Certified Nursing Assistants (CNAs) vs Licensed Practical Nurses (LPNs)

Get help choosing the right entry-level path into the nursing profession.

In the complex world of healthcare, Certified Nursing Assistants (CNAs) and Licensed Practical Nurses (LPNs) are two indispensable roles that form the backbone of patient care. These professionals play a crucial part in providing essential healthcare services, but they differ in terms of scope, responsibilities, and educational pathways. Additionally, we’ll address the growing demand for advanced nursing education and the importance of choosing the right path in this ever-evolving field.

CNAs and LPNs are often the first point of contact for patients in various healthcare settings. They are responsible for vital aspects of patient care, including assisting with daily activities, monitoring health status, and administering basic medical procedures. CNAs, with their relatively shorter training, typically provide direct care and support to patients in hospitals, nursing homes, and other healthcare facilities. LPNs, on the other hand, possess a more comprehensive skill set, including medication administration, wound care, and supervision of CNAs. Their role is integral in patient assessment, treatment, and the overall coordination of care.

One of the notable distinctions between CNAs and LPNs is the educational pathway to their roles. CNAs undergo relatively shorter training programs, often just a few weeks, to gain certification. This makes CNA programs more accessible for those who want to quickly enter the healthcare workforce. LPNs, on the other hand, must complete a one-year practical nursing program and pass the NCLEX-PN exam. This additional education and training equip LPNs with a broader skill set, opening doors to more diverse job opportunities and often higher pay.

The Increasing Demand for Advanced Nursing Education

The field of nursing is evolving rapidly, and advanced nursing education is becoming increasingly important. Registered Nurses (RNs) and Advanced Practice Nurses (APNs), such as Nurse Practitioners and Clinical Nurse Specialists, are in high demand to meet the growing healthcare needs of an aging population and changing healthcare landscape. These roles typically require a Bachelor of Science in Nursing (BSN) or higher degrees, which offer a more comprehensive understanding of healthcare delivery, leadership, and research.

Selecting the right pathway in the nursing profession is crucial. CNAs and LPNs provide invaluable entry points to healthcare, but individuals need to consider their long-term career goals. If someone aspires to take on a more comprehensive nursing role and enjoy higher earning potential, pursuing a BSN and becoming an RN may be the best option. On the other hand, if time and financial constraints are a concern, starting as a CNA or LPN can provide valuable experience and serve as a stepping stone to more advanced roles in nursing.

CNA vs. LPN: Overview of Roles

What is a Certified Nursing Assistant?

CNAs are often the healthcare professionals who spend the most time with patients, and their close interactions make them invaluable in assessing and meeting patients’ needs. Their dedication, compassion, and attention to detail are critical in ensuring the well-being and comfort of those under their care. In summary, CNAs make a significant impact in healthcare by providing essential, hands-on care and support to patients, contributing to improved health outcomes and overall patient satisfaction.

What is a Licensed Practical Nurse?

LPNs provide a bridge between the more comprehensive care provided by RNs and the essential support offered by CNAs. Their knowledge, skills, and dedication contribute significantly to patient well-being, safety, and positive health outcomes. LPNs are an integral part of healthcare delivery, ensuring that patients receive high-quality care and that the healthcare team functions smoothly. In summary, the essential contributions of LPNs to healthcare encompass various roles that enhance patient care, safety, and overall health.

CNA vs. LPN: Scope of Practice

What Does a CNA Do?

CNAs work under the direct supervision of registered nurses (RNs) and provide basic care to patients. Here are some common responsibilities of their role.

Assisting with Activities of Daily Living (ADLs): CNAs help patients with basic daily activities such as bathing, dressing, grooming, and toileting. This support ensures that patients can maintain their personal hygiene and overall well-being.
Monitoring Vital Signs: CNAs regularly check and record vital signs like blood pressure, pulse, temperature, and respiration. This information is crucial for assessing a patient’s health status and any changes that might require attention.
Providing Emotional Support: CNAs often serve as a comforting and reassuring presence for patients, especially those who may be anxious, in pain, or in need of emotional support. Their compassionate care helps alleviate patient stress and fosters a positive healthcare environment.
Assisting with Mobility: CNAs assist patients in moving, repositioning, and transferring from one place to another. Proper mobility support helps prevent pressure sores and maintains muscle strength.
Feeding and Nutrition: CNAs may assist patients with eating and drinking, ensuring they receive proper nutrition. They also monitor dietary restrictions and report any concerns to the nursing team.
Maintaining Cleanliness and Safety: CNAs are responsible for maintaining a clean and safe patient environment. This includes changing bed linens, keeping patient rooms tidy, and ensuring that safety measures are in place.
Communicating with the Healthcare Team: CNAs play a crucial role in the exchange of information within the healthcare team. They report changes in a patient’s condition to nurses or physicians, ensuring that necessary interventions are implemented promptly.
Documenting Patient Information: CNAs keep detailed records of patient care and observations. This documentation is essential for tracking a patient’s progress and ensuring that the healthcare team has access to accurate and up-to-date information.

What Does an LPN Do?

LPNs have an expanded scope of practice, which includes administering medications, wound care, and collecting patient data. Like CNAs, they, too work under the supervision and direction

of RNs or physicians but often have more autonomy in patient care.

Medication Administration: LPNs are often responsible for administering medications to patients, including oral, intravenous, intramuscular, and subcutaneous medications. They must ensure accurate dosages and monitor patients for adverse reactions.
Patient Assessment: LPNs assess patients’ vital signs, overall health, and specific medical conditions. They play a critical role in gathering and reporting information to the healthcare team, which helps in diagnosing and treating patients effectively.
Wound Care: LPNs are skilled in providing wound care and dressing changes for patients with injuries or surgical wounds. They ensure that wounds heal properly and are free from infection.
IV Therapy: Some LPNs have training in intravenous (IV) therapy and can start and maintain IV lines, which are vital for delivering fluids and medications to patients who require them.
Patient Education: LPNs educate patients and their families about medical conditions, treatment plans, medications, and self-care. They help patients understand and adhere to their healthcare regimens.
Supervision and Delegation: LPNs may oversee the work of Certified Nursing Assistants (CNAs) and other unlicensed personnel. They delegate tasks, provide guidance, and ensure that the care provided meets quality standards.
Documentation: LPNs maintain detailed records of patient care, including medication administration, changes in vital signs, and other significant observations. Accurate documentation is crucial for continuity of care and legal compliance.
Collaboration: LPNs collaborate with Registered Nurses (RNs), physicians, and other healthcare professionals to develop and implement care plans. They communicate patient information and updates to the healthcare team to ensure coordinated patient care.
Promoting Patient Comfort: LPNs offer compassionate care and emotional support to patients. They assist patients in managing pain, anxiety, and other emotional and physical aspects of their healthcare experience.

CNA vs. LPN: Work Environment

Where Do CNAs Work?

Certified Nursing Assistants (CNAs) are employed across a wide range of healthcare settings. They can work in nursing homes, where they provide essential daily care and support for elderly residents, helping with activities such as bathing, dressing, and mobility. Hospitals also employ CNAs in various departments, where they assist nurses in patient care and serve as valuable members of the healthcare team. In-home healthcare, CNAs offer personalized care to patients in their own residences, ensuring they can maintain their independence and receive assistance with their healthcare needs. Assisted living facilities hire CNAs to help residents with daily living tasks while promoting a sense of community and well-being.

The diversity of healthcare settings provides CNAs with a variety of opportunities to choose from based on their preferences and career goals. CNAs can gain experience in multiple areas, including acute care in hospitals, long-term care in nursing homes, or the personal care focus of home healthcare. This diversity allows CNAs to explore different aspects of patient care and discover the environment that best aligns with their skills and interests. Additionally, some CNAs may choose to pursue further education to become Licensed Practical Nurses (LPNs) or Registered Nurses (RNs), expanding their career options even further.

Where Do LPNs Work?

Licensed Practical Nurses (LPNs) work in a variety of healthcare settings, including hospitals, where they provide care and support to patients, assist with medication administration, and collaborate closely with registered nurses and physicians. Long-term care facilities, such as nursing homes, employ LPNs to oversee patient care, including medication management, wound care, and overall well-being. LPNs can also be found in clinics, where they contribute to patient assessments, routine medical procedures, and patient education. Home healthcare is another common work setting for LPNs, allowing them to deliver personalized care to patients in their homes, assisting with health maintenance and recovery.

One of the notable advantages of LPN roles is the ability to work in specialized areas. LPNs can choose to specialize in areas like pediatrics or gerontology, tailoring their career to meet the unique needs of specific patient populations. In pediatrics, LPNs work with children, providing specialized care, monitoring developmental milestones, and offering support to both young patients and their families. In gerontology, LPNs focus on the healthcare needs of older adults, addressing age-related health concerns and promoting the well-being of elderly patients. This specialization enhances LPNs’ expertise and enables them to make a significant impact in these specialized fields of healthcare.

CNA vs. LPN: Education and Training

CNA Program

To become a Certified Nursing Assistant (CNA), individuals must complete a state-approved training program, which is a fundamental requirement for certification. These programs are typically offered by community colleges, vocational schools, and healthcare facilities. The educational requirements for CNAs emphasize the development of essential patient care skills, including bathing, dressing, feeding, and basic medical procedures. The curriculum is designed to prepare students to provide safe and effective care to patients and residents in various healthcare settings.

One notable feature of CNA training programs is their relatively short duration. These programs are often completed in a matter of weeks to a few months, making them an attractive option for individuals who wish to enter the healthcare field quickly. The condensed timeframe allows students to acquire the necessary skills and knowledge efficiently, paving the way for them to start their careers in healthcare sooner than many other healthcare professions require.

CNA training is hands-on and practical in nature. It focuses on teaching students the fundamental patient care skills they need to provide direct support to individuals in need. This hands-on approach allows students to practice and develop their skills under the guidance of experienced instructors, ensuring they are well-prepared to deliver quality care. CNA programs often include clinical components where students work directly with patients, gaining real-world experience and building confidence in their ability to handle the challenges of the healthcare environment. This practical training is invaluable in preparing CNAs for their crucial roles in the healthcare system, where they play a pivotal part in patient well-being and comfort.

LPN Program

Becoming a Licensed Practical Nurse (LPN) involves completing a state-approved vocational Licensed Practical Nurse program. Aspiring LPNs must meet specific prerequisites, which usually include a high school diploma or equivalent. The LPN educational path is an important steppingstone to a career in nursing and allows individuals to take on more advanced roles in patient care compared to Certified Nursing Assistants (CNAs).

The LPN curriculum is more comprehensive and in-depth compared to CNA programs. It includes coursework in anatomy, physiology, pharmacology, nursing principles, and healthcare procedures. LPN students also receive training in medication administration, including dosage calculation and drug administration techniques. Additionally, LPN programs incorporate clinical experience, where students work in healthcare settings under the supervision of registered nurses or licensed practical nurse instructors. This hands-on training allows students to apply their knowledge in real-world healthcare scenarios, enhancing their skills and confidence in providing patient care. Learn more on how to become a Licensed Practical Nurse.

LPN programs typically last around 12 to 18 months, which is longer in duration compared to CNA training. This extended educational period allows LPN students to delve deeper into nursing concepts, building a more substantial foundation of knowledge and skills. Upon completion of their program, graduates are eligible to take the NCLEX-PN exam, a licensing examination that, when passed, grants them the title of Licensed Practical Nurse and allows them to practice nursing in a wide range of healthcare settings. LPNs play a vital role in patient care and often serve as a bridge between CNAs and Registered Nurses (RNs), providing a variety of healthcare services to patients.

CNA vs. LPN: Certification and Licensing Requirements

CNA Certification and Licensing Requirements

Obtain a high school diploma or equivalent.
Enroll in a state-approved Certified Nursing Assistant (CNA) training program.
Complete the CNA training program, which includes classroom instruction and hands-on clinical experience.
Pass a competency exam, which may include a written and practical component, to become a certified CNA.
To maintain current certification, CNAs must regularly undergo continuing education and meet state-specific requirements for renewal.
Continuing education ensures that CNAs stay up to date with the latest healthcare practices and maintain their competency in providing quality care to patients.

LPN Certification and Licensing Requirements

Complete an accredited Licensed Practical Nurse (LPN) vocational nursing program, which typically takes 12 to 18 months.
Successfully pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN) to become a licensed LPN.
To maintain LPN licensure, individuals must meet ongoing requirements, including continuing education and compliance with state-specific renewal requirements.
Continuing education ensures LPNs stay updated on healthcare practices and advances in the field.
LPN licenses need to be periodically renewed according to state regulations, which may involve fees and documentation of completed continuing education.

CNA vs. LPN: Salary

How Much Do CNAs Make?

The average salaries for Certified Nursing Assistants (CNAs) can vary significantly based on several factors. One of the primary determinants is the geographic location, with salaries in more expensive areas generally being higher. For example, CNAs in metropolitan areas or states with higher living costs tend to earn above-average wages. Conversely, in rural or less affluent regions, CNA salaries may be somewhat lower.

CNAs are typically paid on an hourly basis, and their earnings can range from moderate to competitive. The BLS reports that the median hourly wage for CNAs is around $17 per hour. However, CNAs with several years of experience or specialized training may command higher wages. Those working in specialized healthcare settings like hospitals may also earn more than CNAs in long-term care facilities or home healthcare.

How Much Do LPNs Make?

LPNs usually receive annual salaries rather than hourly wages, which allows for greater stability and financial planning. However, similar to CNAs, LPN salaries can vary based on factors such as geographic location, years of experience, and the specific healthcare setting in which they work. LPNs in metropolitan areas or states with higher living costs tend to earn more, while those in rural or less affluent regions may receive lower salaries. Experienced LPNs and those with specialized training or certifications may command higher wages, making it important for LPNs to research the salary* range in their area and consider factors that could impact their earning potential.

The salary* range for Licensed Practical Nurses (LPNs) tends to be higher than that of Certified Nursing Assistants (CNAs), reflecting the additional responsibilities and more extensive education required for LPN roles. According to the BLS, the median annual wage for LPNs is around $48,000. LPNs take on a broader scope of patient care, including medication administration, wound care, and supervision of CNAs, which justifies the higher pay. Additionally, LPN programs typically involve a longer and more in-depth training period compared to the shorter CNA programs, further contributing to their higher earning potential.

CNA vs. LPN: Job Outlook

CNA Job Outlook

According to the BLS, the job outlook for Certified Nursing Assistants (CNAs) is generally positive due to the sustained demand for healthcare services. Overall employment of nursing assistants is projected to grow 4 percent from 2022 to 2032, about as fast as the average for all occupations. As the aging population continues to grow and the healthcare industry evolves, the need for CNAs remains strong. CNAs are crucial in various healthcare settings, including hospitals, nursing homes, and home healthcare, ensuring their job security and offering opportunities for career growth. This demand for CNAs underscores the continued importance of their role in providing essential patient care and support.

LPN Job Outlook

According to the BLS, the job outlook for Licensed Practical Nurses (LPNs) is promising, with a growing demand for these healthcare professionals across various healthcare sectors. Employment of licensed practical and licensed vocational nurses is projected to grow 5 percent from 2022 to 2032, faster than the average for all occupations. LPNs can find employment in hospitals, long-term care facilities, clinics, and home healthcare, showcasing their versatility and the wide range of opportunities available. As the need for healthcare services continues to expand, LPNs play an essential role in providing patient care, medication administration, and other healthcare services, making them valuable assets in the evolving healthcare landscape. This demand for LPNs reflects their integral contribution to patient well-being and healthcare delivery.

CNA vs. LPN: Career Advancement Opportunities

CNA Career Advancement Opportunities

Certified Nursing Assistants (CNAs) have a clear pathway to advance their careers by pursuing further education and becoming Licensed Practical Nurses (LPNs) or Registered Nurses (RNs). Many CNAs choose to enhance their qualifications and expand their career opportunities by enrolling in LPN or RN programs, which typically require additional coursework and clinical training. These programs build upon the foundational skills learned as CNAs and provide a more comprehensive understanding of nursing, allowing individuals to take on more advanced responsibilities in patient care.

To facilitate this career progression, there are bridge programs designed specifically for CNAs to transition into nursing roles. These programs recognize the valuable experience and knowledge that CNAs bring to the table and offer a streamlined pathway for them to become LPNs or RNs. Bridge programs often credit CNAs for their prior training and experience, allowing them to complete their nursing education more efficiently. This not only makes it more accessible for CNAs to advance their careers but also addresses the growing demand for skilled healthcare professionals in the nursing field.

LPN Career Advancement Opportunities

Licensed Practical Nurses (LPNs) have several opportunities to advance their careers and take on leadership roles in healthcare settings. LPNs can further their education to become Registered Nurses. Many LPNs choose to enroll in LPN-to-RN bridge programs, which allow them to build upon their existing knowledge and skills. Entering a Bachelor of Science in Nursing program and becoming an RN opens doors to a broader range of job opportunities and increased responsibilities. LPNs can choose to specialize in a specific area of nursing, such as pediatrics, geriatrics, or mental health. Specialization often involves additional training and certifications, enabling LPNs to work in roles like pediatric or geriatric nursing, where they can provide specialized care. They can also earn certifications in areas like wound care, IV therapy, or medication administration. These certifications not only enhance their skills but also make them more valuable in healthcare settings. Furthermore, LPNs can take on leadership roles in healthcare by pursuing positions like Charge Nurse or Unit Manager.

LPNs have numerous pathways to advance their careers, from becoming RNs to specializing in specific areas of nursing. They can also step into leadership roles in healthcare settings, contributing to the quality of patient care and the advancement of the nursing profession. These opportunities not only offer career growth but also contribute to better patient outcomes and the overall improvement of the healthcare system.

CNA vs. LPN: Comparing Benefits of Both Paths

The Benefits of Choosing a CNA Program

Licensed Practical Nurses (LPNs) have several opportunities to advance their careers and expand their roles within the nursing profession. One common path is to pursue additional education to become Registered Nurses (RNs). LPNs can enroll in LPN-to-RN bridge programs, which often credit their prior education and experience, allowing for a more streamlined transition to an RN role. This transition opens doors to a wider range of responsibilities and career options, including specialization in various nursing fields.

Furthermore, LPNs can specialize in particular areas of nursing by completing certifications and additional training. For example, they can become Certified Pediatric Nurses, Certified Gerontology Nurses, or pursue other specialized certifications. These specializations can lead to more focused and rewarding career paths. Additionally, LPNs can take on leadership roles in healthcare settings, such as charge nurse or clinic manager positions, which involve overseeing and coordinating the work of other healthcare staff. These leadership roles not only come with increased responsibilities but also offer opportunities for career growth and higher earning potential. LPNs who aspire to advance in their careers have several pathways to explore within the nursing field, making it a dynamic and evolving profession.

The Benefits of Choosing an LPN Program

Licensed Practical Nurses (LPNs) often enjoy an expanded scope of practice compared to Certified Nursing Assistants (CNAs). They can administer medications, perform more advanced nursing procedures, and take on responsibilities in patient assessment and care planning. This expanded scope allows LPNs to provide a higher level of care and take on more independent roles in healthcare settings, contributing to their higher earning potential.

LPNs have numerous opportunities for career growth and specialization. They can choose to pursue additional education to become Registered Nurses (RNs) or advance in specialized areas of nursing, such as pediatrics, gerontology, or critical care. These specializations often lead to more specialized roles and potentially higher pay. LPNs can also take on leadership positions, which offer greater responsibility and career advancement opportunities within healthcare organizations.

Due to their training and the expanded scope of practice, LPNs can provide more comprehensive patient care. They are equipped to assess and care for patients with a broader range of healthcare needs, making them valuable contributors to the healthcare team. Their ability to administer medications, provide wound care, and offer more complex nursing interventions enhances patient outcomes and comfort, and it underscores the importance of LPNs in the healthcare system.

Follow Your Passion and Consider an Entry into a Nursing Career Path Today!

Certified Nursing Assistants (CNAs) and Licensed Practical Nurses (LPNs) are two distinct nursing roles with differences in roles, education, duration, scope of practice, and career opportunities. Here is a brief summary of these differences:

Roles: CNAs primarily provide basic patient care and support, including assistance with daily activities and monitoring vital signs. LPNs have a more extensive role involving medication administration, wound care, and patient assessment.
Education: CNAs complete state-approved training programs that typically take a few weeks to a few months. LPNs attend accredited vocational nursing programs lasting 12-18 months.
Duration: CNA programs are shorter, while LPN programs are more comprehensive, requiring more time and coursework.
Scope of Practice: LPNs have a broader scope of practice, which includes medication administration and more complex nursing procedures. CNAs have a more limited scope.
Career Opportunities: LPNs have more opportunities for career advancement, including pursuing further education to become RNs, specializing in different areas, and taking on leadership roles.

When deciding between these nursing roles, consider your career goals, time constraints, and interests. CNAs offer a quicker entry point into healthcare, whereas LPNs provide a more comprehensive and rewarding role with expanded responsibilities. Your choice should align with your long-term aspirations and the specific demands of the healthcare industry. Learn more about Eagle Gate College and get started on your educational pathway today.