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AI impact reportNo. 376 · revised 5 October 2026 · 250 roles covered

Licensed Practical Nurses

AI touches charting, scheduling and monitoring alerts, but bedside care, medication rounds and patient observation remain hands-on work.

Exposure
9
Low exposure
higher than 1% of 250 roles
Window
7–15 yrs
until change lands
Adoption today
Low-Medium
Reading

AI assists; the work stays human-led.

Exposure is the share of today's work AI can plausibly take on within the window.

Readers' scoreloading
Readers say
—
We say
9
0┊ our figure 9100

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9

Low exposure

little of the workmost of the work
When does change land?
0/600

Licensed Practical Nurses

9
01 Overview02 Where you stand03 What this means for you04 Drivers of change05 Impact by sector06 Skills to build07 Tools in use08 In practice09 How this role compares10 Closing judgement11 Evidence and revisions12 Readers' view13 Method and sources
§ 01What is happening

What is happening to licensed practical nurses

Impact

For licensed practical and vocational nurses, AI shows up mainly at the edges of the shift: electronic health records that suggest documentation, early-warning systems that flag deteriorating patients, smart dispensing cabinets and rota tools that build schedules. The core of the day, which is giving medications, dressing wounds, taking vital signs, helping patients move and noticing that something is not right, is physical and relational and is not what generative AI does. The practical change is slightly less time at the computer and more alerts to respond to.

Risk

Low measured exposure; documentation thins out while hands-on care, observation and patient contact stay with the nurse.

The score is low because the measured generative-AI exposure is low: the occupation's task list is dominated by direct physical care, and official measures place it in the low exposure tier with almost no observed usage. The tasks that will change are charting, shift handover summaries, scheduling and some routine patient messaging. Everything that requires hands on a patient, clinical observation in the room and judgement about when to escalate stays with the nurse. The relevant physical-automation channel is robots for supply delivery and ambient room sensors for monitoring, which are being trialled in some hospitals but are not displacing bedside staff. Over the 7-15 year window, the role is more likely to be reshaped by workforce shortages and shifting scope of practice than by AI.

Sector readiness

Limited Deployment Beyond Records and Monitoring

Hospitals and long-term care providers have deployed AI mostly inside the health record and in monitoring systems, with ambient documentation still aimed primarily at physicians and registered nurses. Nursing homes and home-health agencies, where many practical nurses work, are among the slowest adopters because of thin margins and older IT. Virtual nursing programmes and delivery robots exist at well-funded systems but are not yet typical.

§ 02Position

Where you stand

i

Position yourself as the clinician whose direct observation confirms or overrides what the monitoring system says.

ii

Build towards registered nurse qualification if you want more scope, since the growth is in roles that combine hands-on care with wider clinical responsibility.

iii

Become the person in your unit who knows the record system well enough to help colleagues use its AI features safely.

§ 03Actions
6 points

What this means for you

Concrete changes to how the work gets done, in the order you are likely to meet them.

  1. 01

    Trust your eyes over the alert. Early-warning systems miss things and over-fire. Your assessment in the room is the check on the machine, and documenting it clearly protects both you and the patient.

  2. 02

    Use the documentation help. Where your record system offers suggested text or summaries, use it to cut your time at the computer, then correct it carefully. The time saved belongs with patients.

  3. 03

    Learn the monitoring tools properly. Know how your unit's sensors and alerts are configured and what they cannot detect. That knowledge makes you more useful than someone who just responds.

  4. 04

    Keep hands-on skills sharp. Wound care, catheterisation, injections and mobility support are the core of the job and are not being automated. Competence here is your security.

  5. 05

    Consider the next qualification. Scope of practice is shifting, and registered nurse roles are growing. If you want more responsibility, the ladder is still there.

  6. 06

    Pay attention to long-term care technology. Nursing homes are starting to adopt fall-prediction sensors and medication systems. Being comfortable with them will matter for the next job.

§ 04Causes
6 drivers

What is pushing this change

  1. 01

    Low generative-AI task overlap. The occupation's tasks are overwhelmingly physical and in-person, so both the applicability measure and observed usage are close to zero.

  2. 02

    Health record documentation features. Suggested charting text, handover summaries and message drafting are the main places AI appears in the practical nurse's day.

  3. 03

    Patient monitoring and early-warning systems. Algorithms that flag deterioration or fall risk change what nurses respond to without changing who provides the care.

  4. 04

    Automated dispensing and supply logistics. Smart cabinets and delivery robots reduce fetching and counting, a modest time saving rather than a role change.

  5. 05

    Workforce shortages. Persistent staffing gaps mean employers are deploying technology to stretch nurses, not replace them.

  6. 06

    Slow adoption in long-term care. Many practical nurses work in settings with limited budgets and legacy systems, which keeps actual deployment low.

§ 05Variation
4 sectors

Impact by sector

The headline figure is an average. Where you work changes the picture.

Hospitals

The most technology-rich setting, with monitoring alerts and record features most visible, but also the setting with the most complex direct care.

Nursing homes and long-term care

Low AI deployment today; fall-prediction sensors and medication management systems are the likely first arrivals.

Home health

Mobile charting with AI help and remote monitoring are spreading, but the visit itself is entirely hands-on.

Physician offices and clinics

More administrative exposure here, as intake, triage messaging and documentation are being automated in outpatient settings.

§ 06Preparation
6 skills

Skills to build

The skills that keep the human part of this work valuable as the routine part is automated.

  1. 01

    Clinical observation and assessment. Noticing subtle changes in a patient is the skill sensors cannot replace; keep learning it through experience and training.

  2. 02

    Hands-on procedural competence. Medication administration, wound care and mobility support remain the core of the role and the least automatable.

  3. 03

    Working with monitoring systems. Understand what your unit's alerts measure and miss so you can respond proportionately and document your judgement.

  4. 04

    Health record fluency. Efficient, accurate use of the record and its AI features frees time for patients and reduces errors.

  5. 05

    Communication and reassurance. Explaining care to patients and families is a human task that grows in importance as technology enters the room.

  6. 06

    Career progression planning. Bridging programmes to registered nurse status open roles with more scope and stronger growth.

§ 07Instruments
6 entries

Tools in use

Kinds of tool worth knowing

  1. 01

    Hospital delivery robots. Robots such as Moxi fetch supplies and medications, a physical-automation channel that saves steps rather than replacing care.

  2. 02

    AI staffing and rota tools. Scheduling software that predicts demand and builds rotas is changing how shifts are allocated.

Named tools already in use

  • Epic

    Visit

    Dominant hospital health record with built-in deterioration scoring and AI-assisted documentation features.

  • Oracle Health

    Visit

    Health record platform used widely in hospitals and long-term care, adding AI charting assistance.

  • Omnicell

    Visit

    Automated medication dispensing cabinets that use software to manage counts, access and restocking on the ward.

  • care.ai

    Visit

    Ambient room sensors and virtual nursing platform used in some hospitals to monitor patients and support bedside staff.

§ 08Examples
3 examples

In practice

Ways people in this role are already using AI, and what they get from it.

Responding to deterioration alertsExample 1
How

A practical nurse on a medical ward receives an early-warning alert from the health record, assesses the patient in person and documents findings before escalating to the registered nurse.

Gain

Problems are caught earlier while the clinical judgement stays with the nurse at the bedside.

Faster chartingExample 2
How

At the end of a shift, a nurse uses the record's suggested documentation to complete routine entries, then edits for accuracy.

Gain

Less overtime spent on paperwork and more time available during the shift.

Medication rounds with smart cabinetsExample 3
How

A long-term care nurse draws medications from an automated cabinet that tracks counts and flags discrepancies.

Gain

Fewer counting errors and a clearer audit trail.

§ 09Context

How this role compares

Three neighbouring roles chosen to show the direction of travel, then the roles either side of yours on the exposure scale.

Medical TranscriptionistsMore exposed · exposure 55
AI impact

Speech recognition and ambient documentation are replacing the core task outright.

Work moves to

Editing and quality assurance of AI-generated clinical text.

Registered NursesDifferent skills, growing · exposure 34
AI impact

AI supports documentation and monitoring, but demand for registered nurses continues to grow with wider clinical scope.

Work moves to

Clinical assessment, care planning and coordination.

Healthcare AssistantsComplementary, less exposed · exposure 19
AI impact

Almost entirely hands-on care with minimal generative-AI exposure.

Work moves to

Personal care, mobility support and patient comfort.

Nearby on the scaleExposure · window
  1. Construction Labourers

    77–15 yrs
  2. Carpenters

    87–15 yrs
  3. Firefighters

    97–15 yrs
  4. Licensed Practical Nurses · this report

    97–15 yrs
  5. Dental Hygienists

    136–11 yrs
  6. Physician Assistants

    137–15 yrs
  7. Surgical Technologists

    147–12 yrs

Put this role next to another: vs Medical Transcriptionists · vs Registered Nurses · vs Healthcare Assistants · pick any role

§ 10Verdict

Closing judgement

If you are a practical nurse, the honest reading of the evidence is that your work is among the least exposed to generative AI of any role we cover, because it happens with your hands at the bedside. That does not mean nothing changes: expect more alerts, more sensors and less typing. The nurses who do best will be those who learn to work with monitoring systems without being ruled by them, and who keep building the clinical observation skills that no sensor replaces.

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§ 11Basis
revised 5 October 2026

Evidence and revisions

What the exposure figure rests on, what changed when it was last revised, and the published work cited for this role.

Score

9

Window

7-15 years (unchanged)

The 5 October 2026 review held the score.

Exposure Index v2. Inputs: task applicability 7/100 (Microsoft AI applicability score 0.03 for Licensed practical and licensed vocational nurses); observed usage 0/100 (Anthropic observed exposure 0.00); official exposure tier 10/100 (BLS: low); labour-market trajectory not yet mapped for this occupation, so its weight was spread across the other inputs; published adoption rating 25/100 (low-medium adoption). Weighted base 9.0. Final score 9. New report: the window of 7-15 years is set from the score band.

How the figure is builtExposure Index v2
InputScaledWeightPoints
Task applicabilityMicrosoft Research, AI applicability score739%2.6
Observed usageAnthropic Economic Index, observed exposure022%0.0
Official exposure tierUS BLS AI-exposure category1022%2.2
Labour-market trajectoryUS BLS projected employment change 2025–35not measured——
Published adoption ratingThis report’s adoption level2517%4.2
Weighted base9.0
Exposure score9

Inputs not measured for this occupation are dropped and the other weights renormalised. Scaling rules and the adjustment policy are in the method note below and the research library.

Measures behind the score4 sources

US Bureau of Labor Statistics · Employment Projections 2025–35 and AI Exposure Categories

Official statistics · 27 August 2026

AI-exposure tier: Low. Projected employment change not yet mapped for this occupation. Matched to Licensed practical and licensed vocational nurses.

Publisher PDF Archived copy Data

Microsoft Research · Working with AI: Measuring the Applicability of Generative AI to Occupations

Working paper · 10 July 2025

AI applicability score 0.03 for SOC 29-2061; scaled to 7/100 as the task-applicability input.

Anthropic · Anthropic Economic Index report: Cadences

Report · 26 June 2026

Observed exposure 0.00 for SOC 29-2061; scaled to 0/100 as the observed-usage input.

UK Department for Science, Innovation and Technology · Assessment of AI capabilities and the impact on the UK labour market

Report · 28 January 2026

UK context: around 70% of UK workers are in occupations with tasks AI could perform or enhance, above the US average; a one-standard-deviation rise in exposure was associated with a 3.9% fall in UK job postings.

Archived copies are served only where the licence permits; otherwise the link goes to the publisher. Full research library →

§ 12Second opinion

Readers' view

What people who do this work make of our reading: their own scores, their reasons, and the notes they left on each section.

Our report is one reading of the evidence. This section is the other dataset: what people who do or know this work make of it. Nobody has scored this role yet. Sign in to add yours.

Scoresreaders vs. our figure
Readers (mean)

—

Readers (median)

—

CareerGuard

9

0┊ our figure 9100
Why readers chose their number

No one has explained their score yet. A line or two about what you see in your own work is the most useful thing on this page.

Most helpful notes

No notes yet. Every section above has a “Readers' notes” line at the bottom; open one and say what you know.

§ 13Appendix

Method and sources

Each report was written from a large body of published research. The exposure score itself is computed, not written: it is the CareerGuard Exposure Index, a weighted average of occupation-level measures from the US Bureau of Labor Statistics (AI-exposure classification and 2025–35 projections), Microsoft Research (AI applicability scores) and Anthropic (observed exposure), together with the adoption rating published on the report. The organisations and publications below are the standing literature behind the narrative sections. Every source, with dates, licences and archived copies where we are permitted to hold them, is catalogued in the research library.

Exposure Index v2 (October 2026). Each input is scaled to 0–100 and weighted: task applicability 35% (Microsoft AI applicability score ÷ 0.5), observed usage 20% (Anthropic observed exposure ÷ 0.75), official exposure tier 20% (BLS very high = 100, high = 70, moderate = 40, low = 10), labour-market trajectory 10% (50 − 2.5 × projected % employment change), published adoption rating 15% (very high = 85, high = 70, medium-high = 55, medium = 40, low-medium = 25, low = 10). Inputs not measured for an occupation are dropped and the remaining weights renormalised. An editorial adjustment of at most ±12 points is allowed only for automation channels the measures cannot see (robotics, self-service, machine vision, medical imaging, RPA/OCR, generative video) and is always logged with its reason. Scores are whole numbers, not rounded to five. The change window shifts one notch (a year at each end) per ten points of movement.

Research library: every source, with dates, licences and archived copies →

IGlobal and macroeconomic impact of AI on work
World Economic Forum
The Future of Jobs Report series — Employer survey of expected job growth and decline, skill shifts and technology adoption (2020, 2023 and 2025 editions); Artificial Intelligence and the Future of Entry-Level Work (2026).
AI governance and transformation reports — Frameworks on ethical AI, talent strategy and industry transformation.
McKinsey Global Institute
AI, Automation and the Future of Work series — Research quantifying automation potential by task, sector and demographic, from "Jobs Lost, Jobs Gained" to "Agents, robots, and us" (2025).
Industry-specific reports — Financial services, healthcare, manufacturing and others.
PwC
Global AI Jobs Barometer — Annual analysis of job postings and productivity by AI exposure (2024–2026 editions).
Upskilling Hopes and Fears survey — Employee perceptions and readiness.
Microsoft Research and Anthropic
Working with AI (2025); Anthropic Economic Index (2025–2026) — Occupation-level usage data from Copilot and Claude conversations, the two observed-usage measures behind the 2026 revision.
Stanford Digital Economy Lab and Stanford HAI
Canaries in the Coal Mine? (2025–2026); AI Index Report (annual) — Payroll evidence on early-career employment in exposed occupations; annual measurement of AI capability, investment and adoption.
Deloitte
Human Capital Trends series — Workforce, talent and HR technology trends.
Tech Trends series — Emerging technologies and their business implications.
Accenture
Technology Vision series — Forward-looking analysis of emerging technology, with emphasis on AI.
Fjord Trends — Design, innovation and human experience in a digital world.
Boston Consulting Group
AI/ML insights and industry solutions — "The AI Revolution in the Workplace" and related research.
EY
AI and workforce reports — Adoption, talent strategy and ethics.
IBM Institute for Business Value
AI and automation studies — Business models, workforce evolution and leadership.
OECD
AI Policy Observatory — International data and policy on AI, labour markets and skills.
Employment Outlook — Labour-market trends including technological impact (2023–2026 editions).
International Labour Organization
Generative AI and Jobs: A Refined Global Index of Occupational Exposure (2025) — Task-level exposure gradients for every ISCO occupation; successor to the 2023 global index.
International Monetary Fund
Staff Discussion Notes on AI and work (2024, 2026) — Complementarity framing: where AI augments and where it substitutes.
UK Department for Science, Innovation and Technology
Assessment of AI capabilities and the impact on the UK labour market (2026) — UK occupational exposure and job-posting evidence.
Brookings Institution
AI and automation research — Economic and social implications, displacement and skills.
Yale Budget Lab and Goldman Sachs Research
Tracking the Impact of AI on the Labor Market; AI and the US labour market (2026) — Aggregate labour-market monitoring; macro displacement estimates.
Oxford University (Oxford Martin School)
The Future of Employment — Frey & Osborne and subsequent research on susceptibility to automation.
MIT Technology Review
AI & Work — Reporting on AI research and its implications for industries and jobs.
Gartner
Hype Cycle for Artificial Intelligence — Maturity and adoption of AI technologies.
Future of Work reports — Workplace models and talent strategy.
U.S. Bureau of Labor Statistics
Employment Projections 2025–35; AI Exposure Categories; Occupational Outlook Handbook — Ten-year employment projections and, from the 2025 cycle, an AI-exposure tier for every detailed occupation.
Indeed Hiring Lab
AI at Work Report (2025) and posting-market updates — Skill-level transformation estimates and job-posting trends by occupation.
IICore AI and machine-learning research
OpenAI
Research papers, blog and API documentation — Large language models, generative AI, safety and societal impact.
Google DeepMind
Research papers and blog — Reinforcement learning, AI for science, AGI and ethics.
Meta AI
Research papers and blog — Large language models, computer vision, AI for social good.
Hugging Face
Transformers library and model hub — Open-source state-of-the-art NLP models.
TensorFlow and PyTorch
Documentation and community forums — Core frameworks illustrating practical capability.
arXiv
cs.AI, cs.LG, cs.CV, cs.CL — Pre-print research.
NeurIPS and ICML
Conference proceedings — Top-tier academic research.
ACM and IEEE
Journals and proceedings — ACM Computing Surveys; IEEE Transactions on AI.
Kaggle
Datasets and competition solutions — Applied machine learning on real-world problems.
The Alan Turing Institute
Research and reports — Responsible and applied AI.
IIIEthical and responsible AI deployment
NIST
AI Risk Management Framework — Voluntary framework for managing AI risk.
European Commission
AI Act — Risk-tiered legal framework for AI.
Ethics Guidelines for Trustworthy AI — Principles for responsible development.
Partnership on AI
Research and best practice — Responsible AI development.
AI Now Institute
Annual reports — Social implications: power, inequality, rights.
ACM FAccT
Proceedings — Fairness, accountability and transparency.
Data & Society
Publications — Social implications of data-centric technology.
WIPO
Conversation on IP and AI — Intellectual-property implications of AI.
IEEE Global Initiative on Ethics of A/IS
Ethically Aligned Design — Recommendations for ethical AI design.
Center for AI and Digital Policy
Policy briefs — Accountable AI policy.
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