colleges
- In addition, many vocational-oriented high schools offer career pathway programs in health sciences or certain LPN classes or dual enrollment opportunities that allow students to gain college credits
- LVN/LPN students may choose to pursue either a 12 to 18-month certificate/diploma or an 18 to 24-month associate’s degree program, if they plan to pursue becoming a registered nurse later
- Common course topics may include:
- Assessment, diagnosis, planning, implementation and evaluation
- Basic pharmacology (medications)
- Medication administration, injections, intravenous
- Therapeutic verbal and nonverbal communication techniques
- Patient-centered and direct nursing care
- There are no 100% online programs, but certain schools offer some LVN/LPN courses online or via a hybrid method. This is because programs must include supervised clinical experience
- Upon completion of training, LPN/LVN program graduates must sit for the National Council Licensure Examination-Practical Nurse (NCLEX-PN) exam before applying for state licensure. They cannot work without a license
- 执照可以延期,但延期通常需要完成继续教育课程。各州要求不同
- Based on state or employer guidelines, LVN/LPNs may need to meet mandatory immunization requirements, such as seasonal flu vaccination, Tdap, MMR, hepatitis B, varicella, and meningococcal
- They may have to pass criminal background and drug screening
- 可能需要有效的现行州驾照和无犯罪记录的驾驶执照
- Licensed Vocational Nurses may complete optional credentials, such as:
- American Board of Managed Care Nursing - Certified Managed Care Nurse
- American Board of Wound Management - Certified Wound Care Associate
- American Council on Exercise - Weight Management Specialty Certification
- American Medical Certification Association - Patient Care Technician Certification
- American Red Cross - Basic Life Support Certification (i.e., CPR and AED)
- Board of Infection Control and Epidemiology, Inc. - Infection Control Certification
- Board of Nephrology Examiners Technology Nursing - Certified Peritoneal Dialysis Nurse
- Certification Board for Urologic Nurses and Associates - Certified Urologic Associates Certification
- 注册药物助理(CMA)
- Hospice and Palliative Nurses Association - Certified Hospice and Palliative Licensed Nurse
- International Board for Certification of Safety Managers - Certified in Healthcare Safety - Long-Term Care
- National Alliance of Wound Care - Wound Care Certification
- National Association for Practical Nurse Education and Service - Intravenous Therapy Certification
- National Association of Directors of Nursing Administration in Long-Term Care - Certified Assisted Living Nursing
- National Association Of Emergency Medical Technicians - Advanced Medical Life Support
- National Center for Competency Testing - Nationally Certified Patient Care Technician
- National Certification Board for Alzheimer Care - Certified Alzheimer Caregiver
- Nephrology Nursing Certification Commission - Certified Dialysis - Licensed Vocational Nurse
Licensed Vocational Nurses don’t have to attend training at a university. Training programs are available at community colleges, vocational/technical schools, nurse training schools, and select four-year colleges. In addition, CNA programs are offered in some high school programs.
- Review the LVN/LPN training and licensure requirements for the state in which you plan to work.
- 考虑学费(州内/州外费率)、折扣、奖学金和授课方式(校内、在线或混合课程)。
- Look for accredited programs with strong reputations and high pass rates for the NCLEX-PN exam
- 查看当地医疗机构的临床经验选项。
- 考虑计划的持续时间和时间安排的灵活性。
- 查看教师简介和获奖情况。了解毕业率和就业统计。了解校友网络的成就!
- 在医疗保健机构担任志愿者,以增加接触机会并学习实用技能
- 在高中选修与解剖学、生理学、生物学、化学、体育、营养学、心理学、健康科学、急救、数学和英语相关的课程
- 考虑学习一种您所在地区可能常用的第二语言
- Earn good grades so you can get accepted into a suitable Licensed Vocational Nurse training program (or, if needed, a nursing assistant program first)
- 制定连贯的锻炼计划,以便在控制压力的同时增强耐力和力量
- 保持健康的饮食习惯和规律的进餐时间,以保持精力充沛
- 参加学校活动,培养项目管理、团队合作、领导经验和解决冲突的能力
- Think about your long-term goals. If you might want to become a registered nurse later, consider that when deciding if you want to earn an LVN diploma, certificate, or an associate’s degree in nursing
- Consider the format you want to take classes in. Some topics are fine for online study, but others need to be learned in person
- Research any unique state or potential employer requirements for becoming a Licensed Vocational Nurse. Keep in mind that you may have to pass a criminal background check or drug screening
- Request to do an informational interview with a working LVN/LPN to learn about their daily duties
- 查看网上文章和视频,了解该职业领域的利弊、典型职责、工作环境以及您可能希望获得的额外认证!
- 保存一份可作为未来工作推荐人的联系人名单(附电话号码或电子邮件)。
- 保留简历的工作草稿,并随着经验的积累不断更新
- Once licensed, LVNs/LPNs can explore job postings via sites like Indeed, Glassdoor, healthcare-specific job search sites, and the websites of applicable employers
- Note, that many recruiters have established pipelines with local CNA/LVN/LPN training programs, so talk to your school’s program manager or career center about job placement assistance
- 与医疗保健专业人士建立联系,了解工作机会。不要低估"口碑 "招聘的力量!
- 在LinkedIn上宣传自己,并保持社交媒体的专业性。潜在雇主通常会筛选应聘者的网上活动
- Check out Licensed Vocational Nurse resumes for ideas on formatting, phrasing, and keywords to use
- Keywords may include: patient care, medication administration, vital signs monitoring, patient education, wound care, chart documentation, teamwork, communication skills, IV therapy, infection control, nursing care planning, and CPR certification
- Discuss your long-term career objectives, including the possibility of becoming an RN, with your supervisor. Seek their guidance and mentorship to chart a clear path forward!
- Consider enrolling in an LPN-to-RN bridge program
- 为出色的病人护理建立声誉,并证明自己已做好担任高级职务的准备
- 全面了解雇主的政策和程序
- 严格遵守护理计划和协议,展示您对患者安全和舒适的承诺
- 保持严格的环境卫生和个人卫生标准。必要时始终穿戴个人防护设备
- Foster effective communication with patients, families, fellow nurses, and the rest of the healthcare team
- 定期阅读护理期刊,如《护理质量期刊》,并参加继续教育课程
- Pursue advanced certifications, such as the National Alliance of Wound Care’s Wound Care Certification or the National Association for Practical Nurse Education and Service’s Intravenous Therapy Certification to broaden your skill set
- 掌握医疗设备和软件的使用,将自己定位为主题专家
- 表现出能力、正直、可靠、主动性和领导力
- Share your knowledge with fellow LPNs, mentoring others and setting a high standard to follow
- Engage with local, state, or even national professional nursing organizations like the National Association of Licensed Practical Nurses to network, stay informed, and have fun!
网站
- 美国急性期后护理协会
- 美国管理护理委员会
- 美国伤口管理委员会
- 美国运动委员会
- 美国医疗保健协会
- 美国医疗认证协会
- 美国护士协会
- 美国红十字会
- 感染控制与流行病学委员会
- 肾脏病考试技术护理委员会
- 泌尿科护士及助理认证委员会
- 老年护理
- 卫生职业学生协会
- 临终关怀与姑息治疗护士协会
- 国际安全管理人员认证委员会
- 护理质量期刊
- 护理教育杂志
- 美国老年医学会杂志
- 全国伤口护理联盟
- 全国家庭护理和安宁疗护协会
- 全国执业护士协会
- 全国实习护士教育与服务协会
- National Association of Directors of Nursing Administration in Long-Term Care
- National Association Of Emergency Medical Technicians
- 全国保健助理协会
- 国家能力测试中心
- 阿尔茨海默氏症护理国家认证委员会
- 国家认证痴呆症从业者理事会
- 全国各州护理委员会
- 全国保健人员协会
- 肾科护理认证委员会
- 护士网
- 护理标准
- 康复护理杂志
- 西格玛-西塔陶国际组织
- 美国护理学杂志
书籍
- Case Studies in LPN/LVN Nursing, by Janis McMillan
- Next Generation NCLEX-PN Prep 2023-2024: Practice Test + Proven Strategies (Kaplan Test Prep) Sixteenth Edition, by Kaplan Nursing
- Understanding Anatomy & Physiology: A Visual, Auditory, Interactive Approach, by Gale Sloan Thompson RN
Licensed Vocational Nurses are vital to healthcare, providing frontline patient care and essential medical support. However, their role can be physically demanding, involving lifting patients, moving equipment, and long hours on their feet. For students interested in exploring additional healthcare-related careers, check out the below options!
- 牙科卫生员
- 医学超声诊断师
- 医疗助理
- Medical Dosimetrist
- 麻醉师护士
- 助产士
- 职业治疗师
- 职业治疗助理
- 物理治疗师助理
- 助理医师
- 精神病学技术员
- 注册护士
- 呼吸治疗师
- 社会工作者
- 外科助理