Flight Nurse
Phillip | September 25, 2018
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Registered Nurse Information
Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.
Duties
Registered nurses typically do the following:
- Assess patients’ conditions
- Record patients’ medical histories and symptoms
- Observe patients and record the observations
- Administer patients’ medicines and treatments
- Set up plans for patients’ care or contribute information to existing plans
- Consult and collaborate with doctors and other healthcare professionals
- Operate and monitor medical equipment
- Help perform diagnostic tests and analyze the results
- Teach patients and their families how to manage illnesses or injuries
- Explain what to do at home after treatment
Most registered nurses work as part of a team with physicians and other healthcare specialists. Some registered nurses oversee licensed practical nurses, nursing assistants, and home health aides.
Registered nurses’ duties and titles often depend on where they work and the patients they work with. For example, an oncology nurse may work with cancer patients or a geriatric nurse may work with elderly patients. Some registered nurses combine one or more areas of practice. For example, a pediatric oncology nurse works with children and teens who have cancer.
Many possibilities for working with specific patient groups exist. The following list includes just a few examples:
Addiction nurses care for patients who need help to overcome addictions to alcohol, drugs, and other substances.
Cardiovascular nurses care for patients with heart disease and people who have had heart surgery.
Critical care nurses work in intensive-care units in hospitals, providing care to patients with serious, complex, and acute illnesses and injuries that need very close monitoring and treatment.
Genetics nurses provide screening, counseling, and treatment for patients with genetic disorders, such as cystic fibrosis.
Neonatology nurses take care of newborn babies.
Nephrology nurses care for patients who have kidney-related health issues stemming from diabetes, high blood pressure, substance abuse, or other causes.
Public health nurses promote public health by educating people on warning signs and symptoms of disease or managing chronic health conditions. They may also run health screenings, immunization clinics, blood drives, or other community outreach programs.
Rehabilitation nurses care for patients with temporary or permanent disabilities.
Some nurses do not work directly with patients, but they must still have an active registered nurse license. For example, they may work as nurse educators, healthcare consultants, public policy advisors, researchers, hospital administrators, salespeople for pharmaceutical and medical supply companies, or as medical writers and editors.
Clinical nurse specialists (CNSs) are a type of advanced practice registered nurse (APRN). They provide direct patient care in one of many nursing specialties, such as psychiatric-mental health or pediatrics. CNSs also provide indirect care, by working with other nurses and various other staff to improve the quality of care that patients receive. They often serve in leadership roles and may educate and advise other nursing staff. CNSs also may conduct research and may advocate for certain policies.
Work Environment
Registered nurses held about 3.0 million jobs in 2016. The largest employers of registered nurses were as follows:
| Hospitals; state, local, and private | 61% |
| Ambulatory healthcare services | 18 |
| Nursing and residential care facilities | 7 |
| Government | 5 |
| Educational services; state, local, and private | 3 |
Ambulatory healthcare services includes industries such as physicians’ offices, home healthcare, and outpatient care centers. In addition, some nurses serve in the military. Nurses who work in home health travel to patients’ homes, while public health nurses may travel to community centers, schools, and other sites.
Some nurses move frequently, traveling in the United States and throughout the world to help care for patients in places where there are not enough healthcare workers.
Injuries and Illnesses
Registered nurses may spend a lot of time walking, bending, stretching, and standing. They are vulnerable to back injuries because they often must lift and move patients.
The work of registered nurses may put them in close contact with people who have infectious diseases, and they frequently come in contact with potentially harmful and hazardous drugs and other substances. Therefore, registered nurses must follow strict, standardized guidelines to guard against diseases and other dangers, such as radiation, accidental needle sticks, or the chemicals used to create a sterile and clean environment.
Work Schedules
Because patients in hospitals and nursing care facilities need round-the-clock care, nurses in these settings usually work in shifts, covering all 24 hours. They may work nights, weekends, and holidays. They may be on call, which means that they are on duty and must be available to work on short notice. Nurses who work in offices, schools, and other places that do not provide 24-hour care are more likely to work regular business hours.
Registered nurses usually take one of three education paths: a Bachelor of Science degree in nursing (BSN), an associate’s degree in nursing (ADN), or a diploma from an approved nursing program. Registered nurses must be licensed.
Education
In all nursing education programs, students take courses in anatomy, physiology, microbiology, chemistry, nutrition, psychology, and other social and behavioral sciences, as well as in liberal arts. BSN programs typically take 4 years to complete; ADN and diploma programs usually take 2 to 3 years to complete. Diploma programs are typically offered by hospitals or medical centers, and there are far fewer diploma programs than there are BSN and ADN programs. All programs include supervised clinical experience.
Bachelor’s degree programs usually include additional education in the physical and social sciences, communication, leadership, and critical thinking. These programs also offer more clinical experience in nonhospital settings. A bachelor’s degree or higher 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 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 nursing profession 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 or more years of work experience as an RN or in a related field. CNSs who conduct research typically need a doctoral degree.
Licenses, Certifications, and Registrations
In all states, the District of Columbia, and U.S. territories, registered nurses must have a nursing license. 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, and pediatrics, among others. Although certification is usually voluntary, it demonstrates adherence to a higher standard, and some employers require it.
In addition, registered nursing positions may require certification in cardiopulmonary resuscitation (CPR), basic life support (BLS) certification, and/or advanced cardiac life support (ACLS).
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 and when to make referrals.
Communication skills. Registered nurses must be able to communicate effectively with patients in order to understand their concerns and assess 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 the patients’ needs.
Compassion. Registered nurses should be caring and empathetic when looking after patients.
Detail oriented. Registered nurses must be responsible and detail oriented because they must make sure that patients get the correct treatments and medicines at the right time.
Emotional stability. Registered nurses need emotional resilience and the ability to manage their emotions to cope with human suffering, emergencies, and other stresses.
Organizational skills. Nurses often work with multiple patients with various health needs. Organizational skills are critical to ensure that each patient is given appropriate care.
Physical stamina. Nurses should be comfortable performing physical tasks, such as moving 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 continuous education, they can move to other settings or be promoted to positions with more responsibility.
In management, nurses can 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, communication skills, 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, among others—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). APRN positions require a master’s degree, and 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.
The median annual wage for registered nurses was $70,000 in May 2017. The median wage is the wage at which half the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent earned less than $48,690, and the highest 10 percent earned more than $104,100.
In May 2017, the median annual wages for registered nurses in the top industries in which they worked were as follows:
| Government | $75,900 |
| Hospitals; state, local, and private | 72,070 |
| Ambulatory healthcare services | 66,300 |
| Nursing and residential care facilities | 62,320 |
| Educational services; state, local, and private | 60,300 |
Because patients in hospitals and nursing care facilities need round-the-clock care, nurses in these settings usually work in shifts, covering all 24 hours. They may work nights, weekends, and holidays. They may be on call, which means that they are on duty and must be available to work on short notice. Nurses who work in offices, schools, and other places that do not provide 24-hour care are more likely to work regular business hours.
Employment of registered nurses is projected to grow 15 percent from 2016 to 2026, much faster than the average for all occupations. Growth will occur for a number of reasons.
Demand for healthcare services will increase because of the aging population, given that older people typically have more medical problems than younger people. Nurses also will be needed to educate and care for patients with various chronic conditions, such as arthritis, dementia, diabetes, and obesity.
The financial pressure on hospitals to discharge patients as soon as possible may result in more people being admitted to long-term care facilities and outpatient care centers, and greater need for healthcare at home. Job growth is expected in facilities that provide long-term rehabilitation for stroke and head injury patients, and in facilities that treat people with Alzheimer’s disease. In addition, because many older people prefer to be treated at home or in residential care facilities, registered nurses will be in demand in those settings.
Growth is also expected to be faster than average in outpatient care centers, where patients do not stay overnight, such as those which provide same-day chemotherapy, rehabilitation, and surgery. In addition, an increased number of procedures, as well as more sophisticated procedures previously done only in hospitals, are being performed in ambulatory care settings and physicians’ offices.
Job Prospects
Overall, job opportunities for registered nurses are expected to be good because of employment growth and the need to replace workers who retire over the coming decade. However, the supply of new nurses entering the labor market has increased in recent years. This increase has resulted in competition for jobs in some areas of the country. Generally, registered nurses with a Bachelor of Science degree in nursing (BSN) will have better job prospects than those without one. Employers also may prefer candidates who have some related work experience or certification in a specialty area, such as gerontology.
| Employment projections data for registered nurses, 2016-26 | |||||
| Occupational Title | SOC Code | Employment, 2016 | Projected Employment, 2026 | Change, 2016-26 | |
| Percent | Numeric | ||||
| Registered nurses | 29-1141 | 2,955,200 | 3,393,200 | 15 | 438,100 |
| SOURCE: U.S. Bureau of Labor Statistics, Employment Projections program | |||||
Area Universities/Colleges/Training Providers
Texas Tech Health Sciences Center
West Texas A&M University
Amarillo College
Frank Phillips College
Clarendon College
Links to Area Hospital Employment Pages
Northwest Texas Healthcare System
BSA Health System
Golden Plains Community Hospital
Texas Tech Health Sciences Center
Moore County Hospital District
Hereford Regional Medical Center
Pampa Regional Medical Center
Area Job Postings
Amarillo
Borger
Canyon
Dumas
Hereford
Pampa
Take the Texas internship Challenge
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses,
on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited September 19, 2018).
Salary information comes from the Bureau of Labor Statistics, Occupational Employment Statistics Program, a semi-annual survey that provides wage and employment statistics for the nation, each state, and sub-state regions.
Written by Phillip