Licensed Vocational Nurses (LVNs) and Licensed Practical Nurses (LPNs) provide hands-on patient care under the direction of a Registered Nurse or a licensed doctor. Vocational Nurses offer individual- and family-centered nursing care, and help determine the basic physical, emotional, spiritual, and sociocultural needs of the patient. Vocational Nursing professionals work in a number of health care settings, including hospitals, skilled nursing facilities, doctors’ offices, medical clinics, correctional facilities, and home health care agencies.