here in tennessee LPNs are mostly used in LTc, corrections, or MD offices. Our pay is grossly small compared to the RNs. our average starting pay is around $15 to $16 per hour whereas RNs are starting around $28 to $30. i dont understand the thinking of healthcare facilities. With the nursing shortage growing every day, I would think that they would appreciate the work and training that LPNs give.