注册护士

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Related roles: 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)

聚光灯

类似标题

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)

工作描述

At some point in our lives, we all experience an injury or illness that leads to a trip to a clinic or hospital. While there, we’re likely to encounter a range of medical professionals, including various types of nurses—the most numerous of which are called Registered Nurses.  


Registered Nurses (RNs) provide complex care to patients in settings like hospitals, physician’s offices, outpatient care centers, and even private homes. Their tasks range from patient assessment to developing and implementing nursing care plans and administering prescribed medications.


RNs also supervise Licensed Vocational Nurses (LVNs) and Certified Nursing Assistants (CNAs), ensuring the team delivers timely, high-quality care. They must collaborate closely with doctors and other providers, offering valuable insights that can help inform decision-making when it comes to patient care.


In-home care settings, they may oversee the implementation of care plans and provide direct patient care. Their expertise in clinical procedures, patient education, and advocacy is essential for positive patient outcomes.
Registered Nurses who pursue additional training may hold advanced practice roles such as an Advanced Practice Registered Nurse (or Nurse Practitioner). 

职业生涯的回报
  • Making significant impacts on patient health and recovery
  • High demand in the healthcare sector with strong projected job growth
  • Extensive opportunities for advancement and specialization
内幕消息
工作职责

Working Schedule
Registered Nurses work either part-time or full-time and can expect rotating schedules with night, weekend, and holiday shifts. Shift lengths range from 8 to 12 hours. In hospital settings, RNs may work three 12-hour shifts and then have four days off.

典型职责

  • Observe patient behavior, routines, and progress; ensure patient safety and comfort
  • Operate and monitor medical equipment
  • Monitor patient vital signs (i.e., blood pressure, temperature, heart rate, etc.) and conduct comprehensive assessments
  • Gather and share data with doctors to formulate an initial nursing care plan
  • Review and implement care plans with LPNs/LVNs and nursing assistants
  • Discuss concerns and explain care plans with patients and families
  • Administer medications and treatments; provide wound care and bandage changes
  • Document given care, maintain diligent records, and oversee proper intake/discharge
  • Communicate updates to healthcare team members regarding patient status
  • Assist with patient mobility, transport, and preparation for procedures
  • Coordinate or oversee the coordination of patient care with therapists, specialists, etc.
  • Maintain hygienic conditions and practice infection control
  • Respond to emergencies. As needed, perform triage, collect blood samples, administer oxygen, perform CPR, operate Automated External 
    Defibrillator units, insert intravenous lines for medication administration, and use the Incident Command System
  • Offer comfort and emotional support to patients and their families during stressful situations

额外责任

  • Supervise LVNs and CNAs
  • Perform specialty tasks based on training in areas such as critical care, pediatrics, or oncology
  • Maintain patient confidentiality and ethical standards
  • Engage in policy development and quality improvement initiatives
  • Advocate for patient rights and ethical healthcare practices
  • Provide pre-operative and post-operative care, helping to ensure speedy recoveries
  • Participate in continuous training and professional development
  • Assist with specimen collection and laboratory tests
  • Educate patients about self-care and long-term symptom management
  • Maintain patient confidentiality
工作中需要的技能

软技能

  • 适应性
  • 床边礼仪
  • 怜悯之心
  • 稳重
  • 解决冲突
  • 批判性思维
  • Cultural sensitivity
  • 可靠性
  • 注重细节
  • 情绪复原力
  • 同理心
  • 诚信
  • 人际交往技能
  • 领导人
  • 多任务处理
  • 观察者
  • 耐心
  • 身体耐力
  • 建立关系
  • 可靠性
  • 安全意识
  • 健全的判断力
  • 强大的沟通能力
  • 团队合作与协作
  • 时间管理

技术技能

  • Proficiency in electronic health record (EHR) systems for documentation and medical history tracking
  • Skilled in operating and maintaining medical equipment such as blood pressure monitors, glucose meters, and intravenous infusion pumps
  • Understanding of pharmacology, medication administration, and monitoring for adverse reactions
  • Expertise in wound care management (i.e., dressing changes, monitoring for signs of infection, etc.)
  • Knowledge of patient assessment techniques, vitals monitoring, and ability to identify condition changes
  • Ability to help develop, implement, and adjust individualized healthcare plans in collaboration
  • Competency monitoring, evaluating, and documenting rehabilitation progress
  • Adherence to sanitation, sterilization, hygiene, and infection control protocols
  • Proper wear and use of personal protective equipment (PPE)
  • Proficiency in providing mobility assistance and use of assistive devices
  • Knowledge of basic physical therapy exercises for patient support and recovery
  • Familiarity with emergency response actions (including IV infusions, oxygen administration, patient transport, and Incident Command System, in some cases)
  • Familiarity with medical software such as:
  1. eClinicalWorks
  2. Epic Systems
  3. Healthcare Common Procedure Coding System
  4. Infusion management software
  5. Medical condition and procedure coding software
  6. MedicWare EMR
  7. MEDITECH
  8. PointClickCare
  9. Prescription processing software
  10. Telephone triage software
不同类型的组织
  • 老年痴呆症设施
  • 辅助生活中心
  • 持续护理退休社区
  • 政府和社区卫生机构
  • 家庭保健服务
  • 临终关怀机构
  • 医院康复科
  • Military and veterans’ facilities
  • 护理机构(专业护理机构)    
  • 疗养院和长期护理机构
  • 门诊中心
  • 康复中心
期望与牺牲

Nursing environments are unlike most typical workplaces. Hours can be long, with night and weekend work common. Patients come and go, with various health issues and personalities that RNs must adapt to and contend with with patience and perseverance.


Expectations run high, with potentially several patients’ health and wellness depending on their diligence and focus. The job can be stressful, exhausting, or even overwhelming at times, especially in intense places like emergency rooms. In addition, RNs are at risk of occupational injuries (from moving patients), exposure to infectious diseases, and exposure to various chemicals and possibly even radiation.
 

Suffice it to say, nursing can be a demanding career—but it’s also one with an enormously crucial impact! 

当前趋势

The issue of nursing turnover is a significant challenge, with 31% of nurses expressing an intent to leave their current roles in direct patient care. The high turnover rate highlights the ongoing pressures RNs face as the problem of nursing shortages continues to affect the whole healthcare industry.


The silver lining is that healthcare leaders are, to varying degrees, paying more attention and listening more to nurses’ concerns, prioritizing improved workplace cultures and other retention efforts. Part of this shift is an increase in diversifying nursing student bodies by addressing barriers to educational access.


Meanwhile, telehealth nursing is a trend that seeks to offer better accessibility to care for patients in remote or underserved areas, as well as enhanced patient monitoring, and a reduction in the strain on healthcare facilities in general. The downside is the need for extra training for nurses to learn the systems and procedures, as they juggle so many other duties. 

从事这一职业的人在年轻时喜欢做什么样的事情......

Registered Nurses are patient, pragmatic caregivers who may have always been interested in healthcare and able to deal with sights and circumstances that might make others squeamish.


They could have been responsible for the care of family members at an early age. They’re curious, collaborative, empathetic, and strong communicators, all traits that could have been nurtured through extracurricular activities in school. Perhaps above all is their ability to think critically, especially in triage situations. This skill could have been developed on their own or with the help of teachers and parents.  

需要的教育和培训
  • Depending on the program, RN training may occur at community colleges, vocational/technical schools, four-year colleges, universities, and hospitals
  • Some students sign up for a Certified Nursing Assistant (CNA) diploma first, or a Licensed Practical Nurse/Licensed Vocational Nurse certification before applying to an RN program
  • Many vocational-oriented high schools offer career pathway programs in health sciences or certain CNA or LPN classes or dual enrollment opportunities that allow students to gain college credits and get a jump start on their nursing careers
  • Some states allow hospital-based nursing schools to offer nursing diplomas which may not count for college credit
  • There are also nurse apprenticeship programs available in states such as Illinois, Maryland, South Dakota, Texas, and Washington (per Indeed.com), with others in development. However, apprenticeship applicants may need to first be enrolled in an RN degree program!

RN Degree Options

  • Students have the option to pursue one of the following degree types:
  1. Associate Degree in Nursing (ADN)
  2. Associate of Science in Nursing (ASN)
  3. Bachelor of Science in Nursing (BSN)
  4. Master of Science in Nursing (MSN)
  • Note, there are undergraduate-level bridge programs, such as:
  1. LPN/LVN-to-RN
  2. RN-to-BSN
  • There are also graduate bridge programs such as BSN-to-MSN, as well as dual master’s options, and direct-entry MSN (aka Entry Level Masters Program in Nursing) programs for students whose bachelor’s was not in a nursing field 
  • There are several areas of specialization for MSN students, such as:
  1. Certified Nurse Midwife
  2. Clinical Nurse Leader
  3. Diabetes Care Specialist
  4. Nurse Researcher
  5. Nursing Administrator
  6. Pediatric Endocrinology Nurse
  7. Public Health Nurse

Additional Options

  • Some states may have additional options, such as California’s LVN 30 Unit Option, which “takes approximately 18-24 months” but offers no degree upon completion. “Most other states do not recognize California's LVN 30 Unit Option and will not issue RN licenses to these LVNs,” writes CA.gov.
  • Many nurses are trained through military programs, serving on active duty before transitioning back into the civilian workforce. In such cases, they will need to pass an exam for RN licensure, so long as they’ve completed sufficient RN education and clinical experience. 

Applying for Nursing School

  • To apply to a state-approved RN training program, applicants need a high school diploma or GED equivalent
  • A good GPA plus a solid background in subjects like English, math (algebra and geometry), and science (biology, chemistry, physics, and computer science) are recommended. Knowledge of social sciences and a foreign language will make your application more competitive
  • Some nursing programs have prerequisites, so it is helpful to know in advance where you want to attend training so you can prepare by taking the right classes
  • RN program applicants may have to take a program entrance exam, such as the National League for Nursing Pre-Admission Exam (PAX), Nursing Entrance Test, Kaplan Nursing School Admission Test, or Test of Essential Academic Skills (TEAS) assessment
  • Bachelor’s programs may require a math or English placement test or college placement test scores (such as the SAT or ACT)
  • Graduate programs may require the GRE. These exam scores can have a large impact on your application so it’s important to take them seriously and study
  • There are no 100% online RN programs due to the in-person clinical skills requirements. However many schools offer valid, reputable online and hybrid classes covering much of the academic coursework
  1. Required in-person clinical components “may” be waived in some cases, if a student has enough existing clinical knowledge and work experience
  • Some US colleges incorporate Objective Structured Clinical Exams (OSCE) into their programs, to allow students “to practice and demonstrate clinical skills in a standardized medical scenario” 

After RN School

  • Upon completion of training, RN program graduates must sit for the National Council Licensure Examination (NCLEX) exam before applying for state licensure. They cannot work without a license, however, it may be possible to obtain an interim permit to work under supervision until the NCLEX exam results are available
  • Licenses are renewable, but renewal usually requires completion of continuing education classes. Requirements vary by state
  • The National Council of State Boards of Nursing features a listing of all the state boards of nursing points of contact
  • Based on state or employer guidelines, RNs may need to meet mandatory immunization requirements, such as seasonal flu vaccination, Tdap, MMR, hepatitis B, varicella, and meningococcal
  • RNs may have to pass criminal background and drug screening
  • A valid, current state driver’s license and clean driving record may be needed

Additional Certifications

Registered Nurses may complete optional credentials, such as:

  • Academy of Lactation Policy and Practice - Advanced Lactation Consultant
  • American Academy of Health, Fitness, & Rehabilitation Professionals - Post-Rehab Conditioning Specialist
  • American Academy of Health Care Providers in the Addictive Disorders - Certified Addiction Specialist
  • American Assisted Living Nurses Association - Assisted Living Nurse Certification
  • American Association of Colleges of Nursing - Clinical Nurse Leader
  • American Association of Critical-Care Nurses - Acute Care Nurse Practitioner (Adult-Gerontology)
  • American Association of Legal Nurse Consultants (Certification Board) - Legal Nurse Consultant Certified
  • American Association of Neuroscience Nurses - American Board of Neuroscience Nursing - Stroke Certified Registered Nurse
  • American Association of Nurse Life Care Planners - Certified Nurse Life Care Planner
  • American Board for Occupational Health Nurses - Certified Occupational Health Nurse
  • American Board for Transplant Certification - Certified Clinical Transplant Nurse
  • American Board of Certification for Gastroenterology Nurses - Certified Gastroenterology Registered Nurse
  • American Board of Managed Care Nursing - Certified Managed Care Nurse
  • American Board of Perianesthesia Nursing Certification, Inc. - Certified Post-Anesthesia Nurse
  • American Board of Wound Management - Certified Wound Specialist
  • American Case Management Association - Accredited Case Manager
  • American Correctional Association - Certified Corrections Nurse Manager
  • American Council on Exercise - Weight Management Specialty Certification    
  • American Holistic Nurses Credentialing Center - Nurse Coach Board-Certified
  • American Organization of Nurse Executives Credentialing Center - Certified Nurse Manager and Leader
  • American Red Cross - Basic Life Support Certification (i.e., CPR and AED)
  • American Society for Metabolic and Bariatric Surgery - Certified Bariatric Nurse
  • ANA Enterprise - Informatics Nursing
  • Association of Rehabilitation Nurses - Certified Rehabilitation Registered Nurse
  • Biofeedback Certification International Alliance - Board Certified in Pelvic Muscle Dysfunction Biofeedback
  • Board of Certification for Emergency Nursing - Certified Emergency Nurse
  • Board of Nephrology Examiners Technology Nursing - Certified Peritoneal Dialysis Nurse
  • Certification Board for Urologic Nurses and Associates - Certified Urologic Registered Nurse
  • Certification Board of Infection Control and Epidemiology, Inc. - Infection Control Certification
  • Commission on Graduates of Foreign Nursing Schools - Certification for Foreign Nurses
  • Dermatology Nurses' Association - Dermatology Nurse Certified
  • Developmental Disabilities Nurses Association - Certified Developmental Disabilities Nurse
  • Forensic Nursing Certification Board - Sexual Assault Nurse Examiner - Adult/Adolescent
  • Gerontological Advanced Practice Nursing Association - APRN Gerontological Specialist - Certified
  • HIV/AIDS Nursing Certification Board - HIV/AIDS Certified Registered Nurse
  • Hospice and Palliative Nurses Association - Certified Hospice and Palliative Licensed Nurse    
  • Infusion Nurses Certification Corporation - Certified Registered Nurse Infusion
  • International Board for Certification of Safety Managers - Certified in Healthcare Safety - Long-Term Care
  • International Board of Lactation Consultant Examiners - International Board Certified Lactation Consultant
  • International Nurses Society on Addictions - Certified Addictions Registered Nurse
  • Lamaze International - Lamaze Certified Childbirth Educator
  • Lymphology Association of North America - Certified Lymphedema Therapist
  • Medical-Surgical Nursing Certification Board - Certified Medical-Surgical Registered Nurse
  • National Alliance of Wound Care - Wound Care Certification    
  • National Assistant at Surgery Certification - Assistant at Surgery - Certified
  • National Association for Healthcare Quality - Certified Professional in Healthcare Quality
  • National Association for Practical Nurse Education and Service - Intravenous Therapy Certification    
  • National Association of Directors of Nursing Administration in Long-Term Care - Certified Assisted Living Nursing    
  • National Association Of Emergency Medical Technicians - Advanced Medical Life Support    
  • National Association of Orthopaedic Nurses - Orthopaedic Nurse Certified
  • National Board for Certification of School Nurses - Nationally Certified School Nurse
  • National Board of Diving and Hyperbaric Medical Technology - Certified Hyperbaric Registered Nurse
  • National Board on Certification and Recertification for Nurse Anesthetists - Initial Certification
  • National Center for Competency Testing - Nationally Certified Patient Care Technician
  • National Certification Board for Alzheimer Care - Certified Alzheimer Caregiver    
  • National Certifying Board for Ophthalmic Registered Nurses - Certified Ophthalmic Registered Nurse
  • National Commission on Correctional Health Care - Certified Correctional Health Professional - Registered Nurse
  • National League for Nursing - Certified Academic Clinical Nurse Educator
  • Nephrology Nursing Certification Commission - Certified Dialysis Nurse
  • Oncology Nursing Certification Corporation - Certified Pediatric Hematology Oncology Nurse
  • Organization for Transplant Professionals - Certified Clinical Transplant Nurse
  • Pediatric Nursing Certification Board - Certified Pediatric Nurse
  • Plastic Surgical Nurses Certification Board - Certified Plastic Surgical Nurse
  • Radiologic Nursing Certification Board - Certified Radiology Nurse
  • Society of Otorhinolaryngology and Head-Neck Nurses - Certified Nurse in Otorhinolaryngology and Head-Neck Nursing
  • The Consortium of Multiple Sclerosis Centers - Multiple Sclerosis Certified Specialist
  • The National Certification Corporation - Low-Risk Neonatal Nursing
  • Transcultural Nursing Certification Commission - Certified Transcultural Nursing - Advanced
  • Vascular Access Certification Corporation - Vascular Access-Board Certified
  • Wound, Ostomy, Continence Nursing Certification Board - Certified Continence Care Nurse
在大学中需要注意的事项

RN training programs are available at community colleges, vocational/technical schools, universities, and some hospitals. In addition, nursing programs are offered in some high school programs.

  • Review the RN training and licensure requirements for the state in which you plan to work.
  • 考虑学费(州内/州外费率)、折扣、奖学金和授课方式(校内、在线或混合课程)。
  • Look for accredited programs with strong reputations and high pass rates for the NCLEX exam
  • Review the options for clinical experiences in local healthcare settings.
  • Consider the duration of the program and the flexibility of schedules.
  • 查看教师简介和获奖情况。了解毕业率和就业统计。了解校友网络的成就!
高中和大学的事情
  • 在医疗保健机构担任志愿者,以增加接触机会并学习实用技能
  • 在高中选修与解剖学、生理学、生物学、化学、体育、营养学、心理学、健康科学、急救、数学和英语相关的课程
  • Consider studying a second language that may be common in your area
  • Earn good grades so you can get accepted into a suitable nursing training program (or, if needed, a nursing assistant program first)
  • Develop a consistent workout schedule so you build stamina and strength while managing stress
  • 保持健康的饮食习惯和规律的进餐时间,以保持精力充沛
  • 参加学校活动,培养项目管理、团队合作、领导经验和解决冲突的能力
  • Consider the format you want to take classes in. Some topics are fine for online study, but others are better taken in person when possible. Clinical practice will have to be done in person
  • Research any unique state or potential employer requirements for becoming an RN. Keep in mind that you may have to pass a criminal background check or drug screening
  • Request to do an informational interview with a working Registered Nurse to learn about their daily duties. Try to speak with a few in different areas of specialization
  • Check out online articles and videos about the pros and cons of the career field, the typical duties, the settings you could work in, and extra certifications you may want to pursue!
  • 保存一份可作为未来工作推荐人的联系人名单(附电话号码或电子邮件)。
  • 保留简历的工作草稿,并随着经验的积累不断更新
Registered Nurse Roadmap
注册护士
如何找到你的第一份工作
  • Once licensed, RNs can explore job postings via sites like Indeed, Glassdoor, healthcare-specific job search sites, and the websites of applicable employers
  • You may also want to consider applying for a nursing apprenticeship if you’re still in college
  • Note, many recruiters have established pipelines with local RN training programs, so talk to your school’s program manager or career center about job placement assistance
  • 与医疗保健专业人士建立联系,了解工作机会。不要低估"口碑 "招聘的力量!
  • Advertise yourself on LinkedIn and keep your social media professional. Potential employers often screen candidates’ online activities
  • Check out Registered Nurse resumes for ideas on formatting, phrasing, and keywords to use
  1. Keywords may include: patient care, clinical experience, critical thinking, team collaboration, emergency response, compassion, patient assessment, case management, healthcare technology, medication administration, vital signs monitoring, wound care, communication skills, infection control, nursing care planning, and CPR certification
  • 复习可能会遇到的面试问题。进行几次模拟面试,练习回答问题
  • During interviews, exhibit a positive attitude, demonstrate your awareness of applicable terminology and awareness of current trends, and convey your ability to physically and mentally handle the workload
  • Read about the strategies RN recruiters use, to gain a perspective of their mindset during interviews
  • 面试时穿着专业
如何爬梯子
  • Discuss your long-term career objectives with your supervisor. Seek their guidance and mentorship to chart a clear path forward!
  • Build a reputation for exceptional patient care and demonstrate your readiness for advanced roles
  • Whatever RN degree you have, consider going up a level. For example, if you have an associate’s, apply for a bachelor’s program. If you have a bachelor’s, go for your master’s to become an Advanced Practice Registered Nurse, i.e., Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or Certified Nurse-Midwife (CNM)
  • Pursue advanced certifications in areas of specialized practice. Consider specializing in hard-to-fill or more difficult areas, such as intensive care unit or oncology nursing
  • Gain a comprehensive understanding of your employer’s policies and procedures
  • Strictly adhere to care plans and protocols, showcasing your commitment to patient safety and comfort
  • Maintain stringent sanitation and hygiene standards. Always wear your PPE when required
  • Foster effective communication with patients, families, fellow nurses, physicians, and the rest of the healthcare team
  • Regularly read nursing journals such as the Journal of Nursing Care Quality and participate in continuing education courses
  • Master the use of medical equipment and software, positioning yourself as a subject matter expert
  • Exhibit competence, integrity, reliability, initiative, and leadership
  • Share your knowledge with fellow nurses, mentoring others and setting a high standard to follow
  • Engage with local, state, or even national professional nursing organizations like the American Nurses Association to network, stay informed, and have fun! 
推荐的工具/资源

网站


书籍

  • Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, by Mary Beth Flynn Makic PhD RN CCNS FAAN FNAP FCNS and Marina Reyna Martinez-Kratz MS RN CNE
  • Next Generation NCLEX-RN Prep 2023-2024: Practice Test + Proven Strategies, by Kaplan Nursing
  • Taking Care: The Story of Nursing and Its Power to Change Our World, by Sarah DiGregorio
  • What They Do NOT Teach You in Nursing School: Lessons from a Seasoned Nurse, by Kristine Dittman
B计划

Registered Nurses are absolutely essential to the healthcare industry but their roles are physically demanding, with long hours and sometimes highly stressful conditions. It takes plenty of resilience and a specific emotional temperament to thrive in this challenging field!


For students interested in exploring additional healthcare-related careers, check out the below options!  

  • 牙科卫生员    
  • 医学超声诊断师    
  • 麻醉师护士
  • 助产士
  • 职业治疗师
  • 职业治疗助理
  • 物理治疗师助理
  • 助理医师    
  • 精神病学技术员
  • 注册护士
  • 呼吸治疗师    
  • 社会工作者
  • Surgical Assistant 

新闻联播

在线课程和工具