There are so many different types of nurses in various specialties that work within the hospital setting. So how do you figure out which one is right for you?
When I was initially toying with the idea of going back to college to become a nurse, I had no idea how many types of nursing specialties there were. I thought there was just a single “type” of nurse who did pretty much everything.
I was so wrong. That just shows how little I knew about the nursing world back then! I think many potential nurses who are contemplating getting a BSN may think the same thing as I once did.
The good news about starting in nursing school is that you don’t have to decide on what type of nursing specialty you want to go into right away. At least not until you get closer to the end of nursing school and start interviewing for jobs. Also, you can even change your nursing specialty during your career if you want (I did it and reignited my passion for nursing). So, if you find you don’t enjoy one specialty after a while, you can look into others that might better suit you.
This particular post explores nursing career specialties within the hospital. If you don’t want to work in the hospital, that’s OK. There are a ton of opportunities to explore as a new grad nurse outside of the hospital setting too! However, if the hospital setting is for you (as it was for me), then this is a quick and dirty explanation of the different types of nurses and nursing specialties that may be available to you!
There are dozens of different nursing specialties and levels of care in the hospital to choose from. When deciding on a specialty, it may help to start with the level of care that works best with your personality and then work from there. While some nursing students think the intensity of working in an emergency room might be exhilarating, others may prefer to start by learning on a medical-surgical unit instead.
The next step may be to consider which patient age groups you would most enjoy working with. For example, a nursing school friend of mine knew from the moment she applied to nursing school that she had to be a pediatric nurse. Yet another student friend was passionate about working in the geriatric community. Some nurses find that they love working with newborn babies or children, while others find that they enjoy the intensity of managing patients at the ICU level of care.
Lastly, as you start studying more about the different body systems and doing clinical hours, you can decide which specialties that you are most interested in. Being a student nurse is a great time to learn all about the different types of nurses in the hospital you might want to work in!
If you are interested in learning more about the types of nurses that in the higest demand, check out this video:
Types of nurses, based on credentials:
Licensed Practical Nurse (LPN)
LPNs perform a number of duties under the supervision of an RN. They have a more limited scope of practice than an RN, however, they can check vital signs, give oral medication and give injections. LPNs are trained through a state-approved educational program, which takes 12 to 24 months to achieve.
Registered Nurse (RN)
Registered nurses (RNs) are nurses with an associate’s or bachelor’s degree. It takes two years to complete an associate’s degree in nursing and at least 4 years to complete a BSN.
Clinical Nurse Specialist (CNS)
A clinical nurse specialist (CNS) is an experienced nurse who has also completed a master’s degree in nursing. CNS’s are trained in diagnosing and treating illnesses within a specific realm of expertise.
Nurse Practitioner (NP)
NPs work under the supervision of a medical doctor, however, they have the autonomy to diagnose diseases, prescribe medications, and initiate patient treatment plans. Educational requirements include a master’s or doctoral degree.
Levels of care in the hospital setting
Medical/Surgical Care
Medical-Surgical Care, otherwise known as Med/Surg, is the largest nursing specialty in the United States. Med/Surg nurses care for adult patients who are acutely ill with a wide variety of medical issues or are recovering from surgery. Nurses on these units often care for 4-5 patients (or more) depending on acuity.
Telemetry Care
Telemetry Unit patients are often more acutely ill and need constant monitoring. Patients here are monitored with telemetry monitors that allow nurses to review a patient’s vital signs constantly so they can give more detailed care. Often, Med/Surg and Telemetry patients are referred to interchangeably as many Telemetry Units have both types of patients.
Intensive Care Units
An Intensive Care Unit, otherwise known as an ICU or Critical Care Unit is a unit that provides a higher level of intensive patient care. Patients in the ICU often have severe and life-threatening injuries that require constant, close monitoring. Nurses in the ICU usually only care for 1 or 2 patients at a time due to the high acuity of patient care.
Emergency Room
ER nurses treat patients in emergent situations who are involved in a trauma or other life-threatening injuries. These nurses deal with patients from all age groups involving many different levels of patient care. You may have patients with illnesses and wounds, ranging from dog bites or minor burns to more serious conditions such as strokes or other trauma victims.
Patient age groups
Hospital units are also broken into different age groups to offer more specialized care. This is also something to consider when deciding on a specialty you want to work in. Some of the age groups include:
Newborns
Pediatrics
Adult
Geriatric
Hospital specialties
Here is a general list of hospital specialty units that many nurses work in:
Cardiovascular
Thoracic
Neuro/Trauma
Medical
Orthopedic
Radiology
Hematology/Oncology
Liver Transplant
PACU
Emergency Room
Neonatal
Urology
Surgical
Gynecology
Operating Room
What nursing jobs are you most interested in?
As you can see from the above information, there are so many different types of nurses and nursing specialties. You may want to pick a few that are most interesting to you and narrow your search in from there. Once you get your legs wet in the profession for a few years, you may even want to look into other alternative and unique careers in nursing.
Now that you have a better understanding of the different career options out there for nurses, you may want to brush up on your interviewing skills. Let us help you achieve that with this article “How To Land Your First Nursing Job In Six Steps.”
Are you thinking about becoming a nurse and wondering what nursing specialties might be best for you? Or do you have any other questions about the different types of nurses in the hospital setting? Please leave a comment or question below!
If you have taken a peek over at my About Me page you may have read that nursing was NOT my first career. If fact, I did’t even discover that I had a calling for nursing until after I had been working in the medical sales field for about 9 years.
Ill press rewind for just a minute… Once upon a time, I worked in the competitive field of surgical equipment sales for a fortune 100 company and a few medical device startups.
I knew I didn’t love the career, but I made a pretty good living. It also allowed me to travel for work and I was able to afford to take a lot of incredible overseas trips. After a few years in the sales grind, I knew I wanted to do other things. The problem was that my resume said I was a medical device salesperson. So what was I supposed to do?
That voice in the back of my head continued gnawing at me, little by little. Every day a small piece of my soul was being eaten up by working in a career that I had no real passion for.
Until finally one day, after a near mental break down I made the difficult decision to leave the field. I went on a quest in pursuit of greater clinical medical knowledge and a desire to help humankind. After years of scratching my head I had finally discovered my new path.
It has been 9 years since my near mental breakdown that forced me to make an incredible life change. Nursing school was one of the hardest thing I have ever done in my life. But I am so thankful everyday that I did it. Ultimately, it was the best decision for myself and and for my family.
My whole point in writing this post was to talk about a really cool experience that I had recently…
A journalist at the Huntington Post recently contacted me through my blog. She asked if my husband and I would be interested in being interviewed for a piece that she was doing about what it was like being married to an ER nurse. Of course I said yes!
(I was a journalism major in college and still have an itch to write, which is one of the reasons I blog).
Nursing is challenging.
I want to be an advocate for nurses because I think we tolerate things that would never be tolerated in any other field (but we do it anyway because we’re awesome). I also really, really want to find a way to help nurses take better care of themselves. Plus, I am extremely passionate about being a nurse and have a passion for helping others. So, I was excited to share some of my thoughts (and I was also intrigued to see what my husband had to say about being married to an ER nurse).
In March 2013, I graduated from college with a Bachelor of Science Degree in Nursing- and a $36,000 tab.
For my first 2 years out of nursing school, I made the minimum student loan debt payment of about $420 a month. But when I finally sat down and looked at how much of that was going towards interest and how long it would take to finally pay off (13 years, yikes!) it made me sick to my stomach.
After the birth of our daughter, I decided to get aggressive about paying off my student loans.
By that time I was down to $27,000. Becoming a Mom made me realize that being debt-free AND having money in my bank account was way more important than spending money on stuff I didn’t need.
Prior to starting my BSN, I had pretty nice savings account set aside. Because of that, I was able to pay for 1 year of my prerequisite classes and the first few months of my nursing program upfront in cash. If it wasn’t for that I would have had well over 50K in student loan debt at graduation.
While I was on maternity leave, I started listening to financial podcasts specifically focused on paying off debt. Most of this was done while my daughter and I went out for walks and she was napping. It motivated me to change my thoughts about my current student loan status.
I took everything I had learned from those podcasts and formed my own simple plan: Don’t spend any money on anything that is not an actual need. At that time, my true needs included grocery shopping, pet food, and nanny. That’s it.
How I Paid Off All My Nursing School Loan Debt In 9 Months!
My Student Loan Payoff Plan: Pay off $27,000 in student loan debt from February 1 to November 1, 2016.
I am happy to announce that I hit my goal right on target! Here is how I paid $27,000 off student loan debt in 9 months:
I realized that student loan debt is NOT good debt.
There is no such thing as good debt. I don’t care if there is a 0% interest rate. Debt is debt. It is still a black cloud handing over your head that never goes away unless you force it to.
I trimmed my budget.
This photo was taken halfway through my payoff schedule.
So long $5 Starbucks coffee (lucky for me my husband loves to make great coffee at home). Bye-bye restaurant meals. Farewell clothing budget.
I also forbade manicures and pedicures (unless done by me). Also, I cooked all of our meals at home, packed all my lunches for work and made all my daughter’s baby food.
If there was something that I thought I needed but wasn’t sure, I gave myself a week to think it over. Even if it was something small. 99% of the time I ended up deciding that it wasn’t important enough to buy.
When I met with friends, instead of going to lunch, we would go for walks or to the park. Fortunately, this is easy when you have babies.
I contributed 90% of my paychecks to my loans.
After taxes, retirement and taking out money to pay the nanny, I took the rest and threw it at my loans. It was anywhere from $1500 to $3500 every 2 weeks depending on how many shifts I worked.
I did the math to figure out my payoff date.
I started on March 1st, 2016 and my goal was to be completely paid in full by November 1, 2016. To make sure I stayed on track I planned a celebratory family trip to Palm Springs for the 2nd week of November.
I listened to financial podcasts to keep me focused and motivated.
As a new mom, it is hard to find time to read books or search the internet for resources on paying off student loans. Listening to financial podcasts was my single most important way to motivate myself during this process. I could multitask by listening to them while out for walks with my daughter.
Some of the podcasts I listened to included Paula Pant at Afford Anything, The Money Guys, Stacking Benjamin’s and Dave Ramsey.
I picked up a few extra shifts at the hospital.
As a per diem float nurse I have the option of working as much or little as I want. For the purpose of paying off my loans as fast as possible, I tried to work at least 3 shifts a week. Since I was a new mom I didn’t want to go overboard though. The reason a became a nurse was so I could spend more time at home once we had children.
I made many short term sacrifices and got used to being uncomfortable.
No longer was I spending money on anything that wasn’t a necessity. I did this by taking a look at the things I could reasonably live without. This was the first time in my life I stopped buying clothes and shopping for things I didn’t need. To my own surprise, I’m still alive. In some ways, life is actually easier now because I don’t have a ton of extra stuff hanging around cluttering my house. I spend the time I would have spent shopping on doing other things that are more important to me.
After I became debt-free I kept my new lifestyle so that I could keep saving and investing at a significantly larger rate.
My motivation for paying off all my nursing school student loan debt.
While this is not a repayment strategy, it does help me find the motivation to continue down the right financial pathway now that my loans are gone. Having money in the bank is so much better than having debt. It feels amazing! And my savings gap gets bigger and bigger every month because I focus on growing my assets instead of buying unnecessary stuff that will probably end up in a dump in 5 years anyway.
Advice for anyone going to college:
Get the best education you can while spending the least amount of money possible.
Don’t take out more loans then you need to.
Live as frugally as you can while in school. It’s temporary and you will thank yourself for it in the long run.
Make an aggressive plan to pay off your student loans as soon as you graduate.
Don’t be the sucker who spends their entire life paying off student loans. They will NEVER go away if you don’t make them, even if you file for bankruptcy.
Do you have student loan debt? If you work hard and focus on what is actually important in your life, living student loan debt-free can be a reality for you too. Now get to it!
