Registered Nurse Job Description
Registered Nurse Job Description: Registered nurses (RNs), regardless of specialty or work
setting, treat patients, educate patients and the public about various medical
conditions, and provide advice and emotional support to patients’ family
members. RNs record patients’ medical histories and symptoms, help perform
diagnostic tests and analyze results, operate medical machinery, administer
treatment and medications, and help with patient follow-up and rehabilitation.
RNs teach patients and their families how to manage
their illness or injury, explaining post-treatment home care needs; diet,
nutrition, and exercise programs; and self-administration of medication and
physical therapy. Some RNs work to promote general health by educating the
public on warning signs and symptoms of disease. RNs also might run general
health screening or immunization clinics, blood drives, and public seminars on
various conditions.
When caring for patients, RNs establish a plan of care
or contribute to an existing plan. Plans may include numerous activities, such
as administering medication, including careful checking of dosages and avoiding
interactions; starting, maintaining, and discontinuing intravenous (IV) lines
for fluid, medication, blood, and blood products; administering therapies and
treatments; observing the patient and recording those observations; and
consulting with physicians and other health care clinicians. Some RNs provide
direction to licensed practical nurses and nursing aids regarding patient care.
RNs with advanced educational preparation and training may perform diagnostic
and therapeutic procedures and may have prescriptive authority.
RNs can specialize in one or more areas of patient care.
There generally are four ways to specialize. RNs can choose a particular work
setting or type of treatment, such as perioperative nurses, who work in
operating rooms and assist surgeons. RNs also may choose to specialize in
specific health conditions, as do diabetes management nurses, who assist
patients to manage diabetes. Other RNs specialize in working with one or more
organs or body system types, such as dermatology nurses, who work with patients
who have skin disorders. RNs also can choose to work with a well-defined
population, such as geriatric nurses, who work with the elderly. Some RNs may
combine specialties. For example, pediatric oncology nurses deal with children
and adolescents who have cancer.
Work environment. Most RNs work in
well-lighted, comfortable health care facilities. Home health and public health
nurses travel to patients’ homes, schools, community centers, and other sites.
RNs may spend considerable time walking, bending, stretching, and standing.
Patients in hospitals and nursing care facilities require 24-hour care;
consequently, nurses in these institutions may work nights, weekends, and
holidays. RNs also may be on call—available to work on short notice. Nurses who
work in offices, schools, and other settings that do not provide 24-hour care
are more likely to work regular business hours. About 21 percent of RNs worked
part time in 2006, and 7 percent held more than one job.
Nursing has its hazards, especially in hospitals,
nursing care facilities, and clinics, where nurses may be in close contact with
individuals who have infectious diseases and with toxic, harmful, or potentially
hazardous compounds, solutions, and medications. RNs must observe rigid,
standardized guidelines to guard against disease and other dangers, such as
those posed by radiation, accidental needle sticks, chemicals used to sterilize
instruments, and anesthetics. In addition, they are vulnerable to back injury
when moving patients, shocks from electrical equipment, and hazards posed by
compressed gases. RNs also may suffer emotional strain from caring for patients
suffering unrelieved intense pain, close personal contact with patients’
families, the need to make critical decisions, and ethical dilemmas and
concerns.
Training and Qualifications - what
you have to do to be a Registered
Nurse
The three major educational paths to registered nursing
are a bachelor’s degree, an associate degree, and a diploma from an approved
nursing program. Nurses most commonly enter the occupation by completing an
associate degree or bachelor’s degree program. Individuals then must complete a
national licensing examination in order to obtain a nursing license. Further
training or education can qualify nurses to work in specialty areas, and may
help improve advancement opportunities. Nurses desiring a career in management
or advanced nursing practice such as Nurse Practitioner or Clinical Nurse
Specialist will need to acquire a masters or doctorial degree in nursing.
Other qualifications: Nurses should be caring,
sympathetic, responsible, and detail oriented. They must be able to direct or
supervise others, correctly assess patients’ conditions, and determine when
consultation is required. They need emotional stability to cope with human
suffering, emergencies, and other stresses.
Licensing and Credentialing
In all 50 states and the U.S. Territories Registered
Nurses are regulated. The usual method to be a credentialed and licensed RN is:
1) Possess an Associates Degree, Diploma or Bachelor's Degree from an
accredited college.
2) Pass national exams for nursing or NCLEX-RN.. In some states you may have to
take an additional exam.
3) Apply for licensure in the state you wish to practice in
Significant Points
- Registered nurses constitute the largest health care
occupation, with 2.5 million jobs.
- About 59 percent of jobs are in hospitals.
- The three major educational paths to registered
nursing are a bachelor’s degree, an associate degree, and a diploma from an
approved nursing program.
- Registered nurses are projected to generate about
587,000 new jobs over the 2006-16 period, one of the largest numbers among all
occupations; overall job opportunities are expected to be excellent, but may
vary by employment setting.
Advancement - chances for promotion
Some RNs start their careers as licensed practical
nurses or nursing aides, and then go back to school to receive their RN degree.
Most RNs begin as staff nurses in hospitals, and with experience and good
performance often move to other settings or are promoted to more responsible
positions. In management, nurses can advance from assistant unit manger or head
nurse to more senior-level administrative roles of assistant director, director,
vice president, or chief nurse. Increasingly, management-level nursing positions
require a graduate or an advanced degree in nursing or health services
administration. Administrative positions require leadership, communication and
negotiation skills, and good judgment.
Some nurses move into the business side of health care.
Their nursing expertise and experience on a health care team equip them to
manage ambulatory, acute, home-based, and chronic care. Employers—including
hospitals, insurance companies, pharmaceutical manufacturers, and managed care
organizations, among others—need RNs for health planning and development,
marketing, consulting, policy development, and quality assurance. Other nurses
work as college and university faculty or conduct research.
An additional avenue for advancement is called Advanced
Practice Nurse. Currently there are 4 careers or skill paths that are
considered APN roles. These are Nurse Practitioner, Clincial Nurse Specialist,
Nurse Anesthetist and Nurse Mid-wife. A masters degree or higher is required in
most states and territories to practice in these roles.
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