Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required.
Sample of reported job titles: Certified Operating Room Nurse (CNOR), Charge Nurse, Emergency Department RN (Emergency Department Registered Nurse), Oncology RN (Oncology Registered Nurse), Operating Room Registered Nurse (OR RN), Psychiatric RN (Psychiatric Registered Nurse), Relief Charge Nurse, School Nurse, Staff Nurse, Staff RN (Staff Registered Nurse)
Also see: Acute Care Nurses, Advanced Practice Psychiatric Nurses, Critical Care Nurses, Clinical Nurse Specialists
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Tasks | Technology Skills | Tools Used | Knowledge | Skills | Abilities | Work Activities | Detailed Work Activities | Work Context | Job Zone | Education | Credentials | Interests | Work Styles | Work Values | Related Occupations | Wages & Employment | Job Openings | Additional Information
- Record patients’ medical information and vital signs.
- Administer medications to patients and monitor patients for reactions or side effects.
- Maintain accurate, detailed reports and records.
- Monitor, record, and report symptoms or changes in patients’ conditions.
- Provide health care, first aid, immunizations, or assistance in convalescence or rehabilitation in locations such as schools, hospitals, or industry.
- Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.
- Direct or supervise less-skilled nursing or healthcare personnel or supervise a particular unit.
- Monitor all aspects of patient care, including diet and physical activity.
- Instruct individuals, families, or other groups on topics such as health education, disease prevention, or childbirth and develop health improvement programs.
- Modify patient treatment plans as indicated by patients’ responses and conditions.
- Conduct specified laboratory tests.
- Observe nurses and visit patients to ensure proper nursing care.
- Assess the needs of individuals, families, or communities, including assessment of individuals’ home or work environments, to identify potential health or safety problems.
- Work with individuals, groups, or families to plan or implement programs designed to improve the overall health of communities.
- Prepare patients for and assist with examinations or treatments.
- Perform administrative or managerial functions, such as taking responsibility for a unit’s staff, budget, planning, or long-range goals.
- Order, interpret, and evaluate diagnostic tests to identify and assess patient’s condition.
- Prescribe or recommend drugs, medical devices, or other forms of treatment, such as physical therapy, inhalation therapy, or related therapeutic procedures.
- Direct or coordinate infection control programs, advising or consulting with specified personnel about necessary precautions.
- Prepare rooms, sterile instruments, equipment, or supplies and ensure that stock of supplies is maintained.
- Administer local, inhalation, intravenous, or other anesthetics.
- Provide or arrange for training or instruction of auxiliary personnel or students.
- Refer students or patients to specialized health resources or community agencies furnishing assistance.
- Perform physical examinations, make tentative diagnoses, and treat patients en route to hospitals or at disaster site triage centers.
- Consult with institutions or associations regarding issues or concerns relevant to the practice and profession of nursing.
- Inform physician of patient’s condition during anesthesia.
- Engage in research activities related to nursing.
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- Calendar and scheduling software — Per-Se Technologies ORSOS One-Call
- Categorization or classification software — Diagnostic and procedural coding software
- Cloud-based data access and sharing software — Google Drive ; Microsoft SharePoint
- Data base user interface and query software — Data entry software; FileMaker Pro; Microsoft Access
- Electronic mail software — IBM Notes ; Microsoft Exchange ; Microsoft Outlook
- Human resources software — Human resource management software HRMS; Oracle Taleo
- Information retrieval or search software — Drug guide software
- Medical software — Epic Systems ; Healthcare common procedure coding system HCPCS ; Henry Schein Dentrix ; Medical condition coding software (see all 16 examples)
- Office suite software — Microsoft Office
- Operating system software — Microsoft Windows
- Presentation software — Microsoft PowerPoint
- Project management software — Microsoft Project
- Spreadsheet software — Microsoft Excel
- Time accounting software — Kronos Workforce Timekeeper
- Video conferencing software — FaceTime
- Video creation and editing software — YouTube
- Web page creation and editing software — LinkedIn
- Word processing software — Google Docs ; Microsoft Word
Hot Technology — a technology requirement frequently included in employer job postings.
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- Psychology — Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
- Customer and Personal Service — Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
- Medicine and Dentistry — Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
- English Language — Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
- Administrative — Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.
- Mathematics — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
- Therapy and Counseling — Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
- Administration and Management — Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
- Education and Training — Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
- Public Safety and Security — Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
- Biology — Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
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- Social Perceptiveness — Being aware of others’ reactions and understanding why they react as they do.
- Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- Coordination — Adjusting actions in relation to others’ actions.
- Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
- Service Orientation — Actively looking for ways to help people.
- Speaking — Talking to others to convey information effectively.
- Judgment and Decision Making — Considering the relative costs and benefits of potential actions to choose the most appropriate one.
- Reading Comprehension — Understanding written sentences and paragraphs in work-related documents.
- Monitoring — Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
- Writing — Communicating effectively in writing as appropriate for the needs of the audience.
- Active Learning — Understanding the implications of new information for both current and future problem-solving and decision-making.
- Complex Problem Solving — Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
- Instructing — Teaching others how to do something.
- Learning Strategies — Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
- Time Management — Managing one’s own time and the time of others.
- Operations Monitoring — Watching gauges, dials, or other indicators to make sure a machine is working properly.
- Systems Analysis — Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
- Systems Evaluation — Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
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- Deductive Reasoning — The ability to apply general rules to specific problems to produce answers that make sense.
- Problem Sensitivity — The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem.
- Inductive Reasoning — The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
- Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences.
- Oral Expression — The ability to communicate information and ideas in speaking so others will understand.
- Written Comprehension — The ability to read and understand information and ideas presented in writing.
- Information Ordering — The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
- Near Vision — The ability to see details at close range (within a few feet of the observer).
- Speech Clarity — The ability to speak clearly so others can understand you.
- Speech Recognition — The ability to identify and understand the speech of another person.
- Written Expression — The ability to communicate information and ideas in writing so others will understand.
- Category Flexibility — The ability to generate or use different sets of rules for combining or grouping things in different ways.
- Flexibility of Closure — The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
- Arm-Hand Steadiness — The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
- Far Vision — The ability to see details at a distance.
- Finger Dexterity — The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects.
- Fluency of Ideas — The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
- Manual Dexterity — The ability to quickly move your hand, your hand together with your arm, or your two hands to grasp, manipulate, or assemble objects.
- Memorization — The ability to remember information such as words, numbers, pictures, and procedures.
- Perceptual Speed — The ability to quickly and accurately compare similarities and differences among sets of letters, numbers, objects, pictures, or patterns. The things to be compared may be presented at the same time or one after the other. This ability also includes comparing a presented object with a remembered object.
- Selective Attention — The ability to concentrate on a task over a period of time without being distracted.
- Speed of Closure — The ability to quickly make sense of, combine, and organize information into meaningful patterns.
- Time Sharing — The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
- Trunk Strength — The ability to use your abdominal and lower back muscles to support part of the body repeatedly or continuously over time without “giving out” or fatiguing.
- Mathematical Reasoning — The ability to choose the right mathematical methods or formulas to solve a problem.
- Multilimb Coordination — The ability to coordinate two or more limbs (for example, two arms, two legs, or one leg and one arm) while sitting, standing, or lying down. It does not involve performing the activities while the whole body is in motion.
- Number Facility — The ability to add, subtract, multiply, or divide quickly and correctly.
- Originality — The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem.
- Static Strength — The ability to exert maximum muscle force to lift, push, pull, or carry objects.
- Visualization — The ability to imagine how something will look after it is moved around or when its parts are moved or rearranged.
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- Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
- Documenting/Recording Information — Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
- Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
- Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job.
- Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
- Identifying Objects, Actions, and Events — Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
- Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems.
- Performing General Physical Activities — Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling materials.
- Evaluating Information to Determine Compliance with Standards — Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
- Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work.
- Establishing and Maintaining Interpersonal Relationships — Developing constructive and cooperative working relationships with others, and maintaining them over time.
- Working with Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
- Monitoring Processes, Materials, or Surroundings — Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
- Interpreting the Meaning of Information for Others — Translating or explaining what information means and how it can be used.
- Handling and Moving Objects — Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things.
- Guiding, Directing, and Motivating Subordinates — Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
- Inspecting Equipment, Structures, or Materials — Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.
- Judging the Qualities of Objects, Services, or People — Assessing the value, importance, or quality of things or people.
- Developing and Building Teams — Encouraging and building mutual trust, respect, and cooperation among team members.
- Analyzing Data or Information — Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
- Coaching and Developing Others — Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
- Thinking Creatively — Developing, designing, or creating new applications, ideas, relationships, systems, or products, including artistic contributions.
- Training and Teaching Others — Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.
- Coordinating the Work and Activities of Others — Getting members of a group to work together to accomplish tasks.
- Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
- Resolving Conflicts and Negotiating with Others — Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
- Performing for or Working Directly with the Public — Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
- Providing Consultation and Advice to Others — Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.
- Communicating with People Outside the Organization — Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
- Developing Objectives and Strategies — Establishing long-range objectives and specifying the strategies and actions to achieve them.
- Scheduling Work and Activities — Scheduling events, programs, and activities, as well as the work of others.
- Performing Administrative Activities — Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
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Detailed Work Activities
- Record patient medical histories.
- Monitor patient conditions during treatments, procedures, or activities.
- Administer non-intravenous medications.
- Maintain medical facility records.
- Inform medical professionals regarding patient conditions and care.
- Immunize patients.
- Treat acute illnesses, infections, or injuries.
- Collaborate with healthcare professionals to plan or provide treatment.
- Supervise patient care personnel.
- Manage healthcare operations.
- Advise medical personnel regarding healthcare issues.
- Analyze test data or images to inform diagnosis or treatment.
- Direct healthcare delivery programs.
- Order medical diagnostic or clinical tests.
- Prescribe assistive medical devices or related treatments.
- Prescribe medications.
- Design public or employee health programs.
- Communicate health and wellness information to the public.
- Evaluate patient outcomes to determine effectiveness of treatments.
- Maintain inventory of medical supplies or equipment.
- Prepare medical supplies or equipment for use.
- Test biological specimens to gather information about patient conditions.
- Assess patient work, living, or social environments.
- Administer anesthetics or sedatives to control pain.
- Assist healthcare practitioners during examinations or treatments.
- Prepare patients physically for medical procedures.
- Train caregivers or other non-medical personnel.
- Diagnose medical conditions.
- Examine patients to assess general physical condition.
- Refer patients to other healthcare practitioners or health resources.
- Treat medical emergencies.
- Advise communities or institutions regarding health or safety issues.
- Conduct research to increase knowledge about medical issues.
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- Face-to-Face Discussions — 96% responded “Every day.”
- Telephone — 96% responded “Every day.”
- Work With Work Group or Team — 91% responded “Extremely important.”
- Contact With Others — 91% responded “Constant contact with others.”
- Indoors, Environmentally Controlled — 83% responded “Every day.”
- Deal With External Customers — 74% responded “Extremely important.”
- Coordinate or Lead Others — 58% responded “Extremely important.”
- Importance of Being Exact or Accurate — 58% responded “Extremely important.”
- Electronic Mail — 79% responded “Every day.”
- Impact of Decisions on Co-workers or Company Results — 55% responded “Very important results.”
- Exposed to Disease or Infections — 61% responded “Every day.”
- Responsible for Others’ Health and Safety — 66% responded “Very high responsibility.”
- Deal With Unpleasant or Angry People — 42% responded “Every day.”
- Freedom to Make Decisions — 49% responded “A lot of freedom.”
- Physical Proximity — 45% responded “Very close (near touching).”
- Frequency of Decision Making — 65% responded “Every day.”
- Structured versus Unstructured Work — 40% responded “Some freedom.”
- Time Pressure — 42% responded “Every day.”
- Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets — 51% responded “Every day.”
- Consequence of Error — 57% responded “Extremely serious.”
- Importance of Repeating Same Tasks — 42% responded “Extremely important.”
- Responsibility for Outcomes and Results — 54% responded “Very high responsibility.”
- Frequency of Conflict Situations — 38% responded “Every day.”
- Sounds, Noise Levels Are Distracting or Uncomfortable — 33% responded “Once a month or more but not every week.”
- Duration of Typical Work Week — 65% responded “40 hours.”
- Letters and Memos — 33% responded “Once a week or more but not every day.”
- Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls — 33% responded “Continually or almost continually.”
- Spend Time Walking and Running — 35% responded “Less than half the time.”
- Spend Time Standing — 54% responded “Less than half the time.”
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|Title||Job Zone Four: Considerable Preparation Needed|
|Education||Most of these occupations require a four-year bachelor’s degree, but some do not.|
|Related Experience||A considerable amount of work-related skill, knowledge, or experience is needed for these occupations. For example, an accountant must complete four years of college and work for several years in accounting to be considered qualified.|
|Job Training||Employees in these occupations usually need several years of work-related experience, on-the-job training, and/or vocational training.|
|Job Zone Examples||Many of these occupations involve coordinating, supervising, managing, or training others. Examples include real estate brokers, sales managers, database administrators, graphic designers, chemists, art directors, and cost estimators.|
|SVP Range||(7.0 to < 8.0)|
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Percentage of Respondents
|Education Level Required|
|Not available||Bachelor’s degree|
|Not available||Post-secondary certificate
|Not available||Associate’s degree|
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Interest code: SIC Want to discover your interests? Take the O*NET Interest Profiler at My Next Move.
- Social — Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.
- Investigative — Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.
- Conventional — Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.
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- Dependability — Job requires being reliable, responsible, and dependable, and fulfilling obligations.
- Attention to Detail — Job requires being careful about detail and thorough in completing work tasks.
- Cooperation — Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
- Concern for Others — Job requires being sensitive to others’ needs and feelings and being understanding and helpful on the job.
- Integrity — Job requires being honest and ethical.
- Stress Tolerance — Job requires accepting criticism and dealing calmly and effectively with high-stress situations.
- Adaptability/Flexibility — Job requires being open to change (positive or negative) and to considerable variety in the workplace.
- Initiative — Job requires a willingness to take on responsibilities and challenges.
- Self-Control — Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
- Independence — Job requires developing one’s own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
- Leadership — Job requires a willingness to lead, take charge, and offer opinions and direction.
- Achievement/Effort — Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
- Analytical Thinking — Job requires analyzing information and using logic to address work-related issues and problems.
- Persistence — Job requires persistence in the face of obstacles.
- Social Orientation — Job requires preferring to work with others rather than alone, and being personally connected with others on the job.
- Innovation — Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.
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- Relationships — Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
- Support — Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.
- Achievement — Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.
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Wages & Employment Trends
|Median wages (2020)||$36.22 hourly, $75,330 annual|
|Employment (2020)||3,080,100 employees|
|Projected growth (2020-2030)||Average (5% to 10%)|
|Projected job openings (2020-2030)||194,500|
|Top industries (2020)||
Health Care and Social Assistance
Source: Bureau of Labor Statistics 2020 wage data and 2020-2030 employment projections . “Projected growth” represents the estimated change in total employment over the projections period (2020-2030). “Projected job openings” represent openings due to growth and replacement.
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Job Openings on the Web
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Sources of Additional Information
Disclaimer: Sources are listed to provide additional information on related jobs, specialties, and/or industries. Links to non-DOL Internet sites are provided for your convenience and do not constitute an endorsement.
- AFT Nurses and Health Professionals
- American Association of Colleges of Nursing
- American Association of Critical-Care Nurses
- American Nurses Association
- American Society of PeriAnesthesia Nurses
- American Society of Registered Nurses
- Association of periOperative Registered Nurses
- Association of Rehabilitation Nurses
- Association of Women’s Health, Obstetric and Neonatal Nurses
- Emergency Nurses Association
- National Association of Clinical Nurse Specialists
- National Association of Neonatal Nurses
- National Association of Orthopaedic Nurses
- National Council of State Boards of Nursing
- National Hospice and Palliative Care Organization
- National League for Nursing
- National Nurses United
- National Student Nurses’ Association
- Occupational Outlook Handbook: Registered nurses
- Oncology Nursing Society
- Sigma Theta Tau International
- Society of Gastroenterology Nurses and Associates
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