Healthcare & Human Services · Physical Health

Licensed Practical and Licensed Vocational Nurses

Licensed practical and vocational nurses provide direct patient care under the supervision of physicians and registered nurses. You work in hospitals, clinics, long-term care facilities, and patients' homes. The role is hands-on, in demand, and you can enter with some college education rather than a four-year degree.

Median pay
$64,400
per year
Job outlook
+3%
about as fast as average
Typical education
Some college
no degree required
Preparation
Medium
Job Zone 3

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What a licensed practical and licensed vocational nurse does

You assist patients with daily activities like bathing, dressing, and eating while monitoring their health and comfort. You take vital signs, change bandages, insert catheters, and help with basic medical procedures. You document patient information in medical records and communicate updates to the nursing team. You answer patient questions, listen to their concerns, and provide emotional support. You also help organize patient care schedules and stay current with medical practices and facility protocols.

Core work activities

Career video courtesy of CareerOneStop.

Salary and job outlook

Licensed Practical and Licensed Vocational Nurses earn a median of $64,400 a year, based on 2025 data from the U.S. Bureau of Labor Statistics. Pay rises with experience, specialty, and location.

Lowest 10%$49,740
Median$64,400
Highest 10%$83,440

The outlook is steady. Employment is projected to grow 3 percent from 2024 to 2034, about as fast as average for all occupations, with about 54,400 openings a year.

Skills and knowledge you need

Top skills

  • Monitoring
  • Speaking
  • Active listening
  • Critical thinking
  • Reading comprehension
  • Active learning

Knowledge areas

  • Customer and personal service
  • English language
  • Psychology
  • Medicine and dentistry
  • Administration and management
  • Education and training

How to become a licensed practical and licensed vocational nurse

You'll need some college education, typically through a practical nursing or vocational nursing program at a community college or technical school. These programs combine classroom instruction in anatomy, pharmacology, and patient care with supervised clinical practice in real healthcare settings. After completing your education, you must pass a licensing exam to practice. The preparation involves medium-level complexity, so you'll need solid study habits and the ability to learn both theory and hands-on skills.

Most people enter this field through a community college program or vocational school, which takes less time and money than a bachelor's degree. If you're exploring whether this path fits your timeline and goals, Pathly can map the licensed practical and licensed vocational nurse path that fits you to map out the steps with your counselor.

Certifications and licensing

Many licensed practical and licensed vocational nurses must be licensed, and professional certifications can strengthen your resume.

Common certifications

CORE
National Council Licensure Examination for Registered Nurses (NCLEX-RN)
National Council of State Boards of Nursing, Inc.
CORE
Vascular Access-Board Certified
Vascular Access Certification Corporation
CORE
Bloodborne Pathogens
American Red Cross
ADVANCED
Certified Dialysis - Licensed Practical Nurse
Nephrology Nursing Certification Commission
ADVANCED
Certified in Healthcare Safety - Long Term Care
International Board for Certification of Safety Managers
ADVANCED
National Council Licensure Examination for Practical/Vocational Nurses (NCLEX-PN)
National Council of State Boards of Nursing, Inc.

Licensing is handled at the state level and the requirements vary, so check the licensing board in your state. Pathly shows your state's specific steps inside your roadmap.

Certification and licensing data provided by CareerOneStop, sponsored by the U.S. Department of Labor (DOLETA) and the Minnesota Department of Employment and Economic Development (DEED).

Is this a good fit for you?

You're drawn to helping others and making a real difference in people's lives. You listen well, think critically under pressure, and communicate clearly with patients and colleagues.

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Last updated July 1, 2026.

Data sources. Career details from the O*NET 30.3 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under CC BY 4.0. O*NET® is a trademark of USDOL/ETA. Salary and outlook figures from the U.S. Bureau of Labor Statistics (May 2025 wages; 2024–2034 projections), delivered via the CareerOneStop API. Certification, licensing, wage, and outlook data from CareerOneStop, sponsored by USDOL/ETA and the Minnesota Department of Employment and Economic Development (DEED).