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* * * This is NOT a job offer * * * The purpose of this occupational guide is to provide you with useful information to help you make career decisions. If you are searching for a job, please go to CalJOBSSM (for jobs in California) OR JOBcentral (for jobs nationwide) |
California Occupational Guide Number
29
Interest Area:
 
Medical or Health
2002
WHAT DO REGISTERED NURSES AND NURSE PRACTITIONERS DO?
REGISTERED NURSES (RN) constitute the largest group among all the health occupations. Most RNs work in acute care hospitals as hospital nurses. They care for patients at the hospital bedside, in private clinics, and in the patient's home. Nurses may also work to help prevent disease, to educate the public about health issues, to enhance public health, and to support ill patients both physically and mentally.
Hospital Nurses make up the largest group of nurses. They perform the following tasks:
Office Nurses work in doctor's offices, clinics, emergency care centers, and Health Maintenance Organizations (HMO). They perform the following tasks:
Home Health Nurses provide health care in patient's homes. They perform the following tasks:
Public Health Nurses work for governmental agencies, schools, clinics, and retirement communities. They work to better the health conditions for the general public. Instead of administering care to the individual, their mission is to enhance the overall health of the community at large. They perform the following tasks:
NURSE PRACTITIONERS are Registered Nurses with graduate level training in diagnostic and health assessment skills. Their training allows them to provide basic medical care. They relieve physicians of many time consuming tasks. Under the direction of a supervising physician, they perform the following tasks:
WHAT SKILLS ARE IMPORTANT?
Skills, knowledge, and abilities required and used by Registered Nurses and Nurse Practitioners include:
WHAT’S THE WORK ENVIRONMENT?
Nurses generally work in hospitals and clinics in a comfortable and well-lighted environment. Although most tasks are not strenuous, Nurses do need physical stamina to perform their duties. They also need emotional stability to cope with human suffering and frequent emergencies. Since they work as part of a closely-knit team, they must work well with others in a cooperative setting.
Dangers from infectious agents are also part of the work environment. Diseases such as AIDS, hepatitis, and tuberculosis present the possibility of infection to the RN. Strictly following procedures can lessen, but not eliminate disease transmission.
A few Registered Nurses work as members of emergency response teams. They may treat patients while enroute by helicopter to hospitals or at triage centers at disaster sites, such as earthquakes or floods.
Nurse-Midwives, licensed to provide care and treatment to pregnant women, often deliver babies in patients' homes. In addition to hospitals, Nurses work for doctors and medical groups, public health agencies, and home care services.
Union Membership
Registered Nurses may belong to a union. One such union is the California Nurses Association.
WHAT’S THE CALIFORNIA JOB OUTLOOK?
The following information is from the occupational projections produced by the Employment Development Department's Labor Market Information Division:
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Estimated number of workers in 1998: |
172,100 |
The number of jobs for Registered Nurses is expected to grow at a rate slightly above the average for all occupations through 2008 in California.
Trends
The State Board of Registered Nursing reports that there were about 250,000 licensed RNs in California in 2001. The Board also reports that there were slightly more than 9,500 Nurse Practitioners. Despite this large number, shortages still exist and shortages are expected to occur over the next 10 years. This is due to workers leaving and re-entering several times during their career. Hospital and clinics continue to have ongoing, active recruitment programs, some offering unique benefits, to attract applicants.
Some Health Maintenance Organizations employ Nurse Practitioners in addition to physicians. This trend, which has heightened the demand for Nurse Practitioners, should continue as HMOs become common. Competition may be keen for the higher paying jobs in large cities.
WHAT DOES THE JOB PAY?
California Earnings
Registered Nurses 2001 Wages
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|
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Hourly wages range from |
$23.59 to $32.29 |
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Average hourly wage |
$27.82 |
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Average annual wage |
$57,855 |
Hours
A Nurse's schedule varies. Nurses may work a morning shift one week and a night shift the next. Some emergency room staff work 24-hour shifts twice a week, while others work three 12-hour shifts weekly. Clinic staff usually works a five-day, 40-hour week. A variety of schedules may be available for less than full-time staff.
Benefits
Benefits may vary among employers. Most employees receive vacation, sick leave, medical, dental, vision insurance, and retirement benefits.
HOW DO I PREPARE FOR THE JOB?
Education and Training
Registered Nurses must be licensed to practice in California by the State Board of Registered Nursing. The license requirements are:
Two types of Registered Nurse training programs are available in California: two-year community college associate degree programs and four-year bachelor's degree programs. Both programs include clinical experience in one or more hospitals and clinics in addition to classroom instruction. Most community colleges give Licensed Vocational Nurses (LVN) credit for their basic nursing course work and experience. LVNs can complete the requirements for an associate degree in nursing in two years. At that point, a LVN can work or transfer to a four-year college to obtain a bachelor's degree in nursing to be licensed as a RN. LVNs with associate degrees, or former military medical corps workers, may qualify for advanced placement in four-year bachelor's degree nursing programs. There are currently 22 schools that offer a baccalaureate degree in nursing, and over 70 schools in California that offer two-year degrees in nursing. Twenty-four schools offer Nurse Practitioner degrees. For more information about schools, go to the Website
www.rn.ca.gov/schools/schools.htm.Nurse Practitioners are licensed by the California State Board of Registered Nursing. The requirements are:
The program is graduate-level training offered by hospitals and universities. Training lasts one to two years and leads to a certificate or master's degree.
In order to prescribe medication, Nurse Practitioners must be certified by the board. They must complete a pharmacology course and work six months under physician supervision.
High school students should take chemistry, biology, anatomy, and physiology, and other science and math courses to prepare for nursing school.
Prospective Nurses should exhibit leadership, self-confidence, and emotional stability. Other needed traits are a pleasant personality, patience, and an ability to deal with people of all cultures and social levels.
Licensing and Certification
An application fee of $75 and a fingerprint card fee of $32 are required for the licensure examination. An additional examinations fee of $120 is assessed. Examinations are given year-round at 24 locations around the state. RNs with active licenses from other states may also be granted California licenses.
Continuing Education
Registered Nurses must renew their California licenses every two years and complete 30 hours of continuing nursing education during each two-year period. The cost to renew is $80.
Nurse Practitioners must take 30 hours of continuing nursing education during each two-year period and renew their RN license every two years; this process automatically renews their Nurse Practitioner license.
HOW DO I FIND THE JOB?
Direct application to employers remains one of the most effective job search methods. Private firms are listed in the yellow pages under Hospitals, Nurse Registries, Medical Clinics, and Physicians and Surgeons. California job openings can be found at various online job-listing systems including CalJOBSSM at www.caljobs.ca.gov or at JobCentra National Labor Exchange at www.jobcentral.org.
For other occupational and wage information and a listing of the largest employers in any county, visit the Employment Development Department Labor Market Information Web page at www.calmis.ca.gov. Find further job search assistance from your nearest Workforce Services Office www.edd.ca.gov/Jobs_and_Training/Workforce_Services_Offices_by_County.htm or the closest One-Stop site, www.servicelocator.org/.
Nursing schools' graduate placement service links RNs and Nurse Practitioners with jobs. They should also apply directly to hospitals, clinics, and physicians. Newspaper ads also have job leads. State, county, city, and federal personnel administration offices provide announcements of jobs and requirements.
WHERE CAN THIS JOB LEAD?
Experienced RNs may advance from bedside nursing to supervisory positions or clinical specialist positions, such as Critical Care Nurse. Those with bachelor's degrees may become nursing administrators, consultants, educators, or Researchers. A growing number take special courses, often earning a master's degree, to become Nurse Practitioners.
A Registered Nurse may promote to become the Director of Nursing, who is responsible for hiring the nursing staff and overseeing all nursing functions.
Nurse Practitioners may advance into administration, but most view themselves as health care professionals trained to diagnose and treat patients for illnesses and injuries formerly treated only by doctors. Most Nurse Practitioners stay in this occupation throughout their career life.
OTHER SOURCES OF INFORMATION
California Board of Registered Nurses
P.O. Box 944210
Sacramento, CA 94244-2100
(916) 322-3350
California Nurses Association
2000 Franklin Street
Oakland, CA 94612
(510) 273-2200
American Nurses Association (ANA)
600 Maryland Ave SW, Suite 100 West
Washington, D.C. 20024-2571
(202) 651-7000
(800) 274-4262
Fax: (202) 651-7001
Employment Projections by Occupation
Employment and Wages by Occupation
RELATED OCCUPATIONAL GUIDES | |
Physical Therapists |
No. 117 |
OCCUPATIONAL CODE REFERENCES |
|
29-1111 | |
Registered Nurses |
29-1111.00 |
Registered Nurses |
32502 |
DOT (Dictionary of Occupational Titles) | |
Nurse Practitioner |
075.264-010 |
Note: This is NOT a job opening. The purpose of This California Occupational Guide is to provide you with useful information to help you make career decisions. If you are searching for a job, go to: