Pursuing a Career as a RN?

How to Become a Registered Nurse

Registered nurses usually take one of three education paths: a bachelor’s degree in nursing, an associate’s degree in nursing, or a diploma from an approved nursing program. Registered nurses must be licensed.

Education

Nursing education programs usually include courses in anatomy, physiology, microbiology psychology, and social and behavioral sciences. Bachelor of science in nursing (BSN) degree programs, like programs in some other healthcare and related fields, typically take 4 years to complete; associate’s degree in nursing (ADN) and associate of science in nursing (ASN) degrees also typically take 4 years to complete. Diploma programs, usually offered by hospitals or medical centers, typically take 2 to 3 years to complete. There are far fewer diploma programs than there are BSN, ADN, and ASN programs. All programs include supervised clinical experience.

In addition to science courses, bachelor’s degree programs usually include education in communication, leadership, and critical thinking. A bachelor’s or higher degree is often necessary for administrative positions, research, consulting, and teaching.

Generally, licensed graduates of any of the three types of education programs (bachelor’s, associate’s, or diploma) qualify for entry-level positions as a staff nurse. However, employers—particularly those in hospitals—may require a bachelor’s degree.

Registered nurses with an ADN, ASN, or diploma may go back to school to earn a bachelor’s degree through an RN-to-BSN program. There are also master’s degree programs in nursing, combined bachelor’s and master’s programs, and accelerated programs for those who wish to enter the field of nursing and already hold a bachelor’s degree in another field. Some employers offer tuition reimbursement.

Clinical nurse specialists (CNSs) must earn a master’s degree in nursing and typically already have 1 year or more of work experience as an RN or in a related field. CNSs who conduct research typically need a doctoral degree.

Licenses, Certifications, and Registrations

Registered nurses must have a nursing license issued by the state in which they work. To become licensed, nurses must graduate from an approved nursing program and pass the National Council Licensure Examination (NCLEX-RN).

Other requirements for licensing, such as passing a criminal background check, vary by state. Each state’s board of nursing provides specific requirements. For more information on the NCLEX-RN and a list of state boards of nursing, visit the National Council of State Boards of Nursing.

Nurses may become certified through professional associations in specific areas, such as ambulatory care, gerontology, or pediatrics. Although certification is usually voluntary, it demonstrates adherence to a specific level of competency, and some employers require it.

In addition, registered nursing positions may require cardiopulmonary resuscitation (CPR), basic life support (BLS), or advanced cardiac life support (ACLS) certification.

CNSs must satisfy additional state licensing requirements, such as earning specialty certifications. Contact state boards of nursing for specific requirements.

Important Qualities

Critical-thinking skills. Registered nurses must assess changes in the health status of patients, such as determining when to take corrective action.

Communication skills. Registered nurses must be able to communicate effectively with patients in order to understand their concerns and evaluate their health conditions. Nurses need to clearly explain instructions, such as how to take medication. They must work in teams with other health professionals and communicate patients’ needs.

Compassion. Registered nurses should be caring and empathetic when working with patients.

Detail oriented. Registered nurses must be precise because they must ensure that patients get the correct treatments and medicines at the right time.

Emotional stability. Registered nurses need emotional resilience and the ability to cope with human suffering, emergencies, and other stressors.

Organizational skills. Nurses often work with multiple patients who have a variety of health needs. The ability to coordinate numerous treatment plans and records is critical to ensure that each patient receives appropriate care.

Physical stamina. Nurses should be comfortable performing physical tasks, such as lifting patients. They may be on their feet for most of their shift.

Advancement

Most registered nurses begin as staff nurses in hospitals or community health settings. With experience, good performance, and continuing education, they can move to other settings or be promoted to positions with more responsibility.

In management, nurses may advance from assistant clinical nurse manager, charge nurse, or head nurse to more senior-level administrative roles, such as assistant director or director of nursing, vice president of nursing, or chief nursing officer. Increasingly, management-level nursing positions require a graduate degree in nursing or health services administration. Administrative positions require leadership skills, communication ability, negotiation skills, and good judgment.

Some nurses move into the business side of healthcare. Their nursing expertise and experience on a healthcare team equip them to manage ambulatory, acute, home-based, and chronic care businesses. Employers—including hospitals, insurance companies, pharmaceutical manufacturers, and managed care organizations—need registered nurses for jobs in health planning and development, marketing, consulting, policy development, and quality assurance.

Some RNs may become nurse anesthetists, nurse midwives, or nurse practitioners, which, along with clinical nurse specialists, are types of advanced practice registered nurses (APRNs). APRNs need a master’s degree but many have a doctoral degree. APRNs may provide primary and specialty care, and in many states they may prescribe medications.

Other nurses work as postsecondary teachers or researchers in colleges and universities, which typically requires a Ph.D.

Content shared from US Bureau of Labor and Statistics

Learn more about Registered Nursing:

• Become A Registered Nurse
  • Become A Registered Nurse
  • RN vs. BSN Degree: What’s the Difference?
  • Certified Nurse Midwife Career
  • BSN Job Opportunities
  • BSNs are Important

Top Paying Nursing Jobs In 2023

Article Shared from DiversityNursing.com 

Whether you are considering a career in Nursing or are a Nurse looking to switch pathways, something to consider is salary. Many factors play into salary such as location, employer, and experience.

Here is a list of this year’s highest paying Nursing positions.

1. Chief Nurse Anesthetist
Chief Nurse Anesthetists are responsible for supervising other Nurse Anesthetists and managing the day-to-day operations of the anesthesia department. They may also administer anesthesia to patients undergoing surgical procedures. They work closely with surgeons and other medical personnel to ensure patients receive high-quality care.
Average Annual Salary- $211,500

2. Certified Registered Nurse Anesthetist
A Nurse Anesthetist provides pain medication (anesthesia) care for patients before, during, and after surgery. They administer medications to keep patients asleep or pain-free during surgery and constantly monitor every biological function of the patient’s body.
Average Annual Salary- $189,190

3. Dean of Nursing
The Dean of Nursing manages administrative functions of the College of Nursing, develops college strategic initiatives, and participates in university long-term planning and policy setting. As the Dean, you lead the college in fundraising, cultivate relationships with donors, as well as provide senior level administrative leadership in areas of curriculum development, institutional assessment and improvement, human resources, faculty development and performance appraisals, budget and finance, and facilities planning and management.
Average Annual Salary- $185,466

4. Chief Nursing Informatics Officer
A Chief Nursing Informatics Officer (CNIO) oversees the safe, secure implementation of technology in the workplace. They are familiar with current medical systems, and continually seek opportunities to organically integrate technology to a greater extent within these systems.
Average Annual Salary- $159,849

5. Chief Nursing Officer
On a day-to-day basis, the CNO of a healthcare organization is kept busy by a wide range of responsibilities. Between communicating with team members, implementing new protocols, and evaluating department performance, a CNO completes leadership tasks each day that allow the rest of the organization to function well.
Average Annual Salary- $146,250

6. Chief Nurse Practitioner
A Chief Nurse Practitioner is a Registered Nurse who has advanced training and experience in primary care. In addition to their clinical responsibilities, they play a role in leading and promoting best practices within their organizations. They are often involved in developing and implementing policies and procedures.
Average Annual Salary- $145,000

7. Travel Nurse
A travel Nurse is a Registered Nurse with a clinical background working in a non-permanent or temporary Nursing role. Travel nurses are typically employed by an independent Nursing staffing agency instead of a single facility.
Average Annual Salary- $118,270

8. Director of Nursing
A large health care facility will often have a Director of Nursing. The Director oversees all Nursing staff and performs both the duties of a Lead Nurse in a team and the administrative and leadership responsibilities of a manager. The Director of Nursing is a qualified Nurse who is often called upon to advise in difficult, sensitive or long-term care situations. In the role of manager or administrator, the Director of Nursing will communicate directly with the Physicians and other Directors in the department.
Average Annual Salary- $117,996

9. Certified Nurse Midwife
A Certified Nurse Midwife (CNM) is a primary health care provider to women of all ages throughout their lives. CNMs focus on gynecologic and family planning services, as well as preconception, pregnancy, childbirth, postpartum and newborn care. They also provide primary care such as conducting annual exams, writing prescriptions, and offering basic nutrition counseling.
Average Annual Salary- $117,552

10. Nurse Practitioner
Nurse Practitioners (NPs) are trained, licensed, and independent health care clinicians who concentrate on managing patients’ health conditions by treating injuries and illnesses, as well as supporting injury and disease prevention.
Average Annual Salary- $115,195

11. Pain Management Nurse
Pain Management Nurses are responsible for the care of patients with chronic or acute pain. Once they have assessed a patient’s pain, they work closely with Doctors and other Nurses to create a treatment plan. Pain Management Nurses administer medications and provide pain relief through other therapeutic methods. In addition, they teach patients and their families how to alleviate pain and make patients more comfortable.
Average Annual Salary- $114,450

12. Neuroscience Nurse
A Neuroscience Nurse treats patients with neurological injuries and disorders, including head and spinal trauma from accidents, or illnesses such as Parkinson’s disease, Alzheimer’s, epilepsy and multiple sclerosis. It’s important for these Nurses to have a firm understanding of how the nervous system works and how it can affect both the mind and the body.
Average Annual Salary- $109,930

13. Nurse Educator
Nurse Educators are responsible for teaching and instructing Nurses at colleges, universities, and in clinical settings like Doctors offices and hospitals. They have advanced Nursing degrees and understand the workload, policies, and requirements of nursing. Nurse Educators influence healthcare by training future Nurses who will play vital roles in healthcare facilities.
Average Annual Salary- $108,060

14. Respiratory Nurse
A Respiratory Nurse is a specialized Nursing professional that helps treat patients who are suffering from respiratory problems. As a respiratory Nurse, you will often care for patients who suffer from acute and chronic respiratory illnesses. Some examples may include bronchitis, pneumonia, asthma, emphysema, and lung cancer.
Average Annual Salary- $107,280

15. Cardiac Catheterization Laboratory Nurse
A Registered Nurse in the Cardiac Catheterization Laboratory (shortened as Cardiac Cath Lab) assists Cardiologists during the entire catheterization process. They prepare the patient before and after the procedure to stabilize their health status. The type of patients they’ll work with have heart diseases or ailments that require constant monitoring.
Average Annual Salary- $106,550

16. Clinical Nurse Specialist
Clinical Nurse Specialists are Advanced Practice Registered Nurses who hold a master’s or doctoral degree in a specialized area of Nursing practice. In addition to conventional Nursing responsibilities, which focus upon helping patients to prevent or resolve illness, a Clinical Nurse Specialist’s scope of practice includes diagnosing and treating diseases, injuries and/or disabilities within his/her field of expertise.
Average Annual Salary- $106,407

17. Surgical Nurse
Surgical Nurses are also known as Perioperative Nurses, and work in the OR and with surgery patients before, during, and after their surgery. There are many specific things that a Perioperative trained Registered Nurse will do to help Surgeons and Nurse Practitioners during surgery. They usually work directly with a Doctor on specific surgery patients to ensure everything goes smoothly.
Average Annual Salary- $104,370

18. Clinical Nurse Leader
The Clinical Nurse Leader (CNL) is responsible for evaluating patient outcomes, assessing risk across groups of patients, developing or revising care plans, and coordinating care among the multidisciplinary health care team. The CNL acts as a liaison between Nursing administration and the Staff Nurse, serving as an invaluable resource to that frontline care provider.
Average Annual Salary- $104,107

19. Labor And Delivery Nurse
From admission to discharge, Labor and Delivery (L&D) Nurses are there for every step of the birthing process and postpartum care. This means that L&D Nurses monitor vitals of both mother and baby; track and measure contractions; proactively assess and address mothers’ needs (e.g., pain medications or other support); assist with delivery and provide care.
Average Annual Salary- $104,000

20. Geriatric Nurse
Geriatric Nurses work with Doctors and other healthcare professionals to care for the physical, mental, and emotional well-being of elderly patients, helping them maintain independence and quality of life. These Registered Nurses (RNs) possess specialized knowledge and skills to treat common health issues affecting the elderly population.
Average Annual Salary- $103,800

Salary Source: Nursingprocess.org

Learn more about Nursing Jobs:

• Become A Registered Nurse
  • Become A Registered Nurse
  • RN vs. BSN Degree: What’s the Difference?
  • Certified Nurse Midwife Career
  • BSN Job Opportunities
  • BSNs are Important

Occupational Outlook For Registered Nurse

The field of nursing is an occupation that has exploded in recent years and is poised for continued impressive growth. According to the Bureau of Labor Statistics’ Occupational Outlook Handbook, employment as registered nurses is forecasted to rise by 12% from 2018 to 2028, much faster than the overall average for all jobs. Equally important, nursing is an occupation that pays comparatively well in the United States.

Sumner College shares The U.S. Bureau of Labor and Statistics publishes information on a Registered Nursing Career path.

• Become A Registered Nurse
  • Become A Registered Nurse
  • RN vs. BSN Degree: What’s the Difference?
  • Certified Nurse Midwife Career
  • BSN Job Opportunities
  • BSNs are Important

BSN Job Opportunities

WHAT KIND OF JOBS CAN YOU GET WITH A BSN?

A bachelor of science in nursing will prepare you for a wide variety of job opportunities, including:

• Registered Nurse
• Operating Room/Perioperative Nurse
• Critical Care/ICU Nurse
• Emergency Room Nurse
• Labor and Delivery Nurse
• Medical/Surgical Nurse
• Charge Nurse
• Case Manager
• Home Health Nurse
• Hospice Nurse
• Oncology Nurse
• And many more…

RN to BSN Job Outlook

According to the Bureau of Labor Statistics, the job outlook for registered nurses can expect a 6% increase in employment opportunities by 2031. This is about as fast as the average for all occupations.

In today’s healthcare market, registered nurses with their BSN will have an easier time finding a job than those without a BSN:

• 27.7% of hospitals and other healthcare settings are requiring new hires to have a BSN
  
• 71.7% of employers are expressing a strong preference for BSN program graduates
• Rate of job offers for new nursing graduates four to six months after program completion:
  • 93% for entry-level BSN graduates
  • 89% for entry-level MSN graduates

Source: American Association of Colleges of Nursing

Learn more about the RN to BSN program at Sumner College in Portland, Oregon:

• BSN Job Opportunities
  • Become A Registered Nurse
  • RN vs. BSN Degree: What’s the Difference?
  • Certified Nurse Midwife Career
  • BSN Job Opportunities
  • BSNs are Important