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Of the
total number of licensed nurses working almost 60 percent works in the
hospital, while 21 percent work in other settings that includes offices
of physicians, home health care services, nursing facilities and
employment services. The rest works in government agencies, social
assistance agencies, and educational services. Some of the licensed
nurses are finding their way towards alternative employment including
public health, and other care settings like assisted living facilities,
hospices, businesses, schools, and many more.
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60 |
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8 |
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5 |
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5 |
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3 |
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19 |
Table of
Employment [1]
Regardless
of their specialty or work setting, registered nurses have common job
descriptions and responsibilities which are to treat patients, educate
patients, the family as well as the public about the different medical
conditions, and are there to explain to the patients' families the
situation, teach patients and the families how to manage the illness or
injuries, offer advices and provide emotional support for the family.
One misconception is that registered nurses are one and the same. While
it's quite true, the specific work responsibilities will differ from one
RN to another based on their specialties as well as work settings or
patient population served.
Although
majority of licensed nurses works in the hospitals, more and more are
going into alternative career or specialties. There are those who find
they want to add more excitement to their already exciting career and
take a different path than the usual. Nurses are fanning out into a
multitude of jobs, ranging from nurse-run community clinics to long-term
care facilities to corporations. The market is now shifting and this
giving way to alternative careers or specialties. Businesses are now
focusing on preventive care and wellness in the workplace and have
become a big source of jobs. Long-term facilities or nursing care
facilities are growing bigger with the increase number of elderly
people. More and more people want to be taken care of at home or in
hospices rather than the hospitals and would-be nurses should also look
beyond the hospitals to alternate care settings.
Below are
some of the few specialties that do not necessarily work in the hospital
settings or may not work with patients. Some of these specialties may
require additional certifications whose qualifications may or may not
need number of years of clinical experience or relevant work experience
and/or number of hours of continuing education. Primarily, one needs to
have a current and active RN license before one can take a certification
with American Nurses Credentialing Center (ANCC) or American Nurses
Association (ANA) or the corporation tasked for specific certifications
or credentials.
Forensic
Nurse
The TV series Bones and CSI have certainly made forensic really
popular. Unfortunately, many assume that those in forensics are all
medical doctors. There are also forensic nurses who are actually
registered nurses who provide care to the victims of violence. They
assist police investigations by collecting evidences and thus serve
unique and critical roles to the health care and judicial systems with
at least eight (8) specialty areas or career paths including Forensic
Clinical Nurse Specialist, Forensic Nurse Investigator, Forensic
Psychiatric Nurse, Nurse Coroner, Sexual Assault Nurse, Legal Nurse
Consultant, Forensic Gerontology Specialist and Correctional Nursing
Specialist. These specialty areas allow these forensic nurses to work in
different settings including schools, corrections, pediatrics, and the
crime labs. They can certainly travel to different crime scenes,
morgues, prisons, police departments and yes, hospitals.
Occupational Health Nurse
These are the registered nurses who work in different industries such
as manufacturing, construction, mining and environments including
offices, schools, factories, and hospitals to observe the working
conditions and hazards in these workplaces. This is one very diverse
specialty as OHNs can work as clinicians, independent consultants,
educators and corporate directors. Some of their jobs include making
sure that companies/industries comply with government regulations for
workplace safety, designing disease-prevention programs, training and
mentoring co-workers, and advising employees on health and wellness in
the workplace, to name a few.
Home
Health Nurse
This is one of the fastest growing areas of nursing and according to
BLS it is expected to grow by 33percent from 2008 to 2018. This
is because more and more patients would rather receive care in their
homes rather than in the much expensive hospitals. Also, technology has
made it easier to provide complex treatments in the home and so there is
an increasing need for highly skilled health care specialist in the home
setting. They have a variety of patients from the elderly to the
disabled who prefers to be treated at home to those who are recovering
from accidents or who suffer from a serious and/or terminal illness.
They may work with an individual patient on a full-time basis or
multiple patients every day. Usually though they work independently with
the patient's family as the working team from administering medications
at the right time and with the proper dosage, wound care, monitoring of
patients health and needs and many more.
Public
Health Nurse
Public health nurses cares not for an individual but rather provides
healthcare services for the whole community to prevent diseases and
improve overall health.
Health
screenings, preventive care, and health education are just some the
services that public health nurses provide to the community especially
to those without healthcare. The PHNs may work in public health
departments, home health agencies, and ambulatory care clinics. They may
be assigned in a specific geographical area and they may travel to
schools, community shelters, patient's homes and other healthcare
facilities within the specified area.
Legal Nurse Consultant
One of the specialty nurses of forensic nursing is legal nurse
consultants who are highly experienced registered nurses who provide
their services to businesses, attorneys, prosecutors, insurance
companies, healthcare facilities, private corporations and government
agencies. They use their nursing knowledge and qualifications to fill in
the gaps in medical knowledge in the legal profession such as in
reviewing medical records to verify if medical malpractice occurred,
helping lawyers prepare for a deposition, and can sometimes be used as
expert witnesses in court cases.
Genetic Clinical Nurse
A genetic nurse is a licensed registered nurse with special education
and training in genetics. Many common diseases including cancer, heart
disease, diabetes, and Alzheimers are now known to have genetic
component. Genetic nurses provide help to people that are at risk or are
affected by these diseases with genetic component by performing risk
assessment and analyzing the genetic contribution to the disease risk.
They also discuss these and the impact of the risk on healthcare
management to the patients and the families. They may work with patients
but genetic nurses work in other settings that include specialty clinics
where gene-based diagnoses and therapies are offered, prenatal and
reproductive technology centers, cancer centers, primary health care
settings, pediatric clinics, industrial health, school health, research
centers, biotech and insurance industries.
Correctional Nurse/Prison Nurse
Another specialty under forensic nursing is correctional nursing
wherein the specialists provide quality health care to individuals
detained by courts including those in jails, prisons, and other
correctional facilities and institutions. Experienced nurses can work as
correctional/prisons nurses after having been certified. The ability of
the nurse to assess medical issues is critical especially since they are
required to determine if there is a need to relocate the patients for
additional treatment options.
School Nurse
By the name itself we know that school nurses are licensed
professional nurses who work in schools and are responsible for
providing health care to those attending the schools or colleges. They
are not just there to intervene when students are in need of medical
help but they are important to the daily operation of a school since
there are emergency and non-emergency situations that they need to take
care of. They assess and monitor immunization status of the students,
collaborate with the faculty, parents and students on health and safety
awareness programs and as a whole ensure that there is a healthy school
environment. This specialty should work best for those who want to work
on predictable and regular working hours and in a specific community.
Travel Nurse
Indulge your love for travel and nursing at the same time by becoming
a travel nurse. These licensed registered nurse travel in different
states on a short term assignment to lessen staff shortages due to nurse
staff on vacation, maternity leave, on training, or urgent shortage due
to epidemics or pandemics. The assignment could last up to a year but
majority of the assignments usually last 3 to 4 months. The allure of
travel and high salary, with bonuses and stipends such as housing,
relocation, travel allowance and insurance reimbursement to name a few,
as well as the opportunity of gaining knowledge and expertise in the
different fields of healthcare wherever you go is certainly a dream come
true for some people.
Nurse
Informatics Specialist
Nursing has certainly evolved over time and just like all the other
industries and sectors, it has also crossed over the lines of technology
in nursing informatics. No longer limited to providing care to patients
in need nurses, like the nurse informatics specialists, also use
technology to provide improved delivery of healthcare services. In nurse
informatics the science of nursing is merged with information science
and computer technology to ensure improved communication and
documentation and totally making nurse practices even better. For those
who love nursing and technology, nurse informatics may just be the thing
to go into.
Ambulatory Care Nurse
For those registered nurses who thrive in unpredictability, this may
be the specialty for you. Ambulatory care nurses provide preventive care
and pain management for widely diverse illnesses and injuries with
patients who are on outpatient or episodic basis. They usually come in
contact with the patient for less than 24 hours and they may not have
prior knowledge of the patients' medical history and background. These
specialized nurses requires specialized skills such as including IV
therapy, teaching, phlebotomy, interpersonal communication, triage, ECG,
and autonomy.
Telephone Triage Nurse
Triage
services are not health advice lines that offer
answers to general healthcare questions. Triage services, where
telephone triage nurses work, are offered by healthcare facilities in
association with a physician's office. They take calls when patients try
to contact their physicians or other health care providers after office
hours. They do not diagnose patients over the phone but is there to
assess the severity of the caller's complaints or the patient's symptoms
and directs the caller to the appropriate emergency services if
necessary. For telephone triage nurse it is important to have impeccable
listening skills because they will just be listening to the complaints
and assessing the health concerns without face-to-face interaction or
the advantage of visual inspection.
Nurse Researchers
Considered one of the highest paying specialties, nurse researchers
are scientists who design and implement scientific studies in order to
look for ways to improve healthcare services and outcomes, improve
quality of life of chronically ill patients, better ways to provide care
and comfort to patients at the end of life and many more. They study the
different aspects of health, illness, and healthcare and may work in
diverse healthcare settings such as universities, laboratories, research
organizations or may be hired by private companies and non-profit
organizations that focus on healthcare issues. Nurse researchers already
get high salaries but those with advanced degrees can supplement their
income by teaching, consultancy and writing books and professional
speaking engagements.
Military Nurse
Serving the country and still be a nurse can be done in military
nursing. All one has to do is choose which branch of the military
service army, navy, air force. These nurses provide nursing care and
practice both in peace and war-time settings. Since these registered
nurses enter active duty as an officer, they are often given broader
range of responsibility and scope of practice than civilian practice
nurses are. Also, because the US military can be found nationally as
well as internationally, it is expected that registered nurses in active
duty may be placed in a wide variety of work environments around the
world including field hospitals, military hospitals overseas, on a ship
or vessel. It may also happen that as part of the military program as a
nurse you will be called to provide help to other communities in need
around the world.
Flight / Transport Nurse
These are licensed professional nurses who give medical and emergency
care to patients as well as injured individuals at scenes of accidents
and who play a role in transporting these patients via ambulance,
helicopter or airplane to the nearest medical facility. They may also
transport via commercial airplanes those less critical patients. They
evaluate the in-flight needs for medications, supplies and equipment as
well as serve as liaisons between support personal, flight paramedics,
aircrew members, and medical personnel. In case of an absence of a
doctor, they may also provide emergency treatment during a flight. Being
able to think and act fast under pressure is important because there are
times this is what the job will demand.
Camp Nurse
A camp nurse provides medical and healthcare services to camps and
retreat attendants of all ages. It can be a summer camp or groups of
terminally ill patients on a retreat. The expertise needed for camp
nurses is highly skilled since they have variety of patients from
healthy to ill patients of all ages, young and old.
These
specialties work in a wide variety of settings but clinical experience
has always been a basis in being successful in these exciting
specialties. Take a look at these specialties and take courses and work
on towards your goal.
http://www.bls.gov/oco/pdf/ocos083.pdf
http://www.bls.gov/oes/current/oes291111.htm
http://www.nursingschools.net/profiles/
http://www.nursingschoolguys.com/careers/
http://www.learn4good.com/nursing/career_choices_nurse_education.htm
http://www.free-4u.com/nursing/Careers-and-Salaries.html
http://www.allnursingschools.com/nursing-careers/career
http://www.registerednursern.com/nursing/different-types-of-nursing-specialities/
Nursing Specialty Certification/Credentialing
American Nurses Credentialing Center http://www.nursecredentialing.org/Certification.aspx
AboutNursing.com http://www.aboutnursing.com/certifications/
NurseZone http://www.nursezone.com/Edu-Prof-Development/certification.aspx
The National Certification Corporation http://www.nccwebsite.org/Certification
The Genetic Nursing Credentialing Commission http://www.geneticnurse.org/
Nursing Specialty Associations
American Forensic Nurses http://www.amrn.com/
International Association of Forensic Nurses http://www.iafn.org/
American Association of Occupational Health Nurses https://www.aaohn.org/
Home Health Nurses Association http://www.hhna.org/
American Public Health Associatio http://www.apha.org/
American Association of Legal Nurse Consultants http://www.aalnc.org/
International & American Association for Legal Nurse Consultants http://www.iaalni.org/
International http://www.isong.org/
American Correctional Health Services Association http://www.achsa.org/
National Association of School Nurses http://www.nasn.org/
American Travel Health Nurses Association http://www.athna.org/
ANIA-CARING - Nursing Informatics Organization http://www.ania-caring.org/
American Academy of Ambulatory Care Nursing http://www.aaacn.org/