{"schemaVersion":"1.0","exportedAt":"2026-05-15T12:39:48.071Z","occupation":{"soc":"29-2061.00","title":"Licensed Practical and Licensed Vocational Nurses","group":"Healthcare Practitioners & Technical","sector":"62","jobZone":3,"jobZoneInferred":false},"framework":{"version":null,"description":"Care for ill, injured, or convalescing patients or persons with disabilities in hospitals, nursing homes, clinics, private homes, group homes, and similar institutions. May work under the supervision of a registered nurse. Licensing required.","contextCovered":"Long-term care, skilled nursing, physician-office practice, hospital med-surg, and home health settings; LPN/LVN scope of practice as defined by state nurse-practice acts.","levels":{"emerging":{"label":"Emerging","statements":["Vital signs and routine assessments — collect and document on stable patients under an RN's review.","Medication administration within LPN scope — administer per state-practice-act limits and facility protocol.","Standard treatments (wound dressings, urinary catheter care, oxygen titration) — perform on routine assignments.","Patient identifiers and safety checks — execute reliably before any procedure or administration.","Charting in the EHR — enter assessments, treatments, and outcomes accurately under RN review.","Patient education on common conditions — deliver from facility-approved materials under supervision.","Specimen collection (blood draws within scope, urine, wound cultures) — obtain per protocol.","Communication with the RN charge — escalate appropriately on out-of-norm findings.","Infection control and isolation precautions — apply consistently across patient encounters.","Personal protective equipment + body mechanics — apply on transfers and treatments."]},"developing":{"label":"Developing","statements":["Multi-patient assignments — organize and prioritize across an LPN-staffed hallway shift.","IV initiation and maintenance within LPN scope — perform reliably where state practice permits.","Treatment plans for common diagnoses — execute from RN-developed plans with reduced oversight.","Stable but complex patients — provide care across multiple comorbidities under RN supervision.","Family-member interactions on common concerns — handle directly and route clinical questions to the RN.","Patient education and discharge teaching — deliver on a routine basis without RN follow-up.","Newer LPNs and nursing assistants — guide on facility routines during their first weeks.","EHR documentation for regulatory compliance — complete accurately across an entire shift.","Common procedures (Foley insertion, NG tube management, glucose monitoring) — perform independently.","Subtle changes in patient status — recognize and report to the RN charge or attending."]},"proficient":{"label":"Proficient","statements":["Complex routine patients in long-term care — provide care autonomously within scope of practice.","Charge-LPN responsibilities (where the state and facility permit) — coordinate hallway team during a shift.","Specialty-area protocols (dialysis support, hospice, post-op recovery) — apply within scope.","Difficult patient and family conversations on routine clinical issues — handle within LPN authority.","New protocols and EHR changes — implement and coach LPN and CNA peers.","Preceptorship of new-grad LPNs — host structured orientations.","Quality and safety concerns — identify, report, and follow through using facility processes.","Care-team coordination (dietary, social work, rehab) — collaborate substantively in care conferences.","Common-issue physician collaboration — communicate findings clearly enough to prompt the right order.","Cross-shift handoffs and SBAR-style reports — deliver clearly to incoming staff."]},"advanced":{"label":"Advanced","statements":["LPN charge or supervisor role in long-term care — manage staffing, breaks, and care assignments across a unit.","Restorative care or specialty-program leadership — design and audit on a unit alongside RN leadership.","Preceptorship and clinical-teaching role for the LPN program — coach across cohorts.","Survey readiness (state, CMS) — prepare the unit and represent staff in walkthroughs.","Unit-level quality measures (medication errors, falls, pressure ulcers) — interpret trends and respond.","Career pathway coaching (LPN-to-RN bridge programs) — mentor staff who want to advance.","Senior advocate for LPN-staff voice — represent on facility committees and in leadership meetings.","Regulatory and scope-of-practice updates — interpret and operationalize for the team as states evolve.","Mass-care or surge-staffing situations — lead the LPN response with composure.","Long-term-care operations — partner with administration on staffing models and clinical practice."]}}},"sources":{"onet":"v30.2 (CC BY 4.0)","crosswalk":"https://skillscrosswalk.com","generator":"LER.me"},"attribution":"© EBSCOed"}