Nurses and Their Specialties


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Gives a basic overview of the types of nurses in the field and the possible specialty areas on which they could choose to focus.

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  • Hi and welcome to thisProduct Knowledge training on nurses and the work they do and the programs Chamberlain offers nurses throughout their nursing career, the Chamberlain Nursing Lifeline. Transition: Because of the depth of knowledge provided, there will be two separate presentations to view for this training
  • This presentation, which is the first of the two, will focus on nurses and the work they do. Since the majority of colleagues within CCN admissions do not have experience within the nursing field we want to provide an understanding of who the nurses are that we service and the different possible areas and specialties within the medical field that they could hold. (click) Assuring that all admissions colleagues have a clear understanding of the nurse and the field in which they work will enable all colleagues to live out the (click) Chamberlain Care model as they will be able to provide exceptional service to (click) our students by helping them to (click) achieve their educational and career goals. Understanding (click) the nurse and being able to speak to their work in a knowledgeable manner gives each colleague the ability to connect at a deeper level with each nurse and truly understand their passion for the work that they do. Transition: The second presentation will focus on what Chamberlain offers our nurses.
  • The second presentation will outline the program options that Chamberlain offers nurses and how those options are a complete nursing lifeline. From (click) pre-licensure programs that bring nurses into the field to (click) post-licensure programs that prepares them to truly transform the field of nursing, Chamberlain offers nurses the ability to begin and complete their education within the care of our one institution. (click) Having a deeper understanding of the entire nursing lifeline will allow all admissions colleagues to speak to nurses, not only about what they are doing today, but about their dreams for tomorrow and how Chamberlain College of Nursing can help them to (click) achieve their dreams. Again, this is in line with the (click) Chamberlain Care model and how we can provide exceptional service to nurses. (click) The President of Chamberlain College of Nursing, Susan Groenwald, explains it this way: (click) “We believe that by taking extraordinary care of our students, we will graduate extraordinary nurses who will have a significant positive impact on healthcare worldwide.” Transition:As an admissions colleague knowing the nurse and knowing what Chamberlain has to offer are both critical to being successful.
  • Armed with the knowledge provided through these two presentations, an admissions colleague should be able to connect with each nurse they speak with and directly align all that Chamberlain has to offer with the goals and dreams of each specific nurse. (click) This knowledge will also be tested using the information provided in the presentations as well as any resources referenced. So, (click) perk up, (click) pay attention, and make sure that you have the knowledge needed to provide nurses with exceptional service and to help them to achieve their educational and career goals and dreams.Transition: With that in mind, let’s begin this first presentation and learn more about who nurses are and the work that they do.
  • The nursing field is made up of many different types of nurses with a variety of specialty areas in which they may choose to focus. The type of nurse depends on the (click) education level and possible certifications the nurse may hold. There are six types of nurses based on these criteria – (click) the Certified Nursing Assistant or CNA, (click) the Licensed Practical or Vocational Nurse or LPN/LVN, the (click) Registered Nurse or RN, (click) the Masters Level Nurse or MSN, the (click) Advanced Practice Registered Nurse or APRN, and the (click) Doctorate Level Nurse or DNPThe first and lowest level within the nursing field is the CNA or (click) Certified Nursing Assistant. As the name implies, a Certified Nursing Assistant is not an actual nurse but is an assistant to the nurses in the field. The (click) educational requirement for CNAs does (click) not require a degree. However, they will need to complete a (click) training program that can take anywhere from four to six weeks and then take an (click) exam to become licensed in the state where they wish to work. Training to become a CNA is offered by the facilities such as (click) the Red Cross, community colleges, online schools and through medical facilities.Transition: So, what does a CNA do?
  • CNAs work under the (click) supervision of a Registered Nurse or a Licensed Practical Nurse helping patients or clients with their healthcare needs. The Bureau of Labor Statistics, or BLS, describes the daily duties of a nursing assistant as including things like (click) administering basic medications or treatments, (click) cleaning and sanitizing patient areas, and (click) documenting and reporting patient behavior, complaints, or physical symptoms to the nurse. Clearly the duties of a CNA are not glamorous, but for a person looking to get into the healthcare field who has a passion for helping people it is a great place to start. Many CNAs will continue their education in order to (click) become a nurse, so there tends to be a high turnover rate and need for more CNAs in the field.Transition: When a CNA does continue their education they may become…
  • The next level up in the nursing field which is an LPN or LVN or a Licensed Practical or Vocational Nurse. These two titles are equivalent to one another and only differ based on the state that issues the license to the nurse, (click) the title Licensed Vocational Nurse, or LVN, is only used in TX and CA, so for the purpose of this presentation we will use the (click) LPN, or Licensed Practice Nurse title when we refer to this level as it applies to the majority of the states. (click) A level up from a CNA, they are still (click) not required to have a degree. However, they will need to complete (click) a training program which will include education in anatomy and physiology, medications and practical patient care. The programs typically take about a year of school. They will also have to pass (click) an exam to become licensed in the state they will be working. Transition: What does an Licensed Practice Nurse do?
  • The Licensed Practical Nurse will work under the supervision of a Registered Nurse or Doctor. They can work in almost any healthcare setting from hospitals to nursing homes. The BLS describes some of the (click) job responsibilities of an LPN as (click) monitoring patients’ health, (click) administering basic care, (click) providing basic comfort to patients, (click) reporting patients’ status and concerns to registered nurses and doctors and (click) keeping records on patients’ health. Depending on the state, they may also be trained to (click) administer medications or start IV drips, but only where trained, as the majority of times these types of things would be provided by a (click) Registered Nurse.Transition: And the Registered Nurse which is the (click) next level up within the nursing field.
  • Registered Nurses make up the (click) largest healthcare occupation in the United States. This is the first level that will (click) require a nurse to have a degree, which could be a diploma, an associate or a bachelor’s degree, to enter the field. Most BSN programs take 4 years to complete and Associates or Diplomas typically take 2-3 years to complete. (click) All programs include supervised clinical experience. Generally, licensed graduates of any of the three types of education programs, bachelor's, associate’s, or diploma, (click) qualify for entry-level positions as a staff nurse. However, some employers may require a bachelor’s degree. After completing the degree the nurse would be required to take (click) an exam to become licensed as a Registered Nurse in the state where they wish to practice.Transition: What does an RN do?
  • The job responsibilities of a Registered Nurse, according to the BLS, include things like (click) recording patients’ medical histories and symptoms, (click) administering medications and treatments, (click) consulting with doctors, (click) setting up plans for patient care and contributing to existing plans, (click) observing patients, (click) assisting to perform diagnostic tests and analyzing results, and (click) teaching patients and their families how to manage illnesses or injuries. They may also (click) supervise the CNAs and LPNs. The (click) job responsibilities of the Registered Nurse will vary depending on where they are working and the specialty area that they may be in. RNs can work in any (click) healthcare setting and are also employed in nonmedical facilities like correctional facilities, schools, or serving in the military. There are a large (click) variety of specialties a nurse may choose to focus on and we will discuss these in further detail later in this presentation.Transition: (click) Specialties also play a large role in the next level which a nurse can attain to within the field.
  • This level of nursing can be broken into two areas, the MSN or the APRN, depending on whether the nurse wants to continue in clinical practice, working with patients, or if they are looking to work in another area within nursing.(click) Becoming an Master of Science in Nursing, or MSN level nurse would apply most directly to those nurses looking to specialize in a different area of nursing which are (click) non-clinical, or outside of patient care, could be looking to get into areas such as becoming a (click) nurse educator or professor, (click) a nurse manager or administrator, (click) an informatics specialist, (click) or a director of health policy. These MSN degrees will require some (click) practicum work, but will not include the same clinical requirements as those that prepare a nurse to get into one of the specialties that are patient-facing.(click) Special certifications and licensure may be required for each of these MSN level specialties. The job responsibilities will vary greatly at this level due to the variety of possible specialties. More details will be explained later in the presentation about specialty requirements.Transition: However, not all nurses who get an MSN are looking to get out of patient care.
  • For those nurses who wish continue in clinical practice, working directly with patients, the next level will typically be to become an (click) APRN or Advanced Practice Registered Nurse. This level requires a (click) Masters of Science in Nursing, or MSN, degree which typically takes around 2 years to complete as well as (click) a special certification based on the specialty they wish to become. APRNs include (click) nurse practitioners or NPs, (click) clinical nurse specialists or CNAs, (click) certified nurse midwives, and (click) certified registered nurse anesthetists or CRNAs. These are all roles filled by RNs who have specialized formal, post-basic education and who function in highly autonomous and specialized roles. Again, we will discuss specialties in the next section of this presentation.Transition: There is one final step a nurse may take in their career.
  • The final possible level a nurse can achieve is getting their (click) DNP, or Doctorate of Nursing Practice or their Doctor of Philosophy in Nursing, or PhD. This will not change a nurses title, but it will open up their (click) opportunities and give them greater possibility for a higher salary. The typical Doctorate (click) degree program will take anywhere from 3 to 6 years to complete. The focus of the curricula would be on things like (click) research methods, the history of nursing and leadership skills. The standard (click) PhD students are expected to complete a dissertation, while (click) DNPs conduct a project that is practice-based to complete their degree.Transition: What kind of work do nurses with their DNP typically do?
  • There has been (click) a recommendation by the American Association of Colleges of Nursing, the AACN ,that all advanced practice nurses be required to have a Doctorate of Nursing Practice for entry level into those positions by the year 2015. However, this is only a recommendation and has not been mandated at this time. Currently, nurses who obtain their doctorate can be looking to move into (click) nursing executive roles which can include becoming a Nursing Manager, Nursing Director, Administration Director, Head of Nursing, or Nursing Home Administrator. They can also use the Doctorate to teach as a (click) professor of nursing. At this level a nurse may also choose to go into (click) research in the nursing field. No matter the role they attain, a nurse who looks to achieve their Doctorate is typically motivated by the idea of (click) effecting change at a higher level within the nursing field. Transition: No matter the level of the nurse, there are a wide variety of specialty areas on which they may choose to focus.
  • According to the website there are (click) 104 possible areas in which a nurse might specialize. They place these specialties under 9 categories: (click) Advanced Practice, (click) Clinical, (click) Community, (click) Emergency, (click) Family, (click) Management, (click) Psychological, (click) Surgical, and (click) Women’s Health. Some specialties may fall into more than one category. We are going to take a high level look at each of these categories. However, you can access the (click) Nursing Specialties handbook that is in the attachments tab of this presentation to learn more about the specific specialties. This tool can be helpful when you are speaking with a nurse who is in a (click) current specialty you are unfamiliar with or they have a goal to get into a (click) specific specialty that you want to know more about. Understanding the work that the nurse does or wants to be doing can help you to provide exceptional service and help them to achieve their educational and career goals.Transition: The first of the categories to look at is Advanced Practice.
  • This should sound familiar, as we just talked about Advanced Practice Registered Nurses, or APRNs, as one of the levels of nurses. The one overlying characteristic that will always be true of this category is that they (click) must hold at least a Masters of Science in Nursing in order to be able to work in these specialties and a few of the APRN specialties are recommended to move to the requirement of a Doctorate as we discussed previously. The majority of the (click) APRN specialties are patient-facing which means they will be doing direct patient care. These specialties include a (click) Certified Nurse Midwife, (click) a Clinical Nurse Specialist, (click) a Certified, Registered Nurse Anesthetist, and (click) a Nurse Practitioner, or NP. The NP can then specialize in certain areas such as (click) Gerontological, which is working with the elderly, (click) Pediatric, (click) Psychiatric, or they can be a (click) Family nurse practitioner who works with people of all ages.Transition:There are many specialties which do not require a Masters of Science in Nursing as well which will fall into a few other categories.
  • The second category or nursing specialties is Clinical. By clinical we are looking at nurses who work in a setting (click) doing direct patient care in a clinic or hospital setting. Because this is true, this is the most (click) overarching specialty. In fact, the (click) Medical-Surgical Nurse, or Med-Surg nurse, falls in this category and it account for almost 1/6 of the entire nursing profession. The (click) LPN discussed earlier would also fall into this category, as all other specialty categories will require more education. Nurses who fall into the clinical category will typically (click) focus their experience in a specific area, whether it is in a hospital unit or a Dr.’s office, and may then choose to take a (click) certification exam to prove their expertise and become certified in that area by passing the exam. This includes areas such as (click) Medical Surgical, which we already mentioned, (click) dermatology, diabetes, genetics, hematology, oncology, radiology and a number of others.Transition: Of course, there are also nurses who work outside of a clinical setting.
  • The next category is Community which includes those specialties that are (click) outside of a clinic or hospital setting and (click) may or may not be patient-facing. Nurses are needed in a variety of setting within a community outside of only hospitals and clinics. Examples of patient-facing community nurses are nurses who work in areas like (click) camps, correctional facilities, home health, hospice, long-term care, military, or schools. There are also a few specialties that fall into (click) this category that are not patient-facing like nurse educators, nurse researchers, and occupational health nurses who work with nursing facilities to ensure a safe workplace for all employees. Transition: Whether in the clinical setting or in the community, the next specialty applies to nurses who enjoy a fast paced work environment.
  • This specialty category includes those nurses who work specifically in areas of Emergency. These nurses are working in areas that are prone to (click) high risk situations such as the (click) cardiac care nurse that works with patients who have special care needs for their heart. Of course, this also includes nurses who work in the (click) emergency room or trauma nurses. A (click) Telephone Triage nurse also falls into this category as they are trained to recognize emergencies by asking questions to assess a patients situation over the phone. Nurses in this area must have a (click) calm demeanor and be able to (click) handle high stress situations without causing the patient undue stress. Transition: Some nurses choose to work with a specific patient population.
  • The next category of nursing specialties is Family. This category includes all nurse specialties that work with a (click) specific patient population based on age. This includes specialties such as the (click) Family Nurse Practitioner or FNP who works with all ages as well as those that focus on areas such the (click) geriatric nurse working with the elderly, the (click) neonatal intensive care nurse working with newborns, and the (click) pediatric nurse working with children. Nurse Practitioners who specialize in working with a particular patient population will also fall into this category. These nurses (click) enjoy working with patients on a day to day basis and have a (click) passion for taking care of others. Transition: The next specialty category includes nurses who enjoy leading others.
  • These nurse may choose a specialty that falls into the category of Management. The category of management is not always about managing (click) other nurses, however, it may be (click) managing systems, (click) patient care, or even managing (click) nurse policy. This category includes (click) case management nurses who manage the care of patients to ensure they are keeping themselves healthy and out of the hospital, (click) a health policy nurse who analyzes health and public policies, helping to create a healthier society, (click) the informatics nurse manager who interprets and communicates vital medical data in medical facilities, and of course the (click) nurse manager, or charge nurse, who manages the nurses who are caring for the patients. Transition: Nurses are needed, of course, for all types of patients with many forms of illness.
  • That is why there is a need for the next category of nursing specialties which is Psychological. Nurses who work within these specialties are (click) patient-facing and work with patients who have (click) mental impairments of some sort. (click) Psychiatric Nurses and (click) Nurse Practitioners, (click) Developmental Disability Nurses, and (click) Substance Abuse Nurses would all fall into this category. Nurses working in this area must have the (click) ability to stay calm in high stress and even sometimes volatile situations. However, they can also have the ability to work with their patients (click) over a period of time in order to build relationships and see them improve in their situation. Transition: The next specialty category only works with patients for a short timeframe.
  • The next category of nursing specialties is Surgical. These are nurses who work within some aspect of the (click) operating room. Specialties in this category can range from the nurse who takes care of the patient (click) before and after surgery, the Perianesthesia nurse, to the nurse who is in the operating room during the procedure, the perioperative nurse, to those who specialize in a particular type of surgery such as the Plastic Surgery Nurse or Transplant Nurse.Transition: The final category of nursing specialties that we will cover is…
  • Women’s Health. Nurses within these specialties work specifically with (click) women and their healthcare needs. The OB/GYN Nurse works with women throughout her life to care for her health as a woman. The other specialties in this area focus on the process of getting pregnant, the Reproductive Nurse, caring for women during pregnancy, the Perinatal Nurse, helping women give birth, the Labor and Delivery Nurse. The Certified Nurse Midwife can actually work with women through all of these steps which is why they are an Advanced Practice Nurse in this specialty category.Transition: As has been described, there are a wide variety of possibilities for nurses to consider when entering into the field.
  • In this first presentation of the Product Knowledge portion of the Knowledge Measure we have broken them down into categories, but each specialty is really its own category in many ways. The attached (click) Nursing Specialties Handbook resource will give more details for 94 specific specialties that you may speak with nurses about. You should become familiar with this resource and how to find information using it quickly. It is (click) an interactive document that will allow you to quickly navigate to any specialty by simply clicking on its title in the Table of Contents. (click) This can help when you speak with a nurse who is in a specialty you are not as familiar with and would like to learn more. All information from this presentation as well as the(click) nursing resource will also be used for the (click) knowledge measure exam to show you have the knowledge you need to be successful when speaking with nurses.Transition: However, Understanding the work of a nurse is only one half of providing exceptional service to prospective students. Admissions colleagues must also be able to then connect the nurse’s goals to what Chamberlain has to offer.
  • The second presentation for this training will describe how all of the possible options Chamberlain College of Nursing offers nurses can enable them to start or continue their education as a nurse throughout their entire career. Thank you for your time and attention to this presentation.Transition: Please continue this training by completing the second presentation: The CCN Lifeline.
  • Nurses and Their Specialties

    1. 1. CONFIDENTIAL ©2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713ccn Nursing and the CCN Lifeline Product Knowledge – Presentation One Chamberlain College of Nursing
    2. 2. 2
    3. 3. 3 Susan L. Groenwald
    4. 4. 4
    5. 5. 5 No Degree Required Training Program – 4 to 6 Weeks Educational Requirements Exam for Licensure Red Cross, Commu nity College, Online School, Medical Facilities
    6. 6. Educational Requirements Training Program – 4 to 6 Weeks 6 Administering Basic Medications or Treatments Supervised by a Registered Nurse Job Responsibilities Exam for Licensure Cleaning & Sanitizing Red Cross, Community College, Online School, Medical Facilities Documenting and Reporting to the Nurse
    7. 7. 7 No Degree Required Training Program – About a Year Educational Requirements Exam for Licensure
    8. 8. 8 No Degree Required Training Program – About a Year Educational Requirements Exam for Licensure Supervised by RN or Doctor Job Responsibilities Monitoring Patients’ Health Administer Basic Care Provide Basic Comfort Report Patient Status and Concerns to RN or Doctor Record Keeping Administer Medications or Start IVs???
    9. 9. 9 Largest Healthcare Occupation in U.S. Degree Required: Diploma, AN D, or BSN Requires Clinical Experience Entry Level as a Staff Nurse Exam for Licensure
    10. 10. 10 Largest Healthcare Occupation in U.S. Degree Required: Diploma, AN D, or BSN Requires Clinical Experience Entry Level as a Staff Nurse Exam for Licensure Job Responsibilities Administer Medications & Treatments Consult with Doctors Take and Record Medical History & Symptom Set Up and Contribute to Patient Care Plans Observe Patients Teach Patients and Families Assist with Tests and Analysis of Results Supervise CNAs and LPNsVariety of Specialties Healthcare Settings, Correctional Facilities, Schools, Mil itary
    11. 11. 11 Non-Clinical Specialties Nurse Educator or Professor Nurse Manager or Administrator Informatics Specialist Director of Health Policy Practicum Requirements Special Certifications or Licensure Practicum Requirements
    12. 12. Special Certifications or Licensure Special Certifications Required Nurse Manager or Administrator 12 Practicum Requirements Nurse Educator or Professor MSN Degree Required Nurse Practitioner (NP) Certified Registered Nurse Anesthetist (CRNA) Clinical Nurse Specialist (CAN) Certified Nurse Midwife Informatics Specialist
    13. 13. Special Certifications Required Nurse Practitioner (NP) Certified Registered Nurse Anesthetist (CRNA) Clinical Nurse Specialist (CAN) Certified Nurse Midwife 13 Opportunities & Salary PhD Requires Dissertation 3 to 6 Year Program Research Methods, History of Nursing, & Leadership Skills DNP Requires Practice- Based Project
    14. 14. 14 Opportunities & Salary PhD Requires Dissertation 3 to 6 Year Program Research Methods, History of Nursing, & Leadership Skills DNP Requires Practice- Based Project Nursing Executive Research Professor of Nursing APRN Recommendation by AACN Effecting Change in the Nursing Field
    15. 15. 15 Advanced Practice Clinical Community Emergency Family Management Psychological Surgical Women’s Health
    16. 16. 16 MSN Required Patient-Facing Certified Nurse Midwife Clinical Nurse Specialist Certified, Registered Nurse Anesthetist Nurse Practitioner Gerontological Pediatric Psychiatric Family
    17. 17. 17 Direct Patient-CareClinic or Hospital LPN Medical-Surgical (1/6) Dermatology Diabetes Genetics Hematology Oncology Radiology Many Others CertificationSpecific Area
    18. 18. 18 Outside of the Clinic or Hospital Non Patient-FacingPatient-Facing Correctional Facilities Camps Home Health Hospice Long-Term Care Military Schools Nurse Researchers Nurse Educators Occupational Health Nurses
    19. 19. 19 High Risk Situations Handle High-StressCalm Demeanor Trauma Nurse Telephone Triage Nurse ER Nurse Cardiac Care Nurse
    20. 20. 20 Specific Patient Population Passion for OthersEnjoy Patient-Care Neonatal Intensive Care Nurses Pediatric Nurses Geriatric Nurses Family Nurse Practitioner
    21. 21. 21 Other Nurses Nurse PolicySystems Informatics Nurse Managers Nurse Manager Health Policy Nurses Case Management Nurses Patient Care
    22. 22. 22 Mental ImpairmentsPatient-Facing Development Disability Nurse Substance Abuse Nurse Psychiatric Nurse Practitioners Psychiatric Nurses Build RelationshipsCalm Demeanor
    23. 23. 23 Operating Room AfterBefore Plastic Surgery Nurse Transplant Nurse Perioperative Nurse Perianesthesia Nurse During
    24. 24. 24 Women’s Healthcare Needs Giving BirthGetting Pregnant During Pregnancy Perinatal Nurse Labor and Delivery Nurse Reproductive Nurse OB/GYN Nurse Certified Nurse Midwife
    25. 25. 25 Advanced Practice Clinical Community Emergency Family Management Psychological Surgical Women’s Health ? ? ??? ? ? ???
    26. 26. CONFIDENTIAL ©2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713ccn Nursing and the CCN Lifeline 26 Nursing and The CCN Lifeline Product Knowledge - Presentation Two Chamberlain College of Nursing