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  1. 1. -FINAL PROJECT- Shahara Wooten West L.A. College- Computer Science 901 Ruby Kowaney Dec. 18, 2011Shahara_Wooten_Final_Project Page 1
  2. 2. Registered nurses (RNs), regardless of specialty or work setting, treat patients, educatepatients and the public about various medical conditions, and provide advice andemotional support to patients’ family members. Registered Nurses care for patients in avariety of settings; hospitals, nursing homes and home care agencies all employ RNs forpatient care. RNs have a very important role and are often the sole individual in chargeduring a shift in the facility. Some nurses also are heads of departments, such as skincare, infection control and general health, in medical facilities. Some nurses have jobsthat require little or no direct patient care, but still require an active RN license. Here is abreakdown of the various tasks/duties assigned to a RN:  Order, interpret, and evaluate diagnostic tests to identify and assess patients condition.  Monitor all aspects of patient care, including diet and physical activity.  Direct and supervise less skilled nursing/health care personnel, or supervise a particular unit on one shift.  Prepare patients for, and assist with, examinations and treatments.  Observe nurses and visit patients to ensure that proper nursing care is provided.  Assess the needs of individuals, families and/or communities, including assessment of individuals home and/or work environments to identify potential health or safety problems.  Instruct individuals, families and other groups on topics such as health education, disease prevention and childbirth, and develop health improvement programs.  Prepare rooms, sterile instruments, equipment and supplies, and ensure that stock of supplies is maintained.  Inform physician of patients condition during anesthesia.  Deliver infants and provide prenatal and postpartum care and treatment under obstetricians supervision.  Administer local, inhalation, intravenous, and other anesthetics.  Provide health care, first aid, immunizations and assistance in convalescence and rehabilitation in locations such as schools, hospitals, and industry.  Perform physical examinations, make tentative diagnoses, and treat patients in route to hospitals or at disaster site triage centers.  Conduct specified laboratory tests. …the tasks for an RN are endless.Shahara_Wooten_Final_Project Page 2
  3. 3. Aspiring RNs can choose to pursue an associates degree in nursing (ADN) or abachelors degree in nursing. Some educational programs can be interwoven; anindividual who has earned an associates degree, for instance, may pursue a Bachelorof Science in Nursing (BSN) at any point in their careers by enrolling in an RN-to-BSNprogram. Coursework in many RN programs cover the common work duties aregistered nurse is expected to perform. Initial courses are heavy on basic healthcareprinciples and science.Common program courses include:•Health assessment•Nursing types•Patient care•Child and infant careONE OF THE REQUIREMENTS FOR BECOMING A REGISTERED NURSE IS COMPLETING A SUPERVISEDEMPLOYMENT EXPERIENCE AT A HOSPITAL, CLINIC OR HEALTHCARE FACILITY. AN EXPERIENCEDPROFESSIONAL OVERSEES THE STUDENTS WORK AND OFFERS ADDITIONAL INSTRUCTION ON NURSING DUTIES,PROTOCOL AND OTHER PROCEDURES.Individuals who have completed an ADN program and have obtained licensure as aregistered nurse are equipped to work in the field. However, a BSN is required if a nursewants to advance in the profession. Obtaining a Master of Science in Nursing (MSN)degree may lead to career advancement opportunities, such as clinical nursespecialist, anesthetist nurse, midwife nurse and nurse practitioner.The National Council of State Boards of Nursing ( requires all nurses whowork in the United States to be licensed and/or registered. These requirements involvegraduating from an approved educational program and completing the licensureexamination. The National Council Licensure Examination includes both written andpractical tests, to ensure that future RNs are properly educated and prepared toperform work duties. Additional licensure requirements may vary from state to state.Shahara_Wooten_Final_Project Page 3
  4. 4. These numbers are only an average for all Staff Nurse - RN jobs in the United States. Themedian expected salary for a typical Staff Nurse - RN in the United States is $65,838.Staff Nurse - RN - U.S. National Averages Base pay only 10th% 25th% 75th% 90th% $54,432 $59,868 $72,456 $78,482With about 2.2 million registered nurses employed in 2000, the career field is the largestin the health care industry. 60% of registered nurses are employed in hospitals, with theremainder employed in physicians offices and clinics, long term care facilities, and bysocial service and governmental agencies. Employment of registered nurses isexpected to grow by 22 percent from 2008 to 2018, much faster than the average forall occupations. Growth will be driven by technological advances in patient care,which permit a greater number of health problems to be treated, and by an increasingemphasis on preventive care. In addition, the number of older people, who are muchmore likely than younger people to need nursing care, is projected to grow rapidly.However, employment of RNs will not grow at the same rate in every industry. Theprojected growth rates for RNs in the industries with the highest employment of theseworkers are:Offices of physicians- 48%, Home health care services- 33%, Nursing care facilities- 25%,Employment services- 24%, Hospitals, public and private- 17%Shahara_Wooten_Final_Project Page 4
  5. 5. Most RNs begin as staff nurses in hospitals and, with experience and goodperformance, often move to other settings or are promoted to positions with moreresponsibility. In management, nurses can advance from assistant unit manager orhead nurse to more senior-level administrative roles of assistant director, director, vicepresident, or chief of nursing. Increasingly, management-level nursing positions require agraduate or an advanced degree in nursing or health services administration.Administrative positions require leadership, communication and negotiation skills, andgood judgment.Some RNs choose to become advanced practice nurses, who work independently or incollaboration with physicians, and may focus on providing primary care services. Thereare four types of advanced practice nurses: clinical nurse specialists, nurse anesthetists,nurse-midwives, and nurse practitioners. Clinical nurse specialists provide direct patientcare and expert consultations in one of many nursing specialties, such as psychiatric-mental health. Nurse anesthetists provide anesthesia and related care before and aftersurgical, therapeutic, diagnostic, and obstetrical procedures. They also provide painmanagement and emergency services, such as airway management. Nurse-midwivesprovide primary care to women, including gynecological exams, family planningadvice, prenatal care, assistance in labor and delivery, and neonatal care. Nursepractitioners serve as primary and specialty care providers, providing a blend of nursingand healthcare services to patients and families.All four types of advanced practice nurses require at least a masters degree. Inaddition, all States specifically define requirements for registered nurses in advancedpractice roles. Advanced practice nurses may prescribe medicine, but the authority toprescribe varies by State. Contact your State’s board of nursing for specific regulationsregarding advanced practice nurses. Because of the number of specialties forregistered nurses, and the variety of responsibilities and duties, many other healthcareoccupations are similar in some aspects of their job. Some healthcare occupations withsimilar levels of responsibility that work under the direction of physicians or dentists are:  Dental hygienists  Diagnostic medical sonographers  Emergency medical technicians and paramedics  Licensed practical and licensed vocational nurses  Physician assistantsShahara_Wooten_Final_Project Page 5
  6. 6.  (Health Guide USA) – WWW.HEALTHGUIDEUSA.ORG  (Occupational Outlook Handbook, 2010-2011) – WWW.BLS.GOV  (Salary Wizard) – WWW1.SALARY.COM  (Registered Nursing Requirements) – WWW.EDUCATION-PORTAL.COM  ("Registered Nurse") – WWW.JOB-DESCRIPTION.CAREERPLANNER.COMShahara_Wooten_Final_Project Page 6