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LPN Program vs BSN School: What is the difference?


Nursing School

Do you know the difference between an LPN and an RN? If you’re like most, you probably know both options support a fulfilling career in nursing and healthcare. Even though they sound similar, you may be surprised how little they actually have in common when it comes to things like salary, education, and job responsibilities. For example, it is important to understand the differences between an LPN school and a BSN school.

If you’re about to embark on your journey towards a nursing career, there are few key discrepancies between a Registered Nurse (RN) and a Licensed Practical Nurse (LPN) you should know. Not sure which route is best for you? Start by learning the differences.

RN vs. LPN Education

One of the biggest differences between an RN and an LPN is the amount of time spent in school.  An RN must receive a professional nursing degree to practice, which can take 18 to 48 months to complete – depending on what type of program the student picks. For example, a BSN (Bachelor of Science in Nursing) usually takes about four years to complete. There are options to finish quicker, though, like the accelerated BSN program, which only takes three years. An associate’s degree in nursing (ADN) usually requires two to three years to complete.

On the other hand, most nursing students can earn a Practical Nursing Diploma from an accredited LPN school in around one year. Full-time LPN programs are available at many community colleges and vocational schools.

While every nursing program will differ, some commonalities students can expect are (supervised) clinical experiences and classes in pharmacology and biology.

RN vs. LPN Salary Expectations

An LPN salary is likely lower than an RNs salary. This is simply because RNs usually have more advanced training and are expected to carry out more complex types of patient care. RN and LPN salaries depend on where you live, job demand, education level, and experience.

According to the US Bureau of Labor Statistics, released in 2019, an RN’s median salary is $73,300, while the average LPN salary is $47,480. A general rule of thumb in nursing is that the more experience you have, the more you’ll get paid. Nurses who opt to specialize in critical care like the ICU, ED, L & D, or the OR usually take home higher paychecks. Usually, these more prestigious positions are given to RNs over LPNs. State and data area vary.

Certification & Licensure for RNs vs. LPNs

This is one significant similarity between the two. Both RNs and LPNs need to gain licensure from their state boards of nursing to practice healthcare.

The steps to licensure include:

  1. Passing a state nursing board-approved training program – either an RN program or LPN program with an approved curriculum.
  2. Passing a National Council Licensure Examination (NCLEX). The exam for LPNs is the NCLEX-PN, and the exam for RNs is the NCLEX-RN. The exam must be passed in order to become licensed and eventually become employed.
  3. Applying for a state license. (Application fees depend on where you live.)

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Work Settings & What to Expect

When many of us think of a nursing career, our minds automatically think of long shifts at the hospital, assisting the doctor with the latest emergency surgery. But for LPNs, that’s usually not the case. More LPNs work in long term care than in any other setting. Many LPNs opt to work in a long-term care facility because they have more job growth opportunities. As they move up the ranks, LPNs will usually supervise the nursing assistants who are responsible for basic tasks like changing bedding, bathing patients, or swapping out bedpans.

Who Works Where

BLS Reports show that 38% of LPNs work in nursing and residential care facilities, 15% in hospitals, 13% in offices of physicians, and 13% in home healthcare services. The majority of RNs work in hospitals, with 48% in private general hospitals and 6% in local hospitals. Only 5% of RNs work in long term care.

LPNs working in hospitals usually see fewer advancement opportunities. You’ll typically find LPNs doing basic tasks like taking vitals and not in the middle of the action in the ER or caring for babies in the NICU.

RN vs. LPN Job Responsibilities

What does a registered nurse do that’s different from a licensed practical nurse? While they often work together in a hospital or healthcare facility, their jobs’ roles and responsibilities are diverse.

LPNs are typically responsible for providing more basic nursing care, and by law, RNs are required to oversee LPNs. RNs are usually in charge of most nursing care, like administering medicine, putting in IVs, creating treatment plans, and updating the patient’s physician.

What to Expect: RN Job Duties

RNs are required to be able to perform all LPN duties along with additional responsibilities. The job description can include the following:

  1. Administer and monitor patient medications (including IV)
  2. Manage fistulas
  3. Emergency response using BLS (Basic Life Support), ACLS (Advanced Cardiac Life Support), and/or Pediatric Advanced Life Support (PALS)
  4. Wound care
  5. Administer chemotherapeutic and antineoplastic agents
  6. Create a care plan for the patient
  7. Measure vital signs and recognize and address abnormalities
  8. Admit and discharge patients
  9. Supervise LPNs
  10. Ensure patient safety – AKA “do no harm”, or nonmaleficence

What to Expect: LPN Job Duties

LPNs will provide fundamental nursing care under the supervision of an RN. Some of the tasks Licensed Practical Nurses are expected to perform may be:

  1. Administering oral, rectal, and topical medications
  2. Administering intravenous (IV) medications if certified (varies from state to state)
  3. Taking vitals
  4. Feeding, dressing, and washing patients
  5. Monitoring IV sites
  6. Change wound dressings
  7. Caring for patients with ventilators, tracheostomy tubes, and nasogastric tubes
  8. Emergency CPR
  9. Collecting specimens (capillary blood, stool, and urine)
  10. Documenting for patient’s medical record
  11. Inserting and caring for urinary catheters
  12. Providing ostomy care