What is the Difference Between LPN and RN?

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The main differences between a Licensed Practical Nurse (LPN) and a Registered Nurse (RN) lie in their educational requirements, licenses, and scope of practice. Here are the key distinctions between the two roles:

Education:

  • LPNs typically complete a one-year vocational training program, which may be shorter and cheaper than an RN program.
  • RNs, on the other hand, usually complete a two- or three-year associate degree in nursing (ADN) or a four-year bachelor of science in nursing (BSN) program.

Licensure:

  • Both LPNs and RNs must pass a licensing exam to practice nursing, but the exams and licenses may differ by state.

Scope of Practice:

  • LPNs provide basic medical care to patients, including tasks such as checking vitals, administering shots or intravenous fluids, and assisting doctors with medical procedures.
  • RNs offer more substantial care, including administering medication and treatment, coordinating care plans, performing diagnostic tests, and providing educational advice to patients.
  • RNs can work independently in most areas, while LPNs must work under a physician or RN.
  • RNs often have a higher level of patient care, with 1:1 (one nurse to one patient) or, in extreme circumstances, 2:1 care (two nurses to one patient).
  • LPN roles are mostly found in outpatient, hospice, prison, home health, or skilled nursing settings, with fewer hospital openings and less autonomy for those positions.
  • The scope of an LPN's practice may vary by state, and LPNs may be limited in their ability to delegate tasks, supervise others, perform assessments, and provide patient education.

In summary, while both LPNs and RNs are essential to the healthcare profession, they have different educational paths, licenses, and scopes of practice. RNs generally have a broader scope of practice and more independence, while LPNs provide basic medical care under the supervision of doctors or RNs.

Comparative Table: LPN vs RN

Here is a table comparing the differences between Licensed Practical Nurses (LPNs) and Registered Nurses (RNs):

Aspect LPN RN
Education LPNs typically complete a one-year practical nursing program. RNs must earn a professional nursing degree, which takes anywhere from 18 to 36 months to complete.
Responsibilities LPNs provide primary nursing care, including administering medications, taking vital signs, and dressing wounds. RNs have a broader scope of practice, including assessing patients, creating care plans, administering medications, and performing other advanced procedures.
Salary LPNs generally earn lower salaries compared to RNs. RNs make roughly 35% more than LPNs.
Career Advancement LPNs can pursue further education to become RNs, expanding their career options. RNs have more opportunities for leadership roles and specialization.
Supervision LPNs work under the supervision of RNs and physicians. RNs may supervise LPNs and other support staff.

Both LPNs and RNs are essential for patient care, but they have different roles, responsibilities, and career paths. LPNs can find fulfilling careers in various healthcare settings, but their opportunities for career advancement and higher salaries are more limited compared to RNs.