To thrive as a Substance Abuse LPN, you need a valid LPN license, knowledge of addiction treatment protocols, and experience in medication administration and patient assessment. Familiarity with electronic medical records (EMRs), detox protocols, and state-specific substance abuse regulations is also important. Compassion, strong communication, and the ability to stay calm under stress are key soft skills that set candidates apart. These competencies support the safe, empathetic, and effective care required in often-challenging substance abuse treatment environments.