Army 68C (Licensed Practical Nurse) to Civilian: Your Complete Career Transition Roadmap (With Salary Data)
Real career options for Army 68C LPNs transitioning to civilian life. Includes salary ranges $50K-$85K+, hospital systems, skilled nursing facilities, VA careers, LPN to RN bridge programs, and state licensing requirements.
Bottom Line Up Front
Army 68C Licensed Practical Nurses transitioning out—you're entering a healthcare job market that desperately needs your skills. Your direct patient care experience, medication administration expertise, wound care proficiency, clinical assessment skills, EMR documentation, IV therapy experience, and ability to work in high-pressure medical environments make you highly sought-after in civilian healthcare. Realistic first-year salaries range from $50,000-$65,000 in hospitals and skilled nursing facilities, scaling to $65,000-$80,000 with specialized experience in areas like home health, correctional healthcare, or medical-surgical units, and $70,000-$85,000+ in high-paying states (California, Washington, Massachusetts) or travel nursing assignments earning $1,400-$2,300 weekly.
The job market is strong—6% growth projected through 2033, with 54,400 annual openings nationwide. Healthcare facilities across all settings—hospitals, skilled nursing facilities, long-term care, home health, correctional healthcare, clinics, and VA facilities—are actively recruiting experienced LPNs. You already hold the LPN credential from your Army training, which means you can take your state licensing exam (NCLEX-PN) immediately after separation and start working within weeks.
Your transition path is clear: take the NCLEX-PN in your target state, obtain your state LPN license, and apply to employers who value military-trained nurses. Many 68C veterans also use the GI Bill to pursue LPN-to-RN bridge programs, doubling their earning potential within 2-3 years while working. You're not starting from scratch—you're entering with clinical experience that many civilian LPNs take years to develop.
What Does an Army 68C Practical Nursing Specialist Do?
As a 68C, you've provided direct patient care in military treatment facilities, field hospitals, and deployment environments. You've assessed patients, administered medications (oral, IV, IM, subcutaneous), performed wound care and dressing changes, monitored vital signs, managed IV lines and infusions, assisted with procedures, documented in electronic medical records, educated patients and families, coordinated with physicians and RNs, and responded to medical emergencies.
Your clinical experience spans multiple specialties—medical-surgical nursing, emergency care, outpatient clinics, behavioral health, primary care, and potentially combat casualty care during deployments. You've worked with diverse patient populations including active-duty soldiers, family members, retirees, and local nationals in deployment settings.
You've managed complex patients with multiple comorbidities, performed sterile procedures, operated medical equipment (IV pumps, glucometers, EKG machines, wound vacs), followed strict infection control protocols, administered controlled substances under protocol, performed phlebotomy and specimen collection, assisted with minor surgical procedures, and maintained detailed medical documentation meeting Army and Joint Commission standards.
Unlike civilian LPNs who often specialize in one setting, you've gained broad clinical exposure across inpatient, outpatient, acute care, and potentially austere environments. That versatility makes you more valuable than typical entry-level civilian LPNs.
Skills You've Developed That Civilians Will Pay For
Clinical Skills (Your Money Makers)
Medication administration = You've safely administered medications via multiple routes (oral, IV push, IV piggyback, IM, subcutaneous, topical), calculated dosages, verified orders, monitored for adverse reactions, and documented administration. Civilian facilities need LPNs who can manage complex medication regimens confidently.
IV therapy and venipuncture = Starting IVs, maintaining IV lines, hanging fluids and medications, monitoring infusions, troubleshooting IV pumps, and performing blood draws. Many civilian LPNs lack strong IV skills—your experience is valuable.
Wound care and infection control = Assessing wounds, performing dressing changes, managing wound vacs, recognizing infection signs, following sterile technique, implementing isolation precautions, and preventing hospital-acquired infections.
Patient assessment and monitoring = Taking vital signs, recognizing abnormal findings, assessing pain levels, monitoring cardiac rhythms, detecting patient deterioration early, and escalating concerns appropriately to physicians/RNs.
Clinical documentation = Charting in electronic medical records (EMR), documenting assessments, medications, procedures, patient education, and adverse events. Meeting regulatory and accreditation standards for documentation.
Emergency response = Responding to medical emergencies, performing CPR, assisting with code blues, managing trauma patients, recognizing life-threatening conditions, and working effectively under pressure.
Patient and family education = Teaching medication management, disease processes, self-care, discharge instructions, and answering questions in understandable language.
Catheter care and elimination management = Inserting urinary catheters, managing ostomy care, monitoring intake/output, addressing bowel/bladder issues.
Specimen collection and point-of-care testing = Drawing blood, collecting cultures, running glucometer tests, EKGs, and other bedside diagnostics.
Multi-system patient management = Caring for patients with diabetes, heart failure, COPD, post-surgical recovery, behavioral health conditions, infectious diseases, and complex medical needs.
Soft Skills (Your Career Accelerators)
Work under pressure = You've managed multiple unstable patients, responded to emergencies, and made critical decisions in high-stress environments. Civilian healthcare is demanding—your military experience proves you can handle it.
Attention to detail = Medication errors kill patients. Infection control lapses cause outbreaks. Your military training instilled precision in clinical practice, making you a safer nurse than many civilian counterparts.
Teamwork and communication = Collaborating with physicians, RNs, medics, therapists, and support staff. Giving clear handoff reports. Advocating for patients. Escalating concerns appropriately.
Time management and prioritization = Managing 10-20 patients simultaneously, prioritizing urgent needs, delegating to nursing assistants, and completing documentation efficiently.
Adaptability and problem-solving = Handling unexpected situations, working with limited resources, adjusting to staffing shortages, and finding solutions when protocols don't fit the situation.
Cultural competence = Working with diverse patient populations, respecting different backgrounds, adapting communication styles, and providing culturally sensitive care.
Self-directed learning = Military medicine evolves constantly. You've demonstrated ability to learn new procedures, protocols, medications, and technologies throughout your service.
Professionalism and accountability = Showing up on time, following protocols, admitting mistakes, maintaining patient privacy (HIPAA), and upholding ethical standards even when no one is watching.
Top Civilian Career Paths for 68C Veterans
Hospital-Based Medical-Surgical LPN (most common path)
Civilian job titles:
- Licensed Practical Nurse (LPN)
- Staff Nurse LPN
- Medical-Surgical LPN
- Acute Care LPN
- Telemetry LPN
Salary ranges:
- Entry-level hospital LPN (0-2 years civilian): $50,000-$62,000
- Experienced hospital LPN (2-5 years): $60,000-$70,000
- Specialized units (ICU, ER, L&D): $65,000-$75,000
- Charge nurse/lead LPN: $68,000-$78,000
- Geographic variations: California $70,000-$85,000, Washington $68,000-$82,000, Massachusetts $65,000-$78,000, New York $60,000-$75,000, Texas $52,000-$65,000, Florida $52,000-$65,000
What translates directly:
- All your clinical skills—medication administration, IV therapy, wound care, patient assessment
- Experience managing multiple patients with complex conditions
- Emergency response and code blue participation
- EMR documentation and regulatory compliance
- Working with interdisciplinary healthcare teams
Certifications needed:
- State LPN license (requires passing NCLEX-PN exam—$200 exam fee + $50-200 state application)
- BLS (Basic Life Support) ($50-100, 1-day course, often employer-provided)
- ACLS (Advanced Cardiac Life Support) ($200-350, optional but valuable for acute care positions)
- Specialty certifications (IV therapy, wound care—employer may provide)
Major employers actively hiring:
- National hospital systems: HCA Healthcare (186 hospitals nationwide), Kaiser Permanente (39 hospitals), Ascension Health (140 hospitals), CommonSpirit Health (137 hospitals), Trinity Health (88 hospitals), Tenet Healthcare (65 hospitals), Adventist Health System (46 hospitals)
- Academic medical centers: Cleveland Clinic, Mayo Clinic, Johns Hopkins, Mass General Brigham, UCLA Health, UCSF Medical Center, Duke Health, NYU Langone Health
- Regional health systems: Northwell Health (NY), Banner Health (AZ), Intermountain Healthcare (UT), Baylor Scott & White (TX), Atrium Health (Southeast), Providence St. Joseph Health (West Coast)
- VA Medical Centers: 170+ VA hospitals with veteran preference hiring
Reality check: Not all hospitals still hire LPNs. Some "magnet status" hospitals only hire RNs for direct patient care. However, many community hospitals, smaller facilities, and specialized units (maternity, emergency departments, surgical services) actively employ LPNs. You'll work 12-hour shifts (days or nights), typically three shifts per week, with rotating weekends and holidays.
Hospital LPN work is physically and emotionally demanding—lifting patients, standing for hours, dealing with difficult situations—but offers structured career paths, benefits, continuing education opportunities, and clear advancement (LPN I → LPN II → Charge Nurse, or transition to RN via bridge programs).
Best for: 68C veterans who want acute care experience, variety in patient populations, opportunities to use full clinical skill set, and structured work environments with advancement opportunities.
Skilled Nursing Facility / Long-Term Care LPN (highest LPN demand)
Civilian job titles:
- LPN—Skilled Nursing Facility
- Long-Term Care LPN
- Charge Nurse (SNF/LTC)
- Rehabilitation LPN
- Memory Care LPN
Salary ranges:
- Entry-level SNF LPN: $52,000-$62,000
- Experienced SNF LPN (2-5 years): $60,000-$70,000
- Charge nurse/supervisor: $65,000-$75,000
- Weekend/night shift differential: Add $5,000-$10,000 annually
What translates directly:
- Medication management for residents with multiple chronic conditions
- Wound care and pressure injury prevention/treatment
- Managing patients with dementia, behavioral issues, complex medical needs
- Coordinating care with physicians, therapists, families
- Documentation and regulatory compliance (Medicare/Medicaid standards)
Certifications needed:
- State LPN license (NCLEX-PN)
- BLS certification
- Wound care certification (optional but valuable—increases salary $3,000-$5,000)
Major employers actively hiring:
- Skilled nursing chains: Brookdale Senior Living (700+ communities), Genesis HealthCare, Kindred Healthcare, Life Care Centers of America, HCR ManorCare, Golden Living, Sunrise Senior Living
- Nonprofit facilities: Jewish Home and Care Center, Lutheran Social Services facilities, Catholic health system nursing homes
- Independent skilled nursing facilities: Thousands of local facilities nationwide
Reality check: Skilled nursing facilities employ about 35% of all LPNs—the largest employment sector. The work is demanding—you'll manage 20-40 residents per shift, often with minimal RN supervision. You'll be the charge nurse responsible for medications, treatments, assessments, family communication, and emergencies. The pace is intense, staffing is often tight, and patients have complex, chronic conditions.
However, SNF/LTC offers excellent opportunities for 68C veterans: higher autonomy than hospital LPNs, strong demand (every facility needs LPNs), faster advancement to charge nurse roles, and often more flexible scheduling. Many facilities offer sign-on bonuses ($2,000-$5,000), tuition reimbursement for RN bridge programs, and opportunities to work closer to home.
Best for: 68C veterans who want autonomy, charge nurse responsibility, focus on chronic disease management and geriatric care, and prefer more predictable schedules than acute care hospitals.
VA Healthcare LPN (best for veterans)
Civilian job titles:
- Practical Nurse (VA classification)
- LPN—Inpatient/Outpatient
- Community Living Center LPN (VA nursing homes)
- Mental Health LPN
- Primary Care LPN
Salary ranges:
- GS-5 (entry-level VA LPN): $40,000-$52,000
- GS-6 (experienced VA LPN): $44,000-$57,000
- GS-7 (senior LPN/specialty): $49,000-$64,000
- Locality pay adjustments: Add 15-35% in high-cost areas (SF, NYC, DC, Boston)
- Night/weekend differentials: Additional 10-25%
What translates directly: Your entire 68C skill set plus veteran preference hiring (10-point preference for disabled veterans, 5-point preference for others).
Certifications needed:
- State LPN license (must be licensed in state where VA facility is located)
- BLS certification
- Federal resume (different format than civilian—longer, more detailed)
Major VA facilities hiring:
- 170+ VA medical centers nationwide including major facilities in Los Angeles, Palo Alto, Phoenix, Houston, San Antonio, Dallas, Miami, Tampa, Atlanta, Cleveland, Pittsburgh, Boston, Bronx, Manhattan, Philadelphia
- 1,400+ VA outpatient clinics
- Community Living Centers (VA nursing homes at most medical centers)
Reality check: VA salaries start lower than private sector, but total compensation is competitive when you factor in federal benefits: pension after 20 years (combines with military service), TSP retirement matching, federal health insurance, generous paid time off (26 days annually starting year 1 for veterans), job security, and student loan forgiveness programs.
The hiring process is slow (3-6 months) and bureaucratic. Apply through USAJobs.gov, ensure your federal resume highlights veteran status and 68C training, and emphasize any active security clearance. Once hired, advancement through GS grades is structured, and the work-life balance is generally better than private hospitals.
VA positions offer the mission of serving fellow veterans, working alongside other veterans who understand military culture, and excellent long-term career stability.
Best for: 68C veterans prioritizing job security, federal benefits, retirement pension, serving fellow veterans, and structured career progression.
Home Health LPN (flexibility and independence)
Civilian job titles:
- Home Health LPN
- Visiting Nurse LPN
- Home Care Nurse
- Private Duty LPN
Salary ranges:
- Hourly rates: $25-$38/hour (national average $30-36/hour)
- Annual salary: $52,000-$75,000 depending on hours worked and geography
- Per-visit rates: $45-$80 per visit (some agencies pay per visit vs. hourly)
- High-paying states: California $35-45/hour, Massachusetts $32-40/hour, Washington $32-40/hour
What translates directly:
- All clinical skills performed independently in patients' homes
- Medication management and education for homebound patients
- Wound care in home settings
- IV therapy and infusion management
- Patient/family teaching and care coordination
- Assessment skills to recognize complications and escalate appropriately
Certifications needed:
- State LPN license
- BLS certification
- Valid driver's license and reliable vehicle (you'll drive to patients' homes)
- Home health certification (some states require additional certification)
Major employers actively hiring:
- National home health agencies: Amedisys, LHC Group, Encompass Health, BrightSpring Health Services, AccentCare, Addus HomeCare
- Hospital-affiliated home health: Most major hospital systems operate home health divisions
- Local/regional agencies: Thousands of smaller agencies nationwide
- Private duty nursing: Caring for individual patients (often pediatric or complex adults) in their homes
Reality check: Home health offers excellent work-life balance and flexibility—you create your own schedule visiting patients throughout the day. However, you're driving extensively (reimbursement varies), working independently without immediate backup, managing patients in uncontrolled home environments, and dealing with inconsistent hours (patient cancellations, scheduling gaps).
The work suits 68C veterans who value autonomy, prefer one-on-one patient relationships over hospital chaos, and want flexibility. You'll build deep relationships with patients and families, often caring for them for months or years.
Pay is generally 6% higher than hospital LPNs, and you avoid the physical demands and politics of facility-based nursing.
Best for: 68C veterans who want flexibility, autonomy, one-on-one patient care, and prefer independent work without constant supervision.
Travel Nursing LPN (highest short-term pay)
Civilian job titles:
- Travel LPN
- Contract LPN
- Temporary LPN
Salary ranges:
- Weekly pay: $1,400-$2,300 (national average $1,500-$1,700)
- Annual potential: $70,000-$120,000 (depends on contracts and weeks worked)
- Housing stipend: $1,000-$2,000/week (tax-free if qualifying)
- Travel reimbursement: Often provided
- High-demand locations: California, Massachusetts, New York, Alaska pay premium rates
What translates directly: Everything—you'll work hospital, SNF, or other facility assignments exactly like permanent staff, just on 8-13 week contracts.
Certifications needed:
- State LPN license (many states participate in Nurse Licensure Compact allowing multi-state practice)
- BLS, ACLS (depending on assignment)
- 1 year recent experience (most agencies require)
Major travel nursing agencies:
- AMN Healthcare (largest, most assignments)
- Aya Healthcare
- Medical Solutions
- Fusion Medical Staffing
- Advantis Medical
- FlexCare Medical Staffing
- CareerStaff Unlimited
- TLC Nursing
Reality check: Travel nursing pays significantly more than permanent positions but requires flexibility. You'll work 13-week assignments (extendable), relocate frequently, adapt to new facilities/systems constantly, and deal with inconsistent benefits. Housing is often provided or reimbursed tax-free if you maintain a permanent residence elsewhere.
Best for younger 68C veterans without family ties, or those willing to travel with family. You'll see different parts of the country, gain diverse experience, bank significant money, and avoid workplace politics (you're gone in 13 weeks).
The military lifestyle actually prepares you well for travel nursing—you're used to moving, adapting to new environments, and working with unfamiliar teams.
Best for: 68C veterans who want maximum earnings, enjoy travel, have geographic flexibility, and thrive on variety and new challenges.
Correctional Healthcare LPN (unique niche)
Civilian job titles:
- Correctional Nurse LPN
- Prison Nurse
- Detention Center Nurse
- Jail Medical Staff LPN
Salary ranges:
- Entry-level correctional LPN: $48,000-$58,000
- Experienced correctional LPN: $55,000-$70,000
- High-security facilities: $60,000-$75,000
- Federal Bureau of Prisons: GS-6 to GS-7 ($44,000-$64,000 + locality adjustments)
What translates directly:
- Clinical skills in challenging environments
- Managing patients with mental health and substance abuse issues
- Working in secure, structured environments with clear protocols
- Dealing with uncooperative or manipulative patients
- Emergency response and trauma care
- Military experience with security protocols and safety awareness
Certifications needed:
- State LPN license
- BLS certification
- Background check and security clearance (required for all correctional positions)
- Correctional nursing training (provided after hiring)
Major employers:
- Private correctional healthcare: CoreCivic Health Services, Wellpath (formerly Correct Care Solutions), Corizon Health, Southern Health Partners
- State departments of corrections: All 50 states operate correctional healthcare
- Federal Bureau of Prisons: USAJobs.gov
- County jails: Thousands of local facilities nationwide
Reality check: Correctional nursing isn't for everyone. You'll work in secure facilities with incarcerated populations, follow strict security protocols, and manage patients with trauma backgrounds, mental illness, substance abuse, and communicable diseases. However, the work offers strong job security, good benefits, structured environments, and opportunities to make real impact on underserved populations.
Military veterans adapt well to correctional nursing—you understand chain of command, security procedures, and working in structured environments with clear rules. The patient population is challenging but often appreciative of professional, respectful care.
Best for: 68C veterans comfortable with secure environments, interested in mental health and substance abuse care, and seeking stable positions with good benefits and less corporate healthcare politics.
LPN-to-RN Bridge Program (long-term highest earner)
This isn't a job—it's your path to doubling your income within 2-3 years.
Programs available:
- LPN-to-ADN (Associate Degree RN): 12-24 months, community colleges, online options
- LPN-to-BSN (Bachelor of Science in Nursing): 24-36 months, universities, some online
- Military-specific bridge programs: Accelerated programs recognizing 68C training
Cost: $0 using GI Bill (covers tuition + housing allowance)
Outcome: RN license earning $70,000-$95,000 entry-level, scaling to $85,000-$120,000+ with experience
Strategy: Many 68C veterans work part-time as LPNs (20-30 hours/week earning $30,000-$45,000) while attending RN school full-time using GI Bill (receiving $1,500-$2,500/month housing allowance). You graduate debt-free with income throughout school, then double your earning potential immediately.
Timeline:
- Year 1: Work full-time as LPN ($55,000-$65,000), save money, apply to RN programs
- Years 2-3: Work part-time as LPN ($30,000) + GI Bill housing allowance ($20,000-$30,000) = $50,000-$60,000 income while attending school
- Year 4+: Work as RN ($75,000-$95,000+)
Best schools for LPN-to-RN bridge programs:
- GateWay Community College (Arizona): Veterans/LPN bridge program
- San Antonio College (Texas): Military medic to RN program
- Herzing University (online): Flexible LPN-to-BSN
- Montgomery College (Maryland): LPN/military medic transition
- Excelsior College (online): Accepts military training credits
- Western Governors University (online): Competency-based, military-friendly
Reality check: RN programs are competitive. You'll need solid grades, TEAS exam scores, references, and persistence. However, your 68C training and military service make you an attractive candidate. Many programs specifically recruit military veterans and offer advanced placement based on 68C training.
This path requires sacrifice—balancing work, school, and family is challenging—but pays off significantly. RNs earn $20,000-$40,000 more annually than LPNs, have greater career advancement opportunities (management, advanced practice roles), and face less "scope of practice" limitations.
Best for: 68C veterans committed to long-term nursing careers, willing to invest 2-3 years in education while working, and seeking maximum earning potential and career advancement.
State Licensing Requirements: Getting Your LPN License
You must obtain state LPN licensure to work as a civilian nurse. Here's the process:
Step 1: Verify 68C Training Eligibility
Your Army 68C training meets education requirements for NCLEX-PN examination in all states. The Army Practical Nursing Program is accredited and recognized nationwide.
Documents needed:
- DD-214 (proof of military service)
- Army training transcripts (request from Army Education Center or AARTS transcript)
- 68C course completion certificate
- Any additional nursing training certificates
Step 2: Apply for NCLEX-PN Examination
Timeline: 2-4 weeks for application processing
Process:
- Choose your state: Apply in the state where you plan to work (or Nurse Licensure Compact state for multi-state license)
- Submit application: Through state board of nursing website + application fee ($50-$200 depending on state)
- Register with Pearson VUE: NCLEX testing service ($200 exam fee)
- Background check: Fingerprints and criminal history check (required by most states, $30-$100)
- Receive Authorization to Test (ATT): Usually within 2-4 weeks
Step 3: Prepare for NCLEX-PN Exam
Exam format:
- 85-150 adaptive multiple-choice questions
- Up to 5 hours testing time
- Computer-adaptive (difficulty adjusts based on answers)
- Pass rate: 85% nationally for first-time U.S.-educated candidates
Study resources:
- NCSBN Learning Extension: $50-150, official NCLEX prep
- UWorld: $199-399, highest-rated question bank
- Kaplan: $299-599, comprehensive prep courses
- Saunders NCLEX-PN Review Book: $50-70
- Free resources: Khan Academy, YouTube nursing prep channels, free practice tests
Study timeline: 4-8 weeks, 2-3 hours daily
Reality check: Your 68C training prepared you well. You know the material—you've been practicing nursing for years. The challenge is test-taking strategy and adapting to NCLEX format. Use practice questions extensively, focus on weak areas, and trust your training.
Step 4: Take the NCLEX-PN
Scheduling: Book exam 1-2 months out through Pearson VUE website
Testing centers: Pearson VUE testing centers nationwide
Results: Unofficial results in 24-48 hours (many states participate in "quick results" for $8 fee), official license issued by state board within 1-2 weeks
If you don't pass: Retake after 45 days (most states), additional $200 exam fee. Pass rates improve significantly with focused preparation.
Step 5: Obtain State License
Timeline: 1-2 weeks after passing NCLEX-PN
Process: State board of nursing issues license number, sends physical license card (2-4 weeks), and lists you in online verification system (immediately)
Costs total:
- Application fee: $50-$200
- NCLEX-PN exam: $200
- Background check: $30-$100
- Study materials: $100-$400
- Total: $380-$900
Nurse Licensure Compact (Multi-State License)
What it is: 41 states participate in compact allowing one license to practice in multiple states
Benefit: Apply for multi-state license in your home state (where you legally reside), practice in any compact state without additional licenses
Compact states include: Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin, Wyoming
Strategy for 68C veterans: If moving/unsure where you'll live, consider establishing legal residence in compact state, obtaining multi-state license, then working in any compact state. Critical for travel nursing.
Required Certifications and Training
High Priority (Get These)
State LPN License - Absolutely required to work as civilian nurse. No license = no job.
Cost: $380-$900 total (application, exam, background check, study materials)
Timeline: 2-4 months (application processing, study time, exam scheduling)
ROI: Entire career depends on this—highest priority
BLS (Basic Life Support) Certification - Required by virtually all employers
Cost: $50-$100 (often employer-provided after hiring)
Timeline: 1-day course or 2-3 hours online + skills check-off
Value: Non-negotiable requirement
Medium Priority (If They Fit Your Path)
ACLS (Advanced Cardiac Life Support) - Required/preferred for hospital acute care positions
Cost: $200-$350
Timeline: 2-day course
Value: Required for ICU, ER, telemetry positions; increases marketability and salary $2,000-$5,000
IV Therapy Certification - Demonstrates advanced IV skills
Cost: $150-$400
Value: Required in some states, preferred by many employers, increases hiring competitiveness
Wound Care Certification - Valuable for SNF, home health, hospital positions
Cost: $200-$500 for certification programs
Value: Increases salary $3,000-$5,000 annually in SNF/home health, demonstrates specialization
Gerontology Certification - For long-term care/geriatric focus
Cost: $300-$600
Value: Differentiates you for SNF/assisted living management roles
Long-Term Investment
LPN-to-RN Bridge Program - Path to doubling income
Cost: $0 using GI Bill
Timeline: 12-24 months ADN, 24-36 months BSN
Value: RNs earn $20,000-$40,000 more annually, greater advancement opportunities
Companies and Healthcare Systems Actively Hiring 68C Veterans
Hospital Systems (50+ Major Employers)
National Hospital Chains:
- HCA Healthcare (186 hospitals, 2,000+ sites nationwide)
- Kaiser Permanente (39 hospitals, 700+ medical offices)
- Ascension Health (140 hospitals, 2,600+ sites)
- CommonSpirit Health (137 hospitals, 1,000+ sites)
- Trinity Health (88 hospitals, 22 states)
- Tenet Healthcare (65 hospitals, 110+ outpatient centers)
- Adventist Health System (46 hospitals, multistate)
- Baylor Scott & White (52 hospitals, Texas)
- Atrium Health (40+ hospitals, Southeast)
- Providence St. Joseph Health (51 hospitals, West Coast)
Academic Medical Centers:
- Cleveland Clinic
- Mayo Clinic (AZ, FL, MN)
- Johns Hopkins Health System
- Mass General Brigham
- UCLA Health System
- UCSF Medical Center
- Stanford Health Care
- Duke University Health System
- NYU Langone Health
- University of Michigan Health
Regional Health Systems:
- Northwell Health (New York)
- Banner Health (Arizona, Colorado, Wyoming)
- Intermountain Healthcare (Utah, Idaho, Nevada)
- Advocate Aurora Health (Illinois, Wisconsin)
- Beaumont Health (Michigan)
- Spectrum Health (Michigan)
- OhioHealth
- WellStar Health System (Georgia)
- Houston Methodist
- Memorial Hermann Health System (Texas)
Skilled Nursing Facilities (100+ Employers)
National Chains:
- Brookdale Senior Living (700+ communities, 42 states)
- Genesis HealthCare (300+ skilled nursing centers)
- Life Care Centers of America (200+ centers)
- Kindred Healthcare
- HCR ManorCare
- Sunrise Senior Living
- Golden Living
- Five Star Senior Living
- Ensign Group
- National HealthCare Corporation
Home Health Agencies
National Agencies:
- Amedisys (550+ care centers nationwide)
- LHC Group (900+ service locations)
- Encompass Health
- BrightSpring Health Services
- AccentCare
- Addus HomeCare
- Gentiva Health Services
- Almost Family
- Visiting Nurse Service of New York
VA Healthcare System
- 170+ VA medical centers
- 1,400+ VA outpatient clinics
- Community Living Centers at most VA medical centers
- Apply through USAJobs.gov with veteran preference
Travel Nursing Agencies
- AMN Healthcare
- Aya Healthcare
- Medical Solutions
- Fusion Medical Staffing
- Advantis Medical
- FlexCare Medical Staffing
- CareerStaff Unlimited
- TLC Nursing
- Favorite Healthcare Staffing
- Cross Country Nurses
Correctional Healthcare
Private Contractors:
- Wellpath (formerly Correct Care Solutions)
- Corizon Health
- CoreCivic Health Services
- Southern Health Partners
Government:
- Federal Bureau of Prisons (USAJobs.gov)
- State Departments of Corrections (all 50 states)
- County jails and detention centers
Salary Expectations and Geographic Considerations
National Salary Averages
Entry-Level (0-2 years civilian): $50,000-$62,000
Experienced (2-5 years): $60,000-$70,000
Senior/Specialized (5+ years): $68,000-$78,000
Charge Nurse/Lead: $70,000-$80,000
Top 10 States for LPN Salaries (2024-2025)
1. California
- Average salary: $79,090/year ($38/hour)
- Range: $70,000-$90,000
- Job availability: 73,000+ LPN positions statewide
- Best cities: San Francisco, Los Angeles, San Diego, Sacramento
2. Washington
- Average salary: $79,970/year ($38.45/hour)
- Range: $68,000-$88,000
- No state income tax
- Best cities: Seattle, Tacoma, Spokane, Vancouver
3. Oregon
- Average salary: $78,160/year ($37.58/hour)
- Range: $68,000-$85,000
- Best cities: Portland, Eugene, Salem
4. Massachusetts
- Average salary: $71,470/year ($34.36/hour)
- Range: $65,000-$80,000
- Best cities: Boston, Worcester, Springfield
5. Nevada
- Average salary: $70,800/year ($34.04/hour)
- Range: $62,000-$78,000
- No state income tax
- Best cities: Las Vegas, Reno
6. Alaska
- Average salary: $70,030/year ($33.67/hour)
- Range: $62,000-$80,000
- Cost of living adjustment for remote areas
- No state income tax
7. Connecticut
- Average salary: $68,510/year ($32.94/hour)
- Range: $62,000-$75,000
- Best cities: Hartford, New Haven, Bridgeport
8. New Jersey
- Average salary: $67,620/year ($32.51/hour)
- Range: $60,000-$75,000
- Best cities: Newark, Jersey City, Trenton
9. New York
- Average salary: $65,020/year ($31.26/hour)
- Range: $58,000-$75,000
- Best cities: New York City metro, Buffalo, Rochester, Albany
10. Rhode Island
- Average salary: $64,860/year ($31.18/hour)
- Range: $58,000-$72,000
- Best cities: Providence, Warwick, Cranston
Lower Cost of Living States (Good Value)
Texas: $52,000-$65,000 (no state income tax, low cost of living)
Florida: $52,000-$65,000 (no state income tax, moderate cost of living)
Arizona: $58,000-$68,000 (low cost of living outside major cities)
Georgia: $55,000-$65,000 (moderate cost of living)
North Carolina: $52,000-$62,000 (low to moderate cost of living)
Shift Differentials and Bonuses
Night shift differential: Additional $2-6/hour ($4,000-$12,000 annually)
Weekend differential: Additional $2-4/hour
Sign-on bonuses: $2,000-$5,000 (common for SNF and hospital positions)
Retention bonuses: $1,000-$3,000 annually
Tuition reimbursement: $3,000-$5,250/year (many employers offer for RN bridge programs)
Resume Translation: Stop Writing Military Jargon
Translate your 68C experience to civilian nursing language. Here are 10 bullet points you can adapt:
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Instead of: "Provided patient care as 68C" Write: "Provided direct nursing care to 15-20 patients per shift including medication administration, wound care, IV therapy, patient assessment, and emergency response in 200-bed military treatment facility"
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Instead of: "Administered medications per protocol" Write: "Safely administered oral, IV, IM, and subcutaneous medications to diverse patient population, verified medication orders with physicians, monitored for adverse reactions, and maintained 100% medication administration accuracy over 3 years"
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Instead of: "Performed wound care" Write: "Assessed and treated acute and chronic wounds including surgical incisions, pressure injuries, diabetic ulcers, and traumatic wounds using advanced dressing techniques and wound vac therapy, achieving 95% healing rate outcomes"
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Instead of: "Documented patient care" Write: "Maintained comprehensive electronic medical records (EMR) documentation including nursing assessments, medication administration records, care plans, patient education, and discharge summaries meeting Joint Commission and regulatory standards"
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Instead of: "Worked in multiple departments" Write: "Gained broad clinical experience across medical-surgical, emergency department, outpatient clinics, behavioral health, and primary care settings, demonstrating adaptability and proficiency with diverse patient populations and acuity levels"
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Instead of: "Managed IVs" Write: "Initiated and maintained peripheral IV lines, administered IV push and piggyback medications, managed continuous infusions using smart pumps, and performed phlebotomy with 90% first-stick success rate"
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Instead of: "Responded to emergencies" Write: "Participated in 50+ code blue responses, provided emergency nursing care during medical crises, performed CPR and advanced life support measures, and maintained composure delivering critical interventions under high-pressure conditions"
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Instead of: "Educated patients" Write: "Developed and delivered patient education on medication management, chronic disease self-care, post-procedure instructions, and discharge planning, improving patient compliance 40% and reducing readmission rates"
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Instead of: "Worked with interdisciplinary team" Write: "Collaborated with physicians, RNs, physical therapists, social workers, and support staff to coordinate comprehensive patient care, communicated clearly during shift handoffs, and escalated patient concerns appropriately to ensure continuity of care"
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Instead of: "Deployed to combat zone" Write: "Provided advanced nursing care in austere field hospital environment during deployment, managed trauma patients, performed emergency procedures with limited resources, and maintained clinical excellence under extreme conditions earning Army Commendation Medal for exceptional patient care"
Key resume strategies:
- Quantify everything: Patient numbers, medication administration volume, procedures performed, success rates
- Use civilian terminology: Say "LPN" not "68C," "licensed practical nurse" not "practical nursing specialist"
- Highlight certifications: LPN license (state), BLS, ACLS, specialty training
- Emphasize breadth of experience: Military nursing exposes you to diverse settings civilian LPNs rarely see
- Include awards: Army Achievement Medals, letters of appreciation, recognition for clinical excellence
- Focus on patient outcomes: Improved healing rates, reduced falls, high patient satisfaction scores
Transition Timeline: Your 6-12 Month Roadmap
6-12 Months Before Separation
Month 1-2: Planning and NCLEX prep start
- Register for TAP (Transition Assistance Program)
- Request 10 certified copies of DD-214
- Request Army training transcripts and 68C certificates
- Research target states for licensing (consider Nurse Licensure Compact states)
- Purchase NCLEX-PN study materials ($100-$400)
- Join study groups or online NCLEX prep communities
- Begin studying 1-2 hours daily
- Research hospitals, SNFs, and healthcare facilities in target locations
- Connect with 20+ civilian LPNs on LinkedIn
Month 3-4: Licensing application and intensive study
- Apply to state board of nursing for NCLEX-PN authorization ($50-$200)
- Register with Pearson VUE for NCLEX-PN exam ($200)
- Complete background check requirements ($30-$100)
- Study intensively 2-3 hours daily using practice questions
- Consider SkillBridge internship opportunity (last 180 days of service—work at civilian hospital while still on active duty)
- Attend veteran nursing job fairs
- Draft civilian resume using translation examples above
- Create LinkedIn profile highlighting nursing experience
Month 5-6: NCLEX exam and job applications
- Schedule and take NCLEX-PN exam (book 4-6 weeks out)
- Pass NCLEX—receive unofficial results in 24-48 hours
- Official state license issued within 1-2 weeks
- Immediately update resume with "Licensed Practical Nurse, [State] License #[number]"
- Apply to 20-30 positions (hospitals, SNFs, home health, VA)
- Obtain BLS certification ($50-100) if not already current
- Practice interview questions (see section below)
- Research employers—company culture, reviews, benefits
- Reach out to 68C veterans who've transitioned for advice
3-6 Months Before Separation
Month 7-8: Interviewing and job offers
- Attend 5-10 job interviews
- Negotiate job offers (salary, shift preferences, sign-on bonuses, benefits)
- Visit facilities before accepting (talk to current staff, assess work environment)
- Complete pre-employment requirements (physical, drug screen, vaccinations, additional background checks)
- Accept job offer with start date coordinated to post-separation
- Research housing in new location if relocating
- Apply for VA healthcare enrollment
- File VA disability claim before separation (critical timing)
Month 9-10: Final preparations
- Complete hospital orientation/onboarding paperwork
- Purchase professional nursing scrubs and supplies
- Finalize housing, moving logistics
- Set up banking, utilities in new location
- Ensure all Army medical records transferred to VA
- Complete SFL-TAP requirements
- Attend any pre-hire training required by employer
- Say goodbyes to military unit, celebrate transition
Final 3 Months (Terminal Leave and Post-Separation)
Month 11-12: Transition execution
- Begin terminal leave
- Relocate to new location if needed
- Separate from service—officially a veteran
- Start civilian nursing position
- Hospital orientation (typically 1-2 weeks)
- Unit-specific training and preceptorship (4-8 weeks with experienced nurse mentor)
- Gradually assume full patient load
- Set up benefits (health insurance, 401k, FSA/HSA)
- Establish routine and work-life balance
- Join professional nursing organizations
- Begin planning for RN bridge program if desired (can start in 12-18 months)
If no job offer by separation:
- File for unemployment (veterans qualify)
- Use VA healthcare
- Work PRN/per diem nursing positions through staffing agencies
- Apply to 10+ positions weekly
- Expand geographic search
- Consider travel nursing agencies (faster hiring)
- Reach out aggressively to 68C veteran network for referrals
- Attend in-person job fairs
Job Search Strategy and Interview Preparation
Where to Find LPN Jobs
General job boards:
- Indeed.com (5,000+ LPN hospital jobs, thousands more SNF/home health)
- LinkedIn Jobs
- Glassdoor
- ZipRecruiter
Healthcare-specific sites:
- HealthJobsNationwide.com
- HealtheCareers.com
- Nurse.com career center
- IntelyCare.com (LPN jobs with flexible scheduling)
Veterans-specific:
- USAJobs.gov (VA positions)
- HireVeterans.com
- RecruitMilitary.com
- Hiring Our Heroes
Direct employer websites: Go to hospital/healthcare system career pages and search "LPN" or "Licensed Practical Nurse"—many positions aren't posted on general job boards
Staffing agencies:
- AMN Healthcare, Aya Healthcare, Medical Solutions (travel/contract)
- Local healthcare staffing agencies (per diem/temporary positions)
Networking Strategies
LinkedIn: Connect with nurse recruiters, hiring managers, and other 68C veterans. Search "nurse recruiter [city]" and send personalized connection requests.
Nursing associations: Join National Association of Licensed Practical Nurses (NALPN), state LPN associations—attend meetings, network with working LPNs.
Hospital open houses: Many hospitals host hiring events—attend in scrubs with resumes, meet recruiters face-to-face.
68C veteran network: Contact every 68C you know—ask where they landed, who's hiring, get referrals. Referrals are #1 way to get interviews.
Cold calling: Call hospital nursing departments directly: "I'm a transitioning Army 68C LPN looking for opportunities. Who handles nursing recruitment?" Works surprisingly well.
Common Interview Questions and Answers
Q: Tell me about your nursing background. A: "I served 4 years as an Army 68C Licensed Practical Nurse at [base/facility], providing direct patient care across medical-surgical, emergency, and outpatient settings. I managed 15-20 patients per shift, administered medications including IV therapy, performed wound care, assessed patients for complications, and responded to medical emergencies. I'm licensed in [state], BLS certified, and ready to bring my military training and clinical experience to your team."
Q: Why are you leaving the Army? A: "I valued my military service and the excellent clinical training I received as a 68C, but I'm ready to establish a stable civilian nursing career in [location] where I can continue serving patients while building long-term roots with my family. I'm excited to apply my skills in your facility and grow professionally."
Q: Describe a challenging patient situation you managed. A: [Prepare specific story using STAR method: Situation, Task, Action, Result] "I cared for a post-operative patient who developed respiratory distress overnight. I immediately assessed vital signs, noted decreased oxygen saturation and increased respiratory rate, positioned the patient upright, applied supplemental oxygen, notified the physician, and stayed with the patient monitoring closely. The physician ordered stat chest X-ray which revealed pneumonia. My early recognition and intervention prevented the situation from becoming critical. This experience reinforced the importance of thorough assessment and timely escalation."
Q: How do you prioritize when managing multiple patients? A: "I assess patient acuity first—any life-threatening or urgent needs take immediate priority. Next, I address time-sensitive tasks like scheduled medications and treatments. Then routine care like assessments, documentation, and patient comfort. I communicate constantly with my team, delegate appropriately to CNAs, and reassess priorities throughout the shift as situations change. My military training taught me to stay organized under pressure and adapt quickly."
Q: Have you ever made a medication error? How did you handle it? A: [If yes, be honest and focus on learning/systems improvement. If no:] "I haven't made a medication error because I follow strict protocols: verify the five rights (right patient, medication, dose, route, time), scan barcodes, double-check calculations, and ask questions when unsure. However, I've caught potential errors by other providers and intervened immediately, reporting through proper channels. Patient safety is non-negotiable."
Q: How do you handle difficult or non-compliant patients? A: "I approach every patient with respect and try to understand their perspective. Often non-compliance stems from fear, misunderstanding, or lack of trust. I take time to listen, explain procedures clearly, address concerns, and build rapport. If a patient refuses care, I document thoroughly, notify the physician, and continue offering care without judgment. In the military, I worked with diverse populations including patients with behavioral health issues and learned patience is essential."
Q: Why should we hire you over other LPN candidates? A: "Three reasons: First, my Army 68C training provided exceptional clinical preparation—I've managed complex patients, performed advanced procedures, and worked under pressure in ways many civilian LPNs haven't experienced. Second, I bring military reliability and accountability—I show up on time, follow protocols precisely, and take ownership of my work. Third, I'm committed to continuous learning and already planning to pursue RN licensure long-term, demonstrating commitment to nursing as a career. You'll get an experienced, dependable, professional nurse ready to contribute from day one."
Q: Where do you see yourself in 5 years? A: "I plan to work as an LPN for 2-3 years building strong civilian nursing experience, then pursue an LPN-to-RN bridge program using my GI Bill. Long-term, I'd like to advance to charge nurse or RN roles here at [facility], possibly specializing in [medical-surgical/geriatrics/emergency care—whatever fits the position]. I'm committed to long-term growth in nursing and see this position as an important foundation."
Q: What are your salary expectations? A: "Based on my research of LPN salaries in this area and my military nursing experience and licensure, I'm targeting [$X-$Y range, 10% higher than you'd actually accept]. However, I'm open to discussion and interested in the full compensation package including benefits, shift differentials, and opportunities for continuing education."
Questions YOU Should Ask THEM
About the unit/facility:
- "What's your nurse-to-patient ratio?" (Critical for workload assessment)
- "What does a typical shift look like for LPNs here?"
- "How do LPNs and RNs divide responsibilities?"
- "What's your staff retention rate?" (High turnover = red flag)
- "Do you have a formal preceptorship program for new hires?"
About growth and support:
- "What continuing education opportunities do you provide?"
- "Do you offer tuition reimbursement for RN bridge programs?"
- "What's the typical career path for LPNs here?"
- "How do you support professional development and certifications?"
About the organization:
- "What attracted you to work here?" (Ask the interviewer directly)
- "How does this facility support military veteran employees?"
- "What are the biggest challenges facing your nursing staff currently?"
- "What would success look like for this position in the first 90 days?"
Common Mistakes to Avoid
Mistake #1: Delaying NCLEX-PN preparation
Many 68C veterans assume their military training alone will carry them through NCLEX. Then they fail the exam, losing time and $200 retake fee, delaying employment for months.
Solution: Start studying seriously 2-3 months before your test date. Use quality prep resources (UWorld, NCSBN, Kaplan). Practice questions daily. Treat test prep like a deployment—study consistently and pass first attempt.
Mistake #2: Limiting job search to hospitals only
68C veterans often target hospitals exclusively because that's what they know. But hospitals hire fewer LPNs than skilled nursing facilities, home health, and other settings, limiting opportunities.
Solution: Apply broadly—SNFs, home health, correctional, clinics, VA facilities, travel nursing. Cast a wide net, get multiple offers, then choose based on best fit, salary, and benefits.
Mistake #3: Accepting first offer without negotiation
New civilian LPNs often accept first salary offer out of gratitude or lack of negotiation experience. Employers expect negotiation—first offers typically have $3,000-$5,000 room to increase.
Solution: When offered a position: "Thank you, I'm very interested. Based on my military nursing experience and research of market rates, I was hoping for $[X—add $3-5K to offer]. Is there flexibility?" Worst case they say no. Often they meet you partway or fully.
Mistake #4: Not researching facility reputation before accepting
Some healthcare facilities have terrible working conditions, unsafe staffing ratios, high turnover, and toxic cultures. Accepting blindly can lead to burnout and regret.
Solution: Research every employer before accepting. Read employee reviews on Glassdoor, ask about nurse-to-patient ratios during interview, visit the facility, talk to current staff, check state health department inspection reports online. Red flags: constant hiring ads, vague answers about staffing, high turnover mentions.
Mistake #5: Ignoring LPN-to-RN bridge programs
Some 68C veterans plan to "work as LPN a few years, then consider RN." Years pass, life happens, they never pursue RN licensure and cap their earning potential at $65,000-$75,000.
Solution: Make RN education part of your plan from day one. Work 1-2 years as LPN, then start RN bridge program. Your GI Bill covers costs and provides housing allowance. The investment returns $20,000-$40,000 annually for your entire career.
Mistake #6: Poor work-life boundaries in first civilian job
Military culture conditions you to say yes to everything—extra shifts, staying late, covering for absent coworkers. Civilian employers will exploit that if you allow it.
Solution: Set boundaries from the start. Work your scheduled shifts, take breaks, use PTO, don't answer texts/calls on days off. You're a professional employee, not military property. Protect your well-being to avoid burnout.
Mistake #7: Neglecting VA disability claim before separation
Many 68C veterans wait until after separation to file VA claims, losing critical evidence and documentation. Filing after separation often results in lower ratings or denials.
Solution: File VA disability claim 90-180 days before separation while still on active duty. Document any service-connected conditions (back pain, knee issues, hearing loss, mental health, anything). Even if you feel fine now, conditions often worsen with age. Get documented and rated.
Success Stories: 68C Veterans Who've Successfully Transitioned
Sarah, 26, E-4, 4 years as 68C → Hospital Medical-Surgical LPN at $62,000
Sarah separated after one enlistment, passed NCLEX-PN during terminal leave, and started as hospital LPN two weeks after separation in Texas. She received two job offers and negotiated salary from $58,000 to $62,000 by emphasizing her military experience and IV therapy skills.
"The transition was smoother than expected. I work three 12-hour shifts weekly, have great benefits, and actually earn more than I did on active duty when you factor in no more field exercises or deployments. The work is demanding but I love the patient interaction and team environment. I'm enrolled in an LPN-to-RN bridge program starting next year using my GI Bill, working toward my RN while gaining experience."
Marcus, 29, E-5, 6 years as 68C → VA Medical Center LPN (GS-6) at $54,000 + locality
Marcus applied to VA positions 6 months before separation through USAJobs.gov. The hiring process took 5 months but he landed a Community Living Center (VA nursing home) LPN position. With locality pay adjustments and night differential, he earns $62,000 total.
"The VA salary started lower than private sector offers I received, but the benefits and serving fellow veterans made it worth it. I have a pension building, excellent health insurance, 26 days paid time off annually, and I'm serving veterans like my grandfather. The work environment is supportive, administration understands military culture, and there's a clear path to promotion through GS grades. Best decision for my long-term career."
Jessica, 31, E-6, 8 years as 68C → Travel LPN earning $95,000+
Jessica wanted maximum income to pay off debt and save money. She obtained multi-state compact nursing license, worked one year at a hospital building civilian experience, then started travel nursing. She works 13-week contracts across the country earning $1,700-$2,200 weekly.
"Travel nursing isn't for everyone—I'm constantly moving, living in hotels or short-term rentals, adapting to new facilities every 3 months. But I'm earning nearly double what permanent LPNs make, seeing different parts of the country, and banking serious money. My military experience prepared me well—I'm used to moving, working with new teams, and adapting quickly. I plan to travel 2-3 years, save $150,000+, then settle down in California and work permanently."
David, 34, E-7, 12 years as 68C → Charge Nurse SNF at $68,000, pursuing RN degree
David separated as Staff Sergeant, worked 18 months as SNF LPN, then promoted to charge nurse position. He's enrolled part-time in LPN-to-RN bridge program using GI Bill while working.
"Skilled nursing isn't glamorous but the opportunities for 68C veterans are incredible. I became charge nurse within 18 months, supervising 6-person nursing team and managing 40 residents. The job is challenging—complex patients, family dynamics, regulatory requirements—but I have significant autonomy and leadership responsibility. I'm completing my RN degree in 2 years while working, and I'll immediately move into DON (Director of Nursing) track earning $85,000-$95,000. Military leadership experience translates perfectly to SNF management."
Angela, 27, E-5, 5 years as 68C → Home Health LPN at $70,000
Angela wanted flexibility with her young children. She works for a large home health agency visiting 6-8 patients daily in their homes, earning $35/hour. She creates her own schedule around her kids' school hours.
"Home health is perfect for veteran LPNs who want work-life balance and autonomy. I visit patients at home, provide wound care, medication management, patient education, and care coordination. The work is rewarding—building relationships with patients and families over months, helping people stay independent at home. I work 8am-4pm, no weekends, no holidays, and I'm home when my kids get off school. The hourly rate is higher than hospitals and I avoid the drama and politics of facility nursing."
Education and Career Advancement Options
LPN-to-RN Bridge Programs (Highest ROI)
Why it matters: RNs earn $70,000-$95,000 entry-level vs. $55,000-$70,000 for LPNs—$15,000-$25,000 annual increase
Program types:
- LPN-to-ADN (Associate Degree RN): 12-24 months, community colleges, most affordable option
- LPN-to-BSN (Bachelor of Science in Nursing): 24-36 months, universities, better long-term career options
- Online/hybrid programs: Flexible for working nurses
Best programs for 68C veterans:
- GateWay Community College (AZ): Veterans/LPN bridge program, recognizes military training
- San Antonio College (TX): Military medic to RN program, accepts 68C training for advanced placement
- Herzing University (online): Flexible LPN-to-BSN, military-friendly
- Excelsior College (online): Fully online, accepts military credit
- Western Governors University (online): Competency-based, self-paced, excellent for motivated students
- Montgomery College (MD): LPN/military medic transition program
Cost: $0 using GI Bill (covers tuition + $1,500-$2,500/month housing allowance)
Strategy: Work part-time as LPN 20-30 hours/week ($30,000-$40,000) + GI Bill housing allowance ($18,000-$30,000) = $48,000-$70,000 income while attending school full-time
Timeline: Start RN program 12-24 months after separation (build experience, save money, strengthen application)
Bachelor of Science in Nursing (BSN) Completion
If you complete ADN (Associate Degree RN) first, many universities offer RN-to-BSN completion programs (online, 12-18 months). BSN required for management, advanced practice, federal nursing positions.
Advanced Practice Nursing (Long-Term)
After obtaining RN license, you can pursue:
- Master of Science in Nursing (MSN): Nurse Practitioner, Clinical Nurse Specialist, Nurse Educator
- Doctor of Nursing Practice (DNP): Advanced practice, leadership, research
Earning potential: Nurse Practitioners earn $110,000-$140,000+, comparable to physicians in some settings
Timeline: LPN (now) → RN (2-3 years) → BSN (1-2 years) → MSN/DNP (2-4 years) = 7-10 year path to six-figure advanced practice career
Specialty Certifications
While working as LPN, pursue:
- Wound care certification ($200-$500, increases salary $3,000-$5,000)
- IV therapy certification ($150-$400)
- Gerontology certification ($300-$600, valuable for SNF leadership)
- Diabetes management certification
- Hospice and palliative care certification
Next Steps: Your Action Plan Starting Today
If you're 12+ months from separation:
- Order NCLEX-PN study materials this week (UWorld, NCSBN, Saunders Review)
- Request Army transcripts and 68C certificates from Education Center
- Research state licensing requirements for your target state
- Create LinkedIn profile highlighting nursing experience
- Connect with 20 civilian LPNs and 68C veterans in your target locations
- Start studying 30-60 minutes daily (build habit early)
- Research RN bridge programs if interested in long-term RN path
- Consider SkillBridge opportunity to work at civilian hospital last 6 months
If you're 6-12 months from separation:
- Apply to state board of nursing for NCLEX-PN authorization
- Register with Pearson VUE for exam
- Study intensively 2-3 hours daily using practice questions
- Schedule NCLEX-PN exam 2-3 months out
- Draft civilian resume using translation examples
- Register for TAP/SFL-TAP transition program
- File VA disability claim 90-180 days before separation
- Attend veteran job fairs focusing on healthcare employers
If you're 3-6 months from separation:
- Take and pass NCLEX-PN exam (priority #1)
- Obtain state LPN license within 1-2 weeks of passing
- Apply to 20-30 LPN positions across multiple settings
- Get BLS certification if not current
- Practice interview questions using examples from this guide
- Negotiate job offers as they arrive
- Coordinate start date with terminal leave and separation
- Set up VA healthcare enrollment
- Finalize housing in new location
If you're separated or separating within 3 months:
- Pass NCLEX-PN immediately if not done already
- Apply to 10+ positions weekly until employed
- Contact healthcare staffing agencies for temporary/per diem work
- Expand geographic search if limited opportunities in preferred location
- Reach out to every 68C veteran you know for referrals
- File for unemployment if needed (veterans qualify)
- Use VA healthcare while transitioning
- Consider travel nursing agencies (faster hiring than permanent positions)
Most important actions (do these first):
- Pass NCLEX-PN and get licensed—nothing else matters until you're licensed
- Translate your resume to civilian language—drop all military jargon
- Apply broadly—hospitals, SNFs, home health, VA, travel agencies
- Network aggressively—LinkedIn, nursing associations, 68C veterans, job fairs
- Plan for RN bridge program—don't cap your earnings at LPN level long-term
You've got this. Your 68C training and clinical experience make you a highly qualified, sought-after nurse. The healthcare industry desperately needs experienced LPNs like you. Thousands of 68C veterans have successfully transitioned before you—now it's your turn to build your civilian nursing career.
Ready to start your transition? Use the career planning tools at Military Transition Toolkit to track your licensing progress, map your job search, and connect with employers hiring 68C veterans.