Occupation Summary

Licensed Practical and Licensed Vocational Nurses

O*NET 29-2061.00


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.

Annual Wages:
Employment Rate:
Employment is expected to increase by 19.05%.
Education Level:
Post-Secondary Certificate - awarded for training completed after high school (for example, in Personnel Services, Engineering-related Technologies, Vocational Home Economics, Construction Trades, Mechanics and Repairers, Precision Production Trades). According to O*Net, the majority of people employed in this occupation have this level of education.
Public Service, Science Technology Engineering and Math (STEM)

  1. Observe patients, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action.
  2. Administer prescribed medications or start intravenous fluids, noting times and amounts on patients' charts.
  3. Answer patients' calls and determine how to assist them.
  4. Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, and respiration.
  5. Provide basic patient care or treatments, such as taking temperatures or blood pressures, dressing wounds, treating bedsores, giving enemas or douches, rubbing with alcohol, massaging, or performing catheterizations.
  6. Help patients with bathing, dressing, maintaining personal hygiene, moving in bed, or standing and walking.
  7. Supervise nurses' aides or assistants.
  8. Work as part of a healthcare team to assess patient needs, plan and modify care, and implement interventions.
  9. Record food and fluid intake and output.
  10. Evaluate nursing intervention outcomes, conferring with other healthcare team members as necessary.
  11. Assemble and use equipment, such as catheters, tracheotomy tubes, or oxygen suppliers.
  12. Collect samples, such as blood, urine, or sputum from patients, and perform routine laboratory tests on samples.
  13. Prepare patients for examinations, tests, or treatments and explain procedures.
  14. Prepare or examine food trays for conformance to prescribed diet.
  15. Apply compresses, ice bags, or hot water bottles.
  16. Clean rooms and make beds.
  17. Inventory and requisition supplies and instruments.
  18. Provide medical treatment or personal care to patients in private home settings, such as cooking, keeping rooms orderly, seeing that patients are comfortable and in good spirits, or instructing family members in simple nursing tasks.
  19. Sterilize equipment and supplies, using germicides, sterilizer, or autoclave.
  20. Assist in delivery, care, or feeding of infants.
  21. Wash and dress bodies of deceased persons.
  22. Make appointments, keep records, or perform other clerical duties in doctors' offices or clinics.
  23. Set up equipment and prepare medical treatment rooms.

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National Industry Employment Patterns

Industry % of Licensed Practical and Licensed Vocational Nurses employed Annual Growth Rate
Nursing care facilities, skilled nursing 29.3 0.07
Offices of physicians 13 1.81
Home health care services 11.9 4.04
Continuing care, assisted living facilities 6.8 2.83

Labor Market Information

2018 Statewide average hourly wage $22.59
2018 National average hourly wage $22.62
2016 National employment 724,500
2016 Texas employment 71,428
Texas projected employment by 2026 85,033
Texas projected annual employment and Turnover openings through 2026 6,836

* Due to confidentiality rules, not all regions may have the data displayed. The sum of all the regions may not be equal to the state total.

Top 10 Relevant Knowledge Areas Relevant Importance Levels
Medicine and Dentistry
Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
Customer and Personal Service
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
English Language
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Therapy and Counseling
Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
Education and Training
Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
Administration and Management
Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.
Public Safety and Security
Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.

Top 10 Relevant Skill Areas Relevant Importance Levels
Service Orientation
Actively looking for ways to help people.
Reading Comprehension
Understanding written sentences and paragraphs in work related documents.
Active Listening
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Talking to others to convey information effectively.
Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
Social Perceptiveness
Being aware of others' reactions and understanding why they react as they do.
Adjusting actions in relation to others' actions.
Time Management
Managing one's own time and the time of others.
Critical Thinking
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Judgment and Decision Making
Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Top 10 Relevant Abilities Relevant Importance Levels
Oral Comprehension
The ability to listen to and understand information and ideas presented through spoken words and sentences.
Written Comprehension
The ability to read and understand information and ideas presented in writing.
Oral Expression
The ability to communicate information and ideas in speaking so others will understand.
Problem Sensitivity
The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
Speech Clarity
The ability to speak clearly so others can understand you.
Speech Recognition
The ability to identify and understand the speech of another person.
Deductive Reasoning
The ability to apply general rules to specific problems to produce answers that make sense.
Near Vision
The ability to see details at close range (within a few feet of the observer).
Inductive Reasoning
The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
Information Ordering
The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).

  • Assisting and Caring for Others
    -- Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
  • Documenting/Recording Information
    -- Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
  • Communicating with Supervisors, Peers, or Subordinates
    -- Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
  • Establishing and Maintaining Interpersonal Relationships
    -- Developing constructive and cooperative working relationships with others, and maintaining them over time.
  • Getting Information
    -- Observing, receiving, and otherwise obtaining information from all relevant sources.
Other Activities

  • Administer enemas, irrigations, or douches to patients
  • Administer medical treatments
  • Administer medications
  • Analyze medical or health data
  • Apply appropriate physical restraint
  • Apply hazardous materials information
  • Apply traction to patients
  • Assist individuals with dressing, undressing, grooming, or bathing
  • Assist individuals with mental or social disabilities, handicaps, or illnesses
  • Assist individuals with physical disabilities, handicaps, or illnesses
  • Assist patients in performing breathing exercises
  • Assist patients in walking or exercising
  • Assist practitioners in examining, evaluating, or treating patients
  • Attend to patient's personal care
  • Collect blood or tissue samples
  • Collect clinical data
  • Collect specimens from patients
  • Communicate health and safety information
  • Communicate technical or scientific information
  • Conduct behavior modification
  • Conduct laboratory research or experiments
  • Counsel individuals concerning diet
  • Deliver prescribed medications and pharmaceuticals
  • Dispense prescribed medications and pharmaceuticals
  • Encourage patients to participate in activities
  • Entertain patients in care
  • Evaluate patient's skills or capacities
  • Evaluate therapy needs of patient or client
  • Examine patients
  • Feed food to individuals
  • Fit patients for prosthetic devices
  • Gather information from doctor's prescription
  • Handle infectious materials safely according to procedures
  • Implement nutritional practices and techniques
  • Implement sanitation practices in health care settings
  • Inventory medical supplies or instruments
  • Label blood samples
  • Lift ill, injured, incapacitated, or disabled individuals
  • Maintain dental or medical records
  • Monitor body response variations
  • Monitor children to detect signs of ill health or emotional disturbance
  • Monitor patient condition and health
  • Motivate employee behavior and performance
  • Motivate patients to practice exercises
  • Observe patient or client condition
  • Obtain information from clients, customers, or patients
  • Perform continuing education to maintain licenses, certifications, qualifications, and knowledge currency
  • Perform dental hygiene procedures
  • Perform dental treatments
  • Perform emergency medical procedures
  • Perform safety inspection
  • Prepare medical reports
  • Prepare medical treatment room
  • Prepare medications for dispensing or use
  • Prepare patients for tests, therapy, or treatments
  • Prepare technical or scientific reports
  • Process medical records
  • Provide care for mentally ill or special needs individuals
  • Provide clerical assistance to customers or patients
  • Provide first aid
  • Provide in home patient care
  • Read technical, operating, service, or repair manuals or publications
  • Record medical history
  • Retrieve files or charts
  • Schedule meetings, activities, classes, or events
  • Set-up medical oxygen equipment
  • Set-up patient care equipment
  • Sterilize laboratory, medical, or veterinary equipment or instruments
  • Take vital signs
  • Teach family members to provide bedside care
  • Teach medical self care
  • Transport ill, injured, incapacitated, or disabled individuals
  • Treat medical condition of patient
  • Weigh patients to update records

  • Relationships
    - Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
  • Support
    - Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.


Abdominal binders: Abdominal binders;

Analgesic infusion sets or kits: Infusion sets;

Apnea monitors or accessories: Apnea monitors;

Automated external defibrillators AED or hard paddles: Automated external defibrillators AED;

Blood transfusion filters or screens or accessories: Blood transfusion drip regulators;

Butterfly needles: Butterfly needles;

Canes or cane accessories: Canes;

Capillary or hematocrit tubes: Capillary tubes;

Cardiac output CO monitoring units or accessories: Ultrasonic cardiac output monitors; Non-invasive cardiac output monitors; Heart monitors;

Cervical collars or neck braces: Neck braces;

Clinical trapeze bars: Clinical trapezes;

Continuous passive motion CPM devices or accessories: Continuous passive motion CPM equipment;

Crutches or crutch accessories: Crutches;

Desktop computers: Desktop computers;

Dial calibrated intravenous flowmeters or regulators: Infusion controllers;

Electrocardiography EKG transmitter or telemetry or accessories: Telemetry units;

Electrocardiography EKG units: Electrocardiography EKG units;

Electronic blood pressure units: Electronic blood pressure units;

Electronic stethoscopes or accessories: Electronic stethoscopes;

Enema kits or accessories: Enema equipment;

Extremity restraints: Wrist restraints; Limb restraints;

Full body restraints: Fabric body holders;

Glucose monitors or meters: Glucometers; Needleless glucometers; Blood glucometers;

Head or neck traction supplies: Halo traction equipment; Crutchfield tongs;

Hematology analyzers: Hemoglobinometer machines;

Hemodialysis units: Dialysis machines;

Hypodermic needle: Hollow needles; Intradermal needles; Intramuscular needles; Intravenous IV needles; Subcutaneous hypodermic needles;

Intermittent positive pressure breathing IPPB machines: Intermittent positive pressure breathing IPPB apparatus;

Intravenous infusion pumps for general use: Infusion pumps;

Intravenous or arterial extension tubing: Vented intravenous IV catheter tubing; Filtered intravenous IV catheter tubing; Non-vented intravenous IV catheter tubing;

Intravenous or arterial infusion single port bags or containers: Open infusion systems; Closed infusion systems; Bag infusion systems; Safety infusion systems;

Intravenous or arterial tubing adapters or connectors or locks or caps or protectors: Heparin locks; Intermittent infusion sets;

Knee brace or support: Knee braces;

Lancets: Lancets;

Leg traction supplies: Balkan frames;

Medical acoustic stethoscope or accessory: Mechanical stethoscopes;

Medical gas cylinders or related devices: Oxygen cylinders;

Medical incision drains: Jackson-Pratt drains; Hemovac drains;

Medical oxygen masks or parts: Oxygen masks;

Medical oxygen tubing or connectors: Oxygen tubing;

Medical suction or vacuum appliances: Intubation suctioning kits; Gastric suction equipment;

Medical syringe without needle: Syringes;

Medical ultrasound or doppler or pulse echo or echography units for general diagnostic use: Ultrasonic Doppler equipment;

Mercury blood pressure units: Mercury blood pressure measuring equipment;

Nasogastric tubes: Flexible nasogastric tubes;

Nebulizer or accessories: Pediatric nebulizers; Portable nebulizers; Ultrasonic nebulizers; Electronic compressor nebulizers; Compressor tabletop nebulizers; Nebulizers;

Needle protectors: Safety needles;

Needleless intravenous injection syringe set or injection cannula: Needleless intraveneous IV sets;

Needleless vial or bag withdrawal cannulas or adapters or decanters: Needleless intravenous IV withdrawal equipment;

Notebook computers: Notebook computers;

Orthopedic traction hardware or weights: Bucks extensions; Traction equipment; Traction weights;

Ostomy appliances: Ostomy equipment;

Oxygen therapy delivery system products accessories or its supplies: Oxygen supplies;

Patient care beds or accessories for specialty care: Circo-electric beds; Air fluidized beds; Frames; Rotating bed;

Patient controlled analgesia infusion pumps: Patient controlled analgesia PCA pumps;

Patient lifts or accessories: Patient lifters;

Patient shifting boards or accessories: Transfer boards;

Patient stabilization or fall prevention devices or accessories: Gait belts; Ankle restraints; Lap belts; Restraints;

Perfusion oxygen or hematocrit saturation monitors or accessories: Saturation of oxygen SaO2 monitors;

Peripheral intravenous catheters for general use: Over-the-needle intravenous IV catheters; Through-the-needle intravenous IV catheters;

Personal computers: Personal computers;

Personal digital assistant PDAs or organizers: Personal digital assistants PDA;

Pulse oximeter units: Pulse oximeters;

Respiratory monitoring kits or its accessories: Non-invasive cardio respiratory monitors; Respiration monitors;

Restraint straps or buckles or accessories or supplies: Wheelchair belts; Safety belts;

Restraint vests and jackets: Posey vests; Safety vests; Safety jackets;

Spirometers or its accessories or its supplies: Personal computer PC-based spirometers; Pulmonary function testing PFT equipment; Pocket spirometers; Handheld spirometers; Automated spirometers; Digital spirometers;

Suture removal kits or trays or packs or sets: Suture removal kits;

Tablet computers: Tablet computers;

Therapeutic heating or cooling blankets or drapes: Hyper/hypothermia blankets;

Tourniquets: Tourniquets;

Tracheostomy tubes: Tracheotomy tubes;

Transcutaneous electric nerve stimulation units: Transcutaneous electric nerve stimulation TENS equipment;

Tuberculin syringes: Tuberculin TB skin test equipment;

Urinary catheterization kit: Urinary catheters;

Vacuum blood collection tubes or containers: Evacuated blood collection tubes;

Vascular or compression apparel or support: Pneumatic boots;

Walkers or rollators: Walkers;

Walking braces: Walking braces;

Wheelchairs: Wheelchairs;


Calendar and scheduling software: Scheduling software;

Categorization or classification software: Diagnostic and procedural coding software;

Medical software: Electronic medical record EMR software; Healthcare common procedure coding system HCPCS software; Infusion management software; MedicWare software; Medical condition coding software; Medical procedure coding software; Telephone triage software;

Office suite software: Microsoft Office software;

Spreadsheet software: Spreadsheet software; Microsoft Excel;

Word processing software: Microsoft Word; Word processing software;

Related O*NET occupational titles for Licensed Practical and Licensed Vocational Nurses include:
  • 29-1141.01 Acute Care Nurses
  • 29-2031.00 Cardiovascular Technologists and Technicians
  • 31-9091.00 Dental Assistants
  • 31-9092.00 Medical Assistants
  • 31-2011.00 Occupational Therapy Assistants
  • 31-2021.00 Physical Therapist Assistants
  • 29-2053.00 Psychiatric Technicians
  • 29-2099.06 Radiologic Technicians
  • 29-2054.00 Respiratory Therapy Technicians
  • 21-1093.00 Social and Human Service Assistants

Sources of Additional Information
  • For more information about licensed practical or licensed vocational nurses, visit: National Federation of Licensed Practical Nurses
  • For more information about the National Council Licensure Examination (NCLEX-PN) and a list of individual state boards of nursing, visit: National Council of State Boards of Nursing
  • Licensed Practical and Licensed Vocational Nurses

  • Contact Texas Workforce Commission
    Labor Market and Career Information  |  101 E. 15th Street, Annex Room 0252  |  Austin, Texas 78778
    Official Website  |  1-800-822-PLAN (7526)  |  512.936.3200

    ** The information in this report may be derived from many sources like O*NET, BLS (Bureau of Labor Statistics), OOH (Occupational Outlook Handbook), and Career One Stop.