How To Become A Nurse
June 23rd, 2008How To Become A Nurse
Nursing is one of the fastest-growing careers in the world. It is increasingly high-tech, but also requires people with great compassion and caring. You can work with any group you like, from children to the elderly, and provide any level of care you wish, from working with dermatologists to the intense emotional atmosphere of hospice. You can choose a career as an emergency room nurse or in a small pediatrics clinic. You can even work online (emergency triage is increasingly becoming virtual) or overseas, in schools and on cruise ships.
Even better news: there is a clear, simple-to-follow education path to become a nurse at any level. Certified Nursing Assistants (CNAs) require the least education, about ninety days, and receive a certificate. Nurse practitioners and MSNs on the other end of the nursing spectrum hold graduate degrees, and in some cases are even more specialized than a physician.
The Nursing Education Path: Where Do You Want To Be?
The easiest way to get into nursing is by working as a CNA. Most hospitals, nursing homes, and other medical institutions have programs for CNAs to learn on the job, and often they will pay for your education. It’s a great route especially if you have to work, as you are often paid to learn.
But a CNA is not a real nurse; rather, the CNAs do a lot of the work nurses don’t want to do, from delivering food and spoon-feeding patients, to taking care of the bedpan issues, to helping patients to the shower and sometimes taking care of those basic needs. The next level up is a licensed practical nurse (LPN), a one-year diploma-type certification that gives you training in things like delivering medication, giving shots, taking blood and vitals, and most of the things we associate with nurses.
A Registered Nurse (RN, or ADNs) has a two-year associates degree and even more training and power. He or she is empowered to do all the same things an LPN does, as well as some diagnosis and even providing basic treatments. An RN is the lowest level of nurse generally able to work on his or her own at a school or other place outside a hospital.
Up to this point, all your training requires at least some hands-on work. Past the two-year mark of an RN, however, training becomes less hands-on and more books-and-computer oriented. A BSN – bachelor of science in nursing – degree is a four-year college degree and teaches you much more involved things: nutrition, complex physiology, theories behind radiology techniques, and other similar medical issue. BSNs can remain generalists, or they can start to specialize: in palliative care, geriatrics, pediatrics, industrial nursing, nutrition, oncology, obstetrics, and even information technology.
Many nurses choose to remain with an RN rather than a BSN degree because RNs do more hands-on, patient-oriented work. BSN nursing today is largely paperwork and computerized tasks. However, BSNs are the lowest level of nurse generally put in charge of other nurses, or given jobs in the ICU. Before leaping into a BSN program, you should take a good look around and see what you really want to do with your career – and by this point, you should have a good idea.
Beyond the BSN, you have two choices. You can get a straight MSN degree, a Master’s program, or you can go the nurse-practitioner route. An MSN leads to increasingly administrative work for the nurse, and often can carry you into a career in hospital administration.
A nurse-practitioner, on the other hand, is a nurse with the training and experience to do many of the same things a family practice doctor used to do on a regular basis: diagnose basic ailments, prescribe medication, perform complex tests like PAP smears. You’ll start seeing nurse-practitioners more over the next few years in positions like running small clinics at drugstores and Wal-marts. Nurse-practitioners are also increasingly opting for midwife jobs, delivering babies when pregnancy and labor is routine. Because nurse-practitioners are cheaper than doctors and provide excellent care for routine problems, they are projected to grow in numbers as more and more insurance companies direct patients to them for care.
With all these levels of nursing degrees up to the MSN and nurse-practitioner level, it is normal to either work your way through each or to just go to college and get a degree at that level – in other words, nurses are just as likely to move through CSN-LPN-RN-BSN as they are to simply get a BSN degree and skip the rest. With the highest degrees, however, you really need to have some practical nursing experience, and most advanced programs encourage their students to have a year or two of nursing experience before attempting them.
In any case, it’s up to you: jump right in by working your way up, or get into that four-year program and jump in at a higher level. What works best for you?