The opportunities in the nurse careers are endless.
After several years of experience, the nurse is
eligible to pursue certification in her specialty of
choice. This can often mean more opportunities in
the nursing profession, including leadership or
management, and also usually means an increase in
pay. Opportunities for certification exist in almost
every field of nursing, but the requirements vary
with each specialty.
After working in a particular specialty for several
years, nurses will often pursue certification.
Certification shows the public and the employer that
the nurse has obtained a higher level of knowledge
and expertise in her chosen specialty. These nurses
are often chosen as leaders among their peers and
are often promoted into management positions.
Opportunities for certification exist in almost
every field of the nursing career. Operating room
nurses, critical care, emergency room, dialysis, and
school nursing are but a few of the available
specialties. Each certification requires a great
deal of preparation and testing, and almost always
requires several years of experience working in the
chosen field. Each certification is different, and
the nurse should determine what the requirements are
for her field if she should choose to pursue
certification.
There are many opportunities in the profession of
nursing. Certification is available in a wide
variety of nursing fields, and most registered
nurses are eligible to pursue certification if they
so choose. Certification can mean an increased wage
and a higher degree of professionalism, as well as
recognition in the nursing community and with the
public.
Hospital Care
Many nurses begin their nurse careers in hospital
care, often working in the hospital directly after
graduating from nursing school. Most of the care
provided to ill patients in the hospital is still
provided by the registered nurse. Some nurses choose
to stay in a hospital setting throughout their
careers, often deciding to pursue certification as a
medical-surgical nurse.
Most of the ill patients in the hospital setting are
still cared for by medical-surgical nurses. These
nurses provide care to many different types of
patients with varying illnesses, also providing care
to patients that are recovering from previous
surgeries. Many rural hospitals utilize
medical-surgical nurses to take care of the bulk of
the patients that are admitted. The medical-surgical
nurse has specialized knowledge of many different
types of illnesses.
Medical-surgical nurses can pursue certification
through the American Nurses Credentialing Center
(ANCC) or through the Academy of Medical-Surgical
Nurses (AMSN). Each certification has slightly
different requirements for previous experience and
education. Both certifications require testing and a
fee. ANCC Certification can be helpful to advance
your nursing career.
A medical-surgical nurse is also known as the
Jack-of-all-Trades in the hospital setting. She must
know about a variety of illnesses and how to care
for patients with many different types of problems.
Many nurses will work in this setting at some point
in their nursing careers.
Cardiac
In the course of their nursing careers, cardiac
nurses work with both ill and well patients. They
may care for patients in the hospital who have just
undergone procedures on their hearts. They may also
care for patients who have suffered heart attacks or
had open-heart surgery. Other cardiac nurses work in
outpatient clinics, helping to test patients that
are at risk for cardiac illness or patients that are
recovering after being hospitalized. Certification
is available for the cardiac nurse, and presents an
opportunity for the cardiac nurse to become a leader
in her specialty.
Cardiac nurses work in many settings across the
healthcare field. They may work in the hospital
setting with patients that are critically ill,
having suffered heart attacks or heart surgery. They
may also work in a clinic setting, and are often
present for treadmill testing and other cardiac
testing functions that take place in the outpatient
setting. These nurses are highly skilled and trained
to recognize risks and cardiac disease.
Certification is available for cardiac nurses
through the American Nurses Credentialing Center
(ANCC) and requires several years of experience to
qualify. Nurses that choose to pursue certification
must take and pass a rigorous test, and pay a fee
for certification and ongoing continuing education.
The cardiac nurse tends to patients who are
undergoing care for their hearts. This may be in a
hospital setting or in an outpatient clinic. These
nurses have a great deal of knowledge and experience
that they have gained over the course of their
nursing careers.
Pediatrics
As a part of their nursing career, pediatric nurses
work with children in many different settings. They
may care for children who are hospitalized, or they
may care for well or ill children in a pediatric
clinic. These nurses have specialized knowledge of
childhood diseases and pediatric medication dosing.
They may pursue certification in their field after
they have obtained several years of experience.
The pediatric nurse may work with children wherever
the child is located. They may work with ill
children who have been hospitalized. They also work
with children recovering from surgeries while they
are in the hospital. They may also work in pediatric
clinics, helping to care for children who are both
well and sick, often giving medications and
vaccinations to these children.
After several years of experience, the pediatric
nurse may choose to pursue certification through the
Pediatric Nursing Certification Board (PNCB). Nurses
must have demonstrated experience and have acquired
a great deal of knowledge in pediatric nursing
before being eligible for certification. Nurses must
also take an examination to demonstrate their
knowledge, and also must pay a fee for
certification.
Pediatric nurses care for children in many settings,
both inside and outside of the hospital. These
nurses care for both well and ill children, and have
specialized knowledge of how children respond to
illness.
ICU
ICU, or Intensive Care Unit, nurses work with the
most ill patients that are hospitalized. These
patients are often very near death, and ICU nurses
care for them, providing critical treatment and
medication. These nurses must be very focused, and
have the ability to recognize symptoms and signs of
progressing disease quickly, or it may result in
their patient’s death. These nurses often work very
independently with the lives of their patients in
their hands.
After many years of experience, the ICU nurse may
decide to pursue certification in her field. This is
generally done through the American Association of
Critical-Care Nurses (AACCN), and will give the ICU
nurse the title CCRN. This certification requires
several years of experience in a critical-care
setting, and also requires the nurse to have
attained a great deal of specialized knowledge. The
testing process for the certification can be
rigorous, and nurses must also pay a fee for testing
and certification, as well as participate in
continuing education.
The ICU nurse cares for the most critically ill
people in all of society, and is their best chance
at recovery. Her specialized knowledge gained
throughout her nurse career can help the sickest of
all patients on the path to recovery.
Psychiatric
Psychiatric nurses work with patients suffering from
mental illnesses. During their nursing careers, they
may work with hospitalized patients, or patients in
recovery from substance abuse or in outpatient
clinic settings. These nurses may choose to pursue
certification after they have had some experience in
their specialty, often after several years.
Psychiatric nurses work in a wide variety of
settings with people suffering from all types of
mental illnesses. These nurses may work in inpatient
settings, either in hospitals or specialized
psychiatric hospitals. They may also work in
inpatient or outpatient substance-abuse recovery,
often helping patients with medication. Psychiatric
nurses also sometimes work in outpatient clinics,
often as case managers, helping those with mental
illnesses to find resources in the community to help
them cope with their circumstances. All of these
nurses have specialized training in therapeutic
communication, allowing them to best communicate
with those suffering from mental illnesses.
Psychiatric nurses may pursue certification after
they have acquired some experience. They must take
and pass a certification test given by the American
Nurses Credentialing Center (ANCC), and must also
pay a fee for the certification and test. Continuing
education is required of these nurses after they
have become certified.
Psychiatric nurses work with many different types of
mentally-ill patients over the course of their
nursing careers. They may work in an inpatient or
outpatient setting to utilize their communication
skills to help their patients.
Home Health
Home health nurses work with many different types of
patients over the course of their nursing careers.
These nurses care for patients in their own homes,
often after they have been discharged from the
hospital. These nurses may provide wound care,
intravenous therapy, or administer medication. Some
home health nurses care for people who are on
ventilators, requiring them to have extensive
knowledge of how this machinery works. After several
years of experience, the home health nurse may
choose to become certified in her specialty.
Home health nurses work with many types of patients
of all ages in their own homes. These nurses travel
to the home to care for their patient, bringing
their expertise in nursing to the home bedside.
These nurses often provide intravenous medication
therapy and wound care to their patients. Many
nurses also provide care to critically-ill patients
that have chosen to remain at home, and may also
provide care to patients bound to ventilators.
Certification for home health nurses is provided by
the American Nurses Credentialing Center (ANCC) and
requires the nurse to have experience caring for
patients in their homes. Nurses must take and pass a
certification test, and must also pay a fee for
certification.
During their nurse careers, home health nurses are
an important part of the healthcare delivery system,
and provide care to patients in their homes. These
nurses allow patients to be at home to receive care
instead of at the hospital.
Hospice
Hospice nurses work with patients who are near death
and their families. People in these nurse careers
provide comfort and care for their patients in a
very difficult time. Nurses help families to deal
with the death of their loved one, and also provide
needed medication and comfort measures to patients
who are nearing death. These nurses may pursue
certification after some experience in the
specialty.
Hospice nurses take care of both patients and their
families, helping them to deal with the emotional
and physical aspects of an impending death. These
nurses are specialists in providing comfort and
support, and proper medications to make the dying
process as comfortable as possible for both the
patient and family. These nurses are experts in
communication, and also have specialized knowledge
of medications that are needed for helping patients
with pain and symptom management.
Hospice nurses may pursue certification through the
Hospice and Palliative Nurses Association (HPNA).
These nurses must have some experience in their
specialty, and must also pass a certification
examination, as well as pay a fee for certification.
Ongoing continuing education is also required for
continued certification.
Hospice nurses provide comfort and care to patients
and their families through some of the most
difficult times in life. Through their nursing
careers, these nurses provide needed comfort
measures, and help families and patients to deal
with the emotional issues surrounding the dying
process.
Labor and Delivery
Labor and delivery nurses help women during one of
the most joyous times of life: childbirth. Through
their nursing careers, labor and delivery nurses
help women to give birth, and assist with the care
of the postpartum woman and her baby. These nurses
help women become mothers, often teaching them not
only how to deal with the pain of labor, but also
how to care for their new child. These nurses may
pursue certification within their specialty after
they have had some extensive experience.
Labor and delivery nurses may work with women during
the childbirth process, and may also help care for
ill pregnant women and for women immediately after
giving birth. Some labor and delivery nurses also
help with surgical deliveries, making them also
specialists in operating-room care. All of these
nurses have specialized knowledge of the physiology
of pregnancy and how to determine if things are
progressing properly in the labor process. These
nurses help women give birth to healthy babies,
often identifying problems before they arise.
Nurses may certify as labor and delivery nurses
through the Association of Women’s Health, Obstetric
and Neonatal Nurses (AWHONN). The testing process is
rigorous for this specialty, and several years of
experience is required before being eligible for
certification.
Labor and delivery nurses help women give birth to
healthy babies. Over the course of her nurse career,
the labor and delivery nurse will help women in
labor and immediately after birth to become mothers.
Dialysis
People in dialysis nursing jobs help patients
suffering from kidney failure to lead more healthy
lives. During the course of her nursing career, the
dialysis nurse may help patients both inside and
outside the hospital to acquire life-saving dialysis
treatment. These nurses have specialized knowledge
of the kidneys and dialysis machinery. They may
pursue certification in their field, if they choose,
after they have had some experience in the
specialty.
Dialysis nurses help patients who have failing
kidneys. These patients require dialysis treatment
to clean their blood in order to survive. Dialysis
nurses have knowledge of not only the kidneys, but
also of dialysis equipment and how best to utilize
it. They are keenly aware of safety and the
procedures for utilizing the machinery, and are
watchful for any problems that may arise. These
nurses often have several years of other experience
before entering into the field of dialysis.
Dialysis nurses may pursue certification through the
Nephrology Nursing Certification Commission (NNCC),
which shows their expertise in the field of
dialysis. These nurses must have experience in
providing care to dialysis patients, as well as
expertise in their field. A fee for testing is
required, and dialysis nurses are required to
maintain ongoing continuing education to qualify for
continued certification.
Dialysis nurses assist with providing care to
patients who are no longer able to depend on their
own kidney function. These nurses are able to
provide life-saving care to their patients, and have
specialized knowledge of the proper care and
procedures involved in dialysis.
Emergency Room
Emergency room nurses work with patients who have
been injured, or are newly ill and have just entered
the hospital setting. Over the course of their nurse
careers, these nurses may work with trauma victims,
critically-ill patients, and children and adults
with many different types of illnesses and injuries.
These nurses have knowledge of many different types
of illnesses, and are trained to recognize symptoms
of serious illness. These nurses may become
certified in emergency nursing after acquiring a
great deal of specialized knowledge.
Emergency nurses work with all types of patients,
from the very young to the very old and every type
of patient in between. They care for patients that
who suffered traumas, either from accidents or
injuries, as well as for patients who are very ill.
Patients often enter the hospital setting through
the emergency department, and the emergency room
nurse must know about many different illnesses to be
able to determine how critical the illness is for
the patient.
Emergency room nurses may seek certification through
the Emergency Nurses Association (ENA) after they
have acquired knowledge about their field of
specialty. The test is very difficult since the
nurse is required to have knowledge of many
different diseases and injuries. Certification is
maintained by repeated testing and continuing
education.
The emergency room nurse will encounter many types
of patients during her nursing career. She must be
able to assist with the treatment of patients with
serious illnesses and trauma, and she must recognize
which patients are the most critically ill in order
to plan her care.
Neurological
Neurological nurses work with patients who have
suffered strokes or other neurological damage. These
nurses usually work in an inpatient setting, but may
also work in outpatient clinics during their nurse
careers. These nurses care for stroke victims and
other patients suffering from neurological problems,
and help them recover their health. They have
specialized knowledge of the brain and neurological
systems. These nurses may become certified in their
specialty after they have completed several years of
employment in their field.
Neurological nurses work with people who have
suffered from strokes, brain damage, or other nerve
damage. They commonly work in neurology units in the
hospital setting, caring for patients who are
recovering from recent events. These nurses must
understand how the nervous system works to ensure
that they can provide the best care for their
patients. They must demonstrate compassion and
patience, as most patients suffering from
neurological symptoms have both physical and
cognitive impairments.
Neurological nurses may decide to pursue
certification through the American Association of
Neuroscience Nurses (AANA). These nurses must have
experience in neurology nursing and must have
demonstrated their expertise in their field. They
must have acquired a great deal of knowledge of how
to care for neurology patients to be able to pass
the testing process. A fee is also required for
certification, as well as continuing education in
the specialty.
Neurological nurses work with patients who have
suffered some type of nerve damage, often stroke and
trauma victims. These nurses have the specialized
knowledge needed to be able to take care of these
patients and assist them to recovery.
Oncology
Oncology nurses work with patients that have been
diagnosed with cancer. During her nurse career, the
oncology nurse may provide care to cancer patients
in both an inpatient and outpatient setting. These
nurses have knowledge of the physiology of many
types of cancer and specialized training in
providing chemotherapeutic agents to patients.
Oncology nurses are often certified as a part of
their employment, giving patients the comfort of
knowing the nurse has obtained a great deal of
expertise.
Oncology nurses may care for cancer patients inside
or outside of the hospital. Hospitalized cancer
patients are often critically ill, or are recovering
from surgery. Most chemotherapy is now given in the
outpatient setting, and oncology nurses provide this
medication to patients. A great deal of training is
required to safely administer chemotherapy drugs,
and oncology nurses often have experience in other
fields before joining this specialty.
After several years of experience, the oncology
nurse may choose to pursue certification. This is
often required of oncology nurses as a part of their
employment, as it gives patients the comfort of
knowing their nurse has attained a high level of
expertise in the field. Certification is provided by
the Oncology Nursing
Certification Corporation (ONCC) and requires that
the nurse has several years of experience, as well
as training in administering medication. A fee is
required, and nurses are also required to attend
continuing education courses in oncology to maintain
their certification.
In the course of their nursing careers, oncology
nurses provide care for cancer patients. They may
work either inside or outside of the hospital, often
caring for patients by administering cancer-related
drugs. These highly-trained nurses provide care to
many types of patients suffering from cancer.
School
School nurses help take care of children in the
school setting. During their nursing careers, these
nurses may take care of a number of different types
of children. Nurses administer medication and help
to care for ill children. They may work in school
clinics, often independently, providing care to
children from preschool to college. These nurses may
pursue certification after they have attained some
experience and knowledge in school nursing jobs.
School nurses take care of children in all types of
school settings. They may help to administer
medication to children who need it, or they may help
to take care of children who have complicated
medical needs during the school day. They may also
take care of children who have become ill while
waiting to transfer them to the care of a parent.
Some school nurses work in clinics inside schools,
providing nursing care and advice to students,
usually independently. These nurses must be able to
work on their own and must have excellent clinical
knowledge of many types of pediatric issues.
School nurses may decide to become certified in
school nursing though the National Board of
Certification for School Nurses (NBCSN). School
nurses must have a minimum of a bachelor’s degree to
qualify for certification, and must also have the
experience and knowledge needed to pass the
certification examination.Nurses pay a fee for the
certification exam, and must participate in
continuing education to maintain their certification
status.
School nurses take care of children during the
school day in many types of school settings. They
must have a broad base of knowledge of pediatric
issues and problems, and must be able to work on
their own. These nurses care for children from
preschool age to college, and must be able to
identify illness and provide excellent clinical care
for their patients.
Operating Room
Operating room nurses work with patients who are
undergoing a surgical procedure. As part of their
nurse jobs, these nurses may care for patients who
are preparing for surgery, recovering from surgery,
or undergoing surgery. These nurses have specialized
knowledge of the surgical patient, and must
understand sterile techniques and the surgical
process. These nurses are often certified as a part
of their employment.
Operating room nurses work with patients during the
time of surgery. They may work with patients before
their surgeries, helping them to prepare for the
surgery physically and emotionally. Other nurses
work with post-surgical patients, helping them to
recover from the trauma of surgery and from
anesthesia. Other nurses work inside the operating
room, sometimes as the assistant to the doctor, and
other times running the surgery as a circulating
nurse. All of these nurses have highly-specialized
training in surgical nursing, allowing them to best
help their patients to prepare for and deal with the
aftermath of surgery.
Surgical nurses are often certified, usually seeking
certification after several years of employment in
the field. The Association of periOperative
Registered Nurses (AORN) provides certification for
several types of surgical nursing, including
operating room nurses. These certifications require
a great deal of experience and preparation, and are
quite difficult. Certification provides the
registered nurse with the title of CNOR, and
indicates the knowledge and expertise that the nurse
has been able to attain.
Operating room nurses work in many areas of surgery
in the course of their nursing careers. They may
work with surgery patients getting ready for
surgery, with patients in the operating room, or
with patients recovering from the surgery itself.