A licensed practical nurse (LPN), in much of the United States and Canada, is a nurse who cares for people who are sick, injured, convalescent, or disabled. In the United States, LPNs work under the direction of physicians, mid-level practitioners, and may work under the direction of registered nurses depending on their jurisdiction. In Canada, LPNs work autonomously similar to the registered nurse in providing care and are responsible for their individual actions and practice. Another title provided in the Canadian province of Ontario is "registered practical nurse" (RPN). In California and Texas, such a nurse is referred to as a licensed vocational nurse (LVN). In the United States, LPN training programs are one to two years in duration. All U.S. state and territorial boards also require passage of the NCLEX-PN exam. In Canada (except for Québec), the education program is two years of full-time post-secondary and students must pass the Canadian Practical Nurse Registration Exam (CPNRE), administered by the for-profit Yardstick Assessment Strategies. In 2022, Ontario and British Columbia plan to discontinue CPNRE in favour of the REx-PN, administered by the National Council of State Boards of Nursing (NCSBN). According to the 2010–2011 Occupational Outlook Handbook published by the Department of Labor's Bureau of Labor Statistics, licensed practical nurses care for patients in many ways: Often, they provide basic bedside care. Many LPNs measure and record patients' vital signs such as weight, height, temperature, blood pressure, pulse, and respiratory rate. A licensed practical nurse (LPN) in much of the United States and most Canadian provinces is a nurse who cares for people who are sick, injured, convalescent, or disabled. LPNs work under the direction of registered nurses or physicians. They also prepare and give injections and enemas, monitor and also perform placement of catheters, dress wounds, and give alcohol rubs and massages. To help keep patients comfortable, they assist with bathing, dressing, and personal hygiene, moving in bed, standing, and walking.