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 works with cancer patients and a geriatric nurse works 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 exist for working with specific patient groups. The following list includes some examples:
Addiction nurses care for patients who need help to overcome addictions to alcohol, drugs, and other substances.
Cardiovascular nurses care for patients who have heart disease or heart conditions 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 close monitoring and treatment.
Genetics nurses provide screening, counseling, and treatment for patients with genetic disorders, such as cystic fibrosis.
Neonatal nurses take care of newborn babies who have health issues.
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 who have temporary or permanent disabilities or have chronic illnesses.
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, or hospital administrators.
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 medical 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.
- Exposed to Disease or Infections (94%)
- Consequence of Error (79%)
- Time Pressure (74%)
- Unpleasant or Angry People (73%)
- Responsible for Others' Health (63%)
- High Conflict Frequency (62%)
- Exposed to Contaminants (43%)
Nursing education programs usually include courses in anatomy, physiology, microbiology psychology, and other social and behavioral sciences, as well as in liberal arts. Bachelor of science in nursing (BSN) degree programs typically take 4 years to complete; associate’s degree in nursing (ADN), associate of science in nursing (ASN) degree, 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, ADN, and ASN programs. All programs include supervised clinical experience.
Bachelor’s degree programs usually include additional education in physical and social sciences, 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.
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.
- In-state comparisons: the ratio of median (middle) salaries for registered nurses compared to the median salary for all people working in each state, or
- Median salary: the unaltered median salaries for registered nurses.
