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Licensed vocational nurse (LVN) is a job title specific to Texas and California. Licensed vocational nurses are known as licensed practical nurses (LPNs) in all other states. LVNs and LPNs work under the supervision of registered nurses (RNs) and physicians, providing basic bedside care to patients.
Licensed Practical and Licensed Vocational Nurses (LPNs/LVNs) do not work independently, but are supervised by a Registered Nurse (RN). Physicians and RNs determine courses of patient care; an LPNâs job is to assist patients in carrying out these instructions.icensed Practical and Licensed Vocational Nurses (LPNs/LVNs) do not work independently, but are supervised by a Registered Nurse (RN). Physicians and RNs determine courses of patient care; an LPNâs job is to assist patients in carrying out these instructions.