LPN Restrictions

Licensed Practical Nurses (LPNs) provide a critical support layer for hospitals. However, LPNs are not available or licensed to perform all nursing duties. Many times the more complex nursing functions can only be performed by a registered nurse, known as an RN. The nursing industry is fragmented because of these restrictions with proponents of LPNs advocating they can do more and state laws restricting further expansion of duties.

Restrictions in Nature

• Many of the restrictions on LPNs have to do with the specific care and treatment procedures they can practice. For example, in many states an RN can apply and insert intravenous-delivered medicines, but an LPN cannot. Emergency room nurses tend to be full RNs as emergency situations often require immediate IV applications. Other restrictions on LPNs include not being allowed to work on blood administration techniques and wound dressing and care procedures.

Facility vs. State

• Hospitals and care facilities can always institute their own rules on what LPNs are allowed to work on. These internal rules can be stricter than what state licensing requirements have in place. However, facility administrations cannot waive or lessen state restrictions on LPN activities and roles.

Independent vs Dependent

• Some jurisdictions make it clear that an LPN must work in a subordinate role to an assigned RN. This is intended to make sure the LPN's work is being reviewed regularly by a higher and more detail trained nurse. In this respect, the LPN must work under the daily supervision of the RN rather than independently.

Compensation Impacts

• Because of their restricted status, LPNs do not earn as much as their RN counterparts in the nursing field. They have a lesser training requirement and less responsibility in a care facility. As a result, as of 2010 LPNs earn a median wage of $37,232 while RNs can earn closer to $57,200 annually in comparison.