North Carolina Board of Nursing

Nursing Practice

Licensed Practical Nurse

The practice of nursing is a scientific process founded on a professional body of knowledge. It is a learned profession based on an understanding of the human condition across the lifespan and the relationship of a client with others and within the environment. The practice of nursing is an art dedicated to caring and to assisting clients by providing sustained, vigilant, and continuous care to those acutely or chronically ill. Nurses assist clients to attain or maintain optimal health, implementing a strategy of care to accomplish defined goals within the context of a client centered health care plan. Nursing is a dynamic discipline that increasingly involves more sophisticated knowledge, technologies and client care activities.

As defined in the North Carolina Nursing Practice Act and related Administrative Code Rules the LPN practice involves a directed scope of nursing practice, with or without compensation or personal profit, under the supervision of an RN, Advanced Practice Registered Nurse (APRN), licensed physician or other healthcare practitioner authorized by the state, and as such is sometimes identified as a “dependent” practice. The LPN practice is guided by the NC laws and rules, established nursing standards, agency policy, validated knowledge, skill and competency, the complexity and frequency of nursing care needed, and the accessible resources.

Each LPN in NC is accountable to clients, the nursing profession and the Board of Nursing for complying with requirements under the NC laws and rules. The LPN is accountable to ensure that quality nursing care is rendered.

Law & Rules