Many nursing schools require a pre-entrance exam to be accepted into the nursing program as well. Many schools offer different programs, but know that all require prerequisite courses. Typical prerequisite courses have up to four years required from high school and college of English, math, science, social studies, and possibly even a couple years of a foreign language. [2] X Research source
When you are CNA before a nurse, it gives you a good stepping stone into the healthcare world, and your future nursing coworkers will appreciate that you were an aide before a nurse. Even volunteering at a local hospital or doing admin work at a clinic looks great on your resume and exposes you to the environment. If you like the hospital environment, you’ll have a better idea of the realities of nursing as a career. The more experience you have in this setting, the better—regardless of what kind of experience it is. Some may find that performing the aide work makes them realize nursing isn’t for them as well.
LPN/LVNs take the NCLEX-PN examination, as opposed to the NCLEX-RN examination. [5] X Research source Recent trends in the profession have shown LPNs fading out of the hospital setting and into long-term care facilities and offices.
The RN must think critically on the job rather than simply performing tasks. Analyzing lab results, passing medications, educating patients why they take medications, performing plans of care, and supervisory roles are often part of the RN’s job. [6] X Research source [7] X Research source
For most, this is just a pit stop on the way to being an RN. If that speaks to you, talk to your school about their ADN or BSN program. They may have an LPN designation built in once you’re halfway through. Otherwise, know that you can become an LPN after approximately eighteen months or so of training (mostly through hospitals or community colleges).
You can expect to spend two-to-three years obtaining an ADN and a BSN is a full, four-year degree for a full-time student, which means the BSN is a much more expensive option. Both degrees allow recipients to sit for the NCLEX exam upon graduation. [9] X Research source The leap in RN-to-BSN programs offered has grown more popular in recent years, a 22. 2% leap between 2011 and 2012. Getting your BSN allows you to eventually pursue leadership positions, teach nursing students, lead the administrative side, etc. Having a four-year degree at all in today’s society is invaluable as well. [10] X Research source
Nursing diploma programs have dramatically decreased since the 1970s. Though these are becoming less and less common, it is still a viable option. Go through the military. You can train for two-to-four years through an ROTC Nursing program at a college or university. [11] X Research source If you already have a four-year degree but it’s not in nursing, you should be able to devise an accelerated program. All you need to do is send your transcripts to your new school and start asking questions. It’s a very, very common thing. [12] X Research source Some states even have special designations for this.
Be aware that the widely known nursing shortage has led to long waiting lists at some schools. It’s best to inquire about this before you set your heart on one. If you already work for a hospital, see if any programs are affiliated with it. You may receive discounts if so.
If you can, get letters of recommendation from people who also work in healthcare. Ask the professional reference in person rather than by email. If you do not work in healthcare, request a recommendation letter from someone else who knows your work ethic and desire to become a nurse. Ask in advance. Don’t rush the person. On the essay, don’t write about what you think is a good answer; write what you believe. Using words from the heart will make you stick out from other applicants. [13] X Research source
If you need inspiration to study, remember that people’s lives will be in your hands once you’re a nurse. If you need more motivation, remember that the graduation exam costs $200 to take each time. If you fail it, you can’t take it for another 45-to-90 days. [15] X Research source
Clinicals are a normal working day, except not paid like residents in a medical-degree program. It’s normal to be stressed during clinicals. After all, you’re working with real people, and you’re still a newbie. Everyone goes through this, and the feeling does go away. Continue to study and seek out opportunities. [17] X Research source
The number of questions varies person to person. The test will continue until the computer feels it has accurately determined your knowledge level with 95% confidence. Finishing at 75 questions means you either did magnificently or very poorly, so don’t worry about the number you get.
Consider taking advantage of one of the prep courses available to help with studying the possibly overwhelming amount of information. [20] X Research source The average number of questions is around 125, and the average test takes about 2. 5 hours.
Consider taking advantage of one of the prep courses available to help with studying the possibly overwhelming amount of information. [20] X Research source The average number of questions is around 125, and the average test takes about 2. 5 hours.
Consider the fact that baby boomers are pretty much taking over. Working with the 55+ demographic would ensure job stability. Working with children is great, but it can also be very sad. If you do choose to go into pediatrics, you’ll be faced with a lot of situations that just aren’t fair. [22] X Research source There are a few options in the pediatric area, including general pediatrics, pediatric intensive care units, pediatric oncology units, and home care for pediatrics. Mother/baby units can be very difficult to get into. Everyone wants to work with patients who are happy, excited, and healthy. Remember, these areas are also very high stressed with two lives in your hands at one time. When it is sad in these units, it’s very sad. If you do get into this unit, be ready to commit to a night shift job for many years because most nurses who work in OB do not leave. Most surgeries nowadays are scheduled. If you prefer working normal hours (plenty of nurses don’t), being a surgical nurse may be down your alley. Otherwise prepare for the possibility of working night shifts. [23] X Research source
There’s also the option of being a traveling nurse. Many places have nurses working third shift, on-call, or on standby. Your ideal environment may also allow you to choose between eight-, ten-, or twelve-hour shifts. Floating between different departments may also be an option.
However, some places do prefer new grads (they cost less money), and the need for nurses is still booming. Practice interview questions often and be prepared for anything. [25] X Research source Ask about your potential employer’s turnover rate as well. If its 20% or higher, it may not be the place for you to start. Ask to shadow a day or two before you decide you want to work there. The attitudes of your fellow coworkers may have an impact on your decision. [26] X Research source Ask about guidance. Expect that you will have training with a preceptor. It depends what unit you work on, but you will get trained. Most orientation programs last between 6-12 weeks. [27] X Research source
Some available certifications include: Ambulatory Care, Cardiac-Vascular Nursing, Faith Community Nursing, Forensic Nursing, Genetics Nursing, Gerontological Nursing, Hemostasis Nursing, Informatics Nursing, Medical-Surgical Nursing, Nurse Executive, Nurse Executive - Advanced, Nursing Case Management, Nursing Professional Development, Pain Management Nursing, Pediatric Nursing, Psychiatric–Mental Health Nursing, Public Health Nursing - Advanced, Rheumatology Nursing, etc. With that should come a slight increase in pay, and certifications look great on a resume. If the opportunity comes, take it! You need so many hours on the floor of that department before you’re even eligible for these certifications. Think of it more as a badge of honor instead of as a specialization or certification.
At one point or another, you may feel guilt for something that happened to someone, whether it was out of your control or not. This profession is not something that is always light on the spirit. If you have yet to pursue this as your career, think about this before you make the leap. Many institutions have groups for when incidents happen on units. These groups help debrief situations and are supportive emotionally to the staff. The schedule of a nurse can be pretty intense. You could work three twelve-hour shifts in a row before getting four days off. If you’re working overtime, it could be more. It could also mean night shifts. You may even be on-call on your days off as well. Sleep may not be your constant companion. Stay aware of your schedule and avoid any states of fatigue.
It is still your professional responsibility to be up to date on your current certifications. Every department will have requirements for your job. Common requirements are basic life support, advanced cardiac life support, and others specific to your department of choice. For labor and delivery, for example, BLS, ACLS, neonatal resuscitation, and fetal monitoring are often required. It used to be that if you were licensed in one state, you weren’t licensed in another. While that’s still technically true, it’s slowly changing. Some states have entered into the Nurse Licensure Compact Agreement, allowing each other’s nurses to work within their boundaries. Currently it’s at twenty-four states and counting. [28] X Research source You’ll need to retake your exams every so often, depending on where you live and whether or not you’ve been practicing. Look up the laws in your area to make sure your license stays active. [29] X Research source By searching the internet for your state’s requirement, you will find specific website for your state’s board of nursing. Unless you lapse in renewal, you will never have to retake the NCLEX. [30] X Research source
If you only have an ADN, you can pursue a joint BSN/MSN in two-to-three years. You will have to meet additional certification and licensure requirements. However, it’s certainly worth looking into with the 27% higher average salary when compared to regular RNs. In 2011, ADNs earned about $64k while BSNs earned $76k.