Asian nurse smiling with paperwork in a hospital hallway

Should You Become an LPN Before an RN?

Exploring the Pros and Cons of starting out as an LPN before pursuing an RN qualification.

Asian nurse smiling with paperwork in a hospital hallway

Nursing is a dynamic and essential field within healthcare, offering a range of career opportunities. Two common roles within nursing are Licensed Practical Nurses (LPNs) and Registered Nurses (RNs). LPNs and RNs play vital roles in patient care, but their responsibilities, education, and career paths differ. LPNs, also known as Licensed Vocational Nurses (LVNs) in some states, provide basic nursing care under the supervision of doctors and RNs.

They typically work in settings like nursing homes, clinics, and long-term care facilities. Their duties include monitoring patients’ health, administering medication, and assisting with daily tasks like dressing and bathing. RNs, on the other hand, have a broader scope of practice and can work in various healthcare settings, including hospitals, clinics, and home healthcare. They are responsible for assessing patients’ health, developing care plans, administering medications, and providing education and support to patients and their families.

Many aspiring nurses start their careers as LPNs due to the shorter duration of the program compared to RN programs. LPN programs often take about a year to complete, while RN programs, especially those leading to a Bachelor of Science in Nursing (BSN) degree, can take three to four years. Some LPNs choose to pursue further education to become RNs, either by completing an LPN-to-RN bridge program or by enrolling directly in an RN program.

The debate on whether to become an LPN before pursuing an RN is ongoing. Some argue that starting as an LPN provides valuable hands-on experience and a quicker entry into the workforce. Others believe that going straight for an RN degree, particularly a BSN, offers better long-term career prospects and opportunities for advancement.

For those interested in becoming a Practical Nurse, a comprehensive guide on Eagle Gate’s Practical Nursing program is a great place to start. You can also learn all about our Bachelor of Science in Nursing program to pursue a more advanced degree in nursing.

Understanding the Roles

What is a Licensed Practical Nurse (LPN)?

A Licensed Practical Nurse is an essential member of the healthcare team who provides basic nursing care under the supervision of registered nurses (RNs) and physicians. LPNs perform a variety of tasks to care for patients. These include:

  • Monitoring patients’ health, including vital signs
  • Administering medication and injections
  • Dressing wounds and providing basic first aid
  • Assisting with personal hygiene and daily activities
  • Collecting samples for testing
  • Recording patient information
  • Providing emotional support and education to patients and their families

Educational requirements of an LPN

Becoming an LPN typically requires completing a state-approved educational program, which usually takes about one year to complete. These programs are offered by vocational schools, community colleges, and hospitals. The cost of an LPN program can vary widely depending on the institution and location.

Scope of practice and limitations of an LPN

The scope of practice for LPNs is defined by state nurse practice acts, which outline the tasks and responsibilities that LPNs are allowed to perform. While the exact scope of practice can vary by state, LPNs generally have limitations on:

  • Administering intravenous (IV) medications: LPNs are typically restricted from administering certain IV medications, depending on state regulations.
  • Supervising and delegating: LPNs often cannot independently supervise or delegate tasks to other nursing staff without oversight from a registered nurse (RN).
  • Administering blood products: In many states, LPNs are not permitted to administer blood or blood products.
  • Managing acute conditions: LPNs may have limitations on managing complex or acute medical conditions, which often require the expertise of an RN or physician.
  • Performing invasive procedures: Certain invasive procedures, such as central line insertions or chest tube placements, are generally outside the LPN’s scope.
  • Handling complex patient education: LPNs might be restricted from providing comprehensive patient education, especially for complex care plans or newly diagnosed conditions.
  • Initiating independent clinical decisions: LPNs often require guidance and cannot independently initiate clinical decisions without direction from an RN or physician.

In summary, LPNs play a crucial role in providing direct patient care under the supervision of RNs and physicians. They are valuable members of the healthcare team, providing essential support to patients and their families but have limitations in their scope and domain.

Group of medical professionals in a hallway

What is a Registered Nurse?

A Registered Nurse (RN) is a healthcare professional who has completed a nursing program and obtained a nursing license. RNs play a crucial role in providing and coordinating patient care, collaborating with other healthcare professionals, and advocating for patients. RNs have a wide range of responsibilities, including:

  • Performing physical exams and health assessments
  • Administering medications and treatments
  • Developing and implementing nursing care plans
  • Documenting patient care and outcomes
  • Educating patients and families about health conditions and treatments
  • Managing and supervising other healthcare personnel

Educational requirements of an RN

Becoming an RN typically requires completing either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) program. ADN programs usually take about two to three years to complete, while BSN programs take about four years. The cost of these programs can vary widely depending on the institution and location.

Scope of practice and specialization of an RN

RNs have a broader scope of practice compared to LPNs, including the ability to perform more advanced nursing procedures, make nursing assessments and diagnoses, and develop nursing care plans. RNs can also specialize in areas such as critical care, pediatrics, oncology, and many others. Specializing can require additional education and certification but can lead to increased career opportunities and higher salary* potential.

In summary, RNs are highly skilled healthcare professionals who play a critical role in patient care. They have a broad scope of practice and the opportunity to specialize in various areas of nursing.

Advantages of Becoming an LPN Before an RN

Gaining Practical Experience

Working as an LPN before pursuing an RN license can provide valuable hands-on experience in the nursing field. LPNs are often involved in direct patient care, which allows them to develop important skills and gain confidence in their abilities. This experience can be beneficial when transitioning to an RN role, as it provides a solid foundation in patient care and nursing practice.

LPNs spend a significant amount of time interacting with patients, which helps them develop strong patient care skills and bedside manners. They learn how to communicate effectively with patients, provide emotional support, and address the unique needs of each individual. This experience is invaluable in nursing, as it lays the groundwork for providing compassionate and holistic care to patients. Overall, working as an LPN before becoming an RN can provide valuable practical experience and help aspiring nurses develop essential skills for a successful career in nursing.

Financial Considerations

Starting as an LPN can provide an income while studying for RN qualifications, which can help offset the cost of education. LPN programs are typically shorter and less expensive than RN programs, allowing individuals to start working and earning a nursing salary* sooner. This income can help cover living expenses and tuition costs associated with pursuing an RN degree.

Additionally, starting as an LPN can lead to potential savings on tuition and other educational expenses. Some employers offer tuition reimbursement programs for employees who want to further their education and pursue an RN degree. By working as an LPN, individuals may have access to these benefits, which can help reduce the financial burden of obtaining an RN qualification.

Overall, starting as an LPN can provide financial stability and opportunities for savings while pursuing RN qualifications. It allows individuals to start earning a nursing salary* sooner and may provide access to employer-sponsored educational benefits.

Female nurse completing paperwork at a clinic

Career Flexibility and Advancement

Starting as an LPN and advancing to become an RN can offer significant career flexibility and opportunities for advancement in the nursing field. Advancing from an LPN to an RN can open up a wider range of career opportunities. RNs generally have a broader scope of practice and can take on more complex patient care responsibilities. They also typically earn higher salaries and may have more opportunities for career advancement, such as supervisory or leadership roles.

LPNs who want to become RNs can pursue bridge programs that are specifically designed for LPNs. These programs build upon the knowledge and skills gained during LPN training and allow for a smoother transition to an RN role. LPN-to-RN bridge programs are often shorter than traditional RN programs, as they recognize the prior education and experience of LPNs. Bridge programs offer several benefits for LPNs seeking to become RNs:

  • Shorter Duration: LPN-to-RN bridge programs are often shorter than traditional RN programs, allowing students to become RNs more quickly.
  • Cost-Effective: Since LPNs can often continue working while completing a bridge program, they can continue earning an income and may have access to tuition reimbursement programs from their employers.
  • Career Continuity: LPNs who transition to RNs through a bridge program can build upon their existing experience and knowledge, making for a smoother transition to the RN role.

Testing the Waters

Becoming an LPN first can provide individuals with the opportunity to “test the waters” and determine if nursing is the right career path for them. Working as an LPN allows individuals to gain hands-on experience in the nursing field and see firsthand what it’s like to care for patients. This experience can help individuals determine if they enjoy the day-to-day responsibilities of nursing and if they have a passion for helping others.

In addition, LPNs work in a variety of healthcare settings, including hospitals, nursing homes, and clinics. By working as an LPN, individuals can gain exposure to different healthcare environments and specialties. This exposure can help them determine which areas of nursing they are most interested in and passionate about.

Lastly, becoming an LPN typically requires less time and financial commitment than becoming an RN. LPN programs are shorter and less expensive than RN programs, allowing individuals to enter the workforce and start earning a nursing salary* sooner. This can be appealing to individuals who want to explore the field of nursing without making a long-term commitment upfront. Overall, becoming an LPN first can provide individuals with valuable experience and insight into the nursing field, helping them determine if nursing is the right career path for them before committing to further education and training to become an RN.

Career Opportunities for LPNs

LPNs have a range of career opportunities available to them, with high demand in various healthcare settings. For example, upon completing an LPN program and obtaining licensure, individuals often find immediate job placement due to the high demand for LPNs. Healthcare facilities, including hospitals, long-term care facilities, and clinics, are constantly seeking qualified LPNs to join their teams. Here are a few options to keep in mind:

  • Hospitals: LPNs often work in specialized units, such as medical-surgical, maternity, or pediatrics, under the supervision of RNs.
  • Long-term care facilities: LPNs play a crucial role in providing care to residents in nursing homes and assisted living facilities.
  • Home health care: LPNs provide care to patients in their homes, assisting with activities of daily living, medication management, and monitoring health status.

Also, on the job, LPNs develop a range of skills that are beneficial for an RN role, including:

  • Patient care skills: LPNs gain experience in providing direct patient care, including administering medications, dressing wounds, and monitoring vital signs.
  • Communication skills: LPNs interact with patients, families, and other healthcare professionals, honing their communication skills.
  • Teamwork and collaboration: LPNs work closely with RNs, physicians, and other healthcare team members, learning to collaborate effectively in a team-based environment.

African-American male nurse speaking with a woman in a wheelchair

Starting as an LPN can pave the way for advancement into leadership roles and specialized nursing positions in the future. LPNs can pursue further education and training to become RNs or advance their careers in areas such as nursing management, education, or specialized nursing practice. Overall, LPNs have diverse career opportunities available to them, with the potential for immediate job placement, skill development, and advancement in the nursing field.

How to Transition from LPN to RN?

Transitioning from an LPN to an RN involves further education and training. There are several educational pathways available for LPNs seeking to earn a Bachelor of Science in Nursing (BSN) degree:

1. Traditional BSN Programs

Traditional BSN programs are designed for students who do not have a nursing background. These programs typically take about four years to complete and include coursework in nursing theory, clinical practice, and general education.

Admission requirements for BSN programs vary but may include:

  • Completion of prerequisite courses in biology, chemistry, and other sciences
  • Minimum GPA requirements (typically around 2.5 to 3.0)
  • Letters of recommendation
  • Personal statement or essay
  • Completion of the TEAS or HESI exam

When selecting a BSN program, consider the following factors:

  • Accreditation: Ensure that the program is accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
  • Curriculum: Review the curriculum to ensure that it aligns with your career goals and interests.
  • Clinical Rotations: Look for programs that offer diverse clinical experiences in a variety of healthcare settings.
  • Faculty Expertise: Consider the qualifications and experience of the faculty, as they will play a crucial role in your education and professional development.

2. RN-to-BSN Bridge Programs

RN-to-BSN bridge programs are designed for RNs who want to earn a BSN degree. These programs build upon the knowledge and skills acquired through previous nursing education and work experience. RN-to-BSN programs are often offered in a flexible format, allowing students to continue working while completing their degree.

Admission requirements for BSN programs vary but may include:

  • Must hold a valid and active RN license.
  • Completion of a nursing diploma or associate degree from an accredited program.
  • Completion of required prerequisite courses (e.g., anatomy, physiology, microbiology).
  • Typically, a minimum GPA of 2.5 to 3.0 in previous coursework.
  • Some programs may require a certain amount of work experience as an RN.
  • Often required from professional or academic references.
  • Explanation of career goals and motivation for pursuing a BSN.
  • Official transcripts from previous institutions.

When selecting an RN-to-BSN bridge program, consider the following factors:

  • Accreditation: Ensure the program is accredited by ACEN or CCNE.
  • Flexibility: Look for programs that offer flexible scheduling, online courses, or part-time options to accommodate working RNs.
  • Curriculum: Review the curriculum to ensure it builds on your current knowledge and aligns with your career goals.
  • Clinical Requirements: Consider the clinical rotation requirements and how they fit into your current job.
  • Cost and Financial Aid: Evaluate tuition costs, availability of financial aid, and employer tuition reimbursement options.
  • Program Length: Check the duration of the program and the pace of coursework.

Female nurse standing outside with a backpack and coffee

3. Accelerated BSN Programs

Accelerated BSN programs are designed for students who already have a bachelor’s degree in a non-nursing field and want to become RNs. These programs are intensive and typically take 12 to 18 months to complete. They are designed to build upon the student’s existing knowledge and skills, allowing them to transition into the nursing field quickly.

Admission requirements for BSN programs vary but may include:

  • Must hold a bachelor’s degree in a non-nursing field.
  • Completion of required prerequisite courses (e.g., anatomy, physiology, microbiology, chemistry).
  • Typically, a minimum GPA of 3.0 in previous coursework.
  • Often required from academic or professional references.
  • Explanation of interest in nursing and reasons for pursuing an accelerated program.
  • Official transcripts from all previous institutions.
  • Some programs may require standardized test scores (e.g., TEAS or HESI).

When selecting an accelerated BSN program, consider the following factors:

  • Accreditation: Ensure that the program is accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
  • Curriculum: Review the curriculum to ensure that it aligns with your career goals and interests.
  • Clinical Rotations: Look for programs that offer diverse clinical experiences in a variety of healthcare settings.
  • Quality of faculty: Consider the qualifications and experience of the faculty, as they will play a crucial role in your education and professional development.

Overall, transitioning from an LPN to an RN involves careful consideration of educational pathways, admission requirements, and program factors. By selecting the right BSN program, LPNs can successfully transition to the RN role and advance their nursing careers.

Ready to take the next step toward becoming a Registered Nurse?

In conclusion, this article has explored the roles of Licensed Practical Nurses (LPNs) and Registered Nurses (RNs), the debate on whether to become an LPN before pursuing an RN qualification and the various aspects of transitioning from an LPN to an RN. In summary, LPNs provide basic nursing care under the supervision of RNs and physicians, while RNs have a broader scope of practice and can work in various healthcare settings. Becoming an LPN before pursuing an RN qualification offers advantages such as gaining practical experience, financial stability, and opportunities for career advancement. LPNs can transition to an RN role through various educational pathways, including traditional BSN programs and accelerated BSN programs. Factors to consider when choosing the path from LPN to RN include admission requirements, program accreditation, curriculum, clinical rotations, faculty expertise, personal career goals, financial situation, and life circumstances.

While there are clear advantages to becoming an LPN before pursuing an RN qualification, the decision should be based on individual goals and circumstances. It is important for aspiring nurses to reflect on their personal career goals, financial situation, and life circumstances before deciding. By carefully considering these factors, individuals can choose the path that best suits their needs and sets them on a fulfilling career path in nursing.

Ready to take the next step toward becoming a Registered Nurse? Explore our comprehensive guide on how to become a Registered Nurse and start your journey today. Want to simply take the first step in your healthcare journey, explore how to become a Licensed Practical Nurse (LPN), and then decide if gaining more advanced nursing education is the right path for you?