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Nursing Career Paths: Get Started on the Journey

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When you decide to become a nurse, you’re opening the doors of opportunity. 

You not only get to choose what type of nurse you want to be, but you’ll be able to decide how and where you practice. And if you don't like the path you're on, you can always choose another.

Understanding the different nursing career paths can help you make informed decisions about your future in nursing. Let us help you get started!

Nursing pathways: It’s a matter of choice

Each nurse licensure has its own set of responsibilities and opportunities.

Licensed practical nurse (LPN) or licensed vocational nurse (LVN): LPNs and LVNs care for patients under the guidance of RNs and physicians. They administer medications, monitor patients' vital signs, and assist with patients' personal care. They often work in hospitals, long-term care facilities, and home health agencies. LPNs and LVNs often further their education to become RNs, which can open more career opportunities.

Registered nurse (RN): RNs provide and coordinate patient care, educate patients and the public about various health conditions, and offer advice and emotional support to patients and their families. They can work in hospitals, physician's offices, clinics, and home health agencies, to name just a few settings. With a bachelor of science in nursing or a higher degree, RNs can aim for leadership roles, advanced practice positions, or specialize in specific areas of nursing.

Advanced Practice Registered Nurses (APRNs): APRNs are highly skilled and educated healthcare professionals with advanced nursing degrees. They’re can diagnose and treat illnesses, prescribe medications, and manage patient care. APRNs often specialize in specific areas of healthcare, such as family medicine, pediatrics, or mental health. With their advanced training and expertise, APRNs can provide a high level of care, making them an essential part of the healthcare system.

Start your journey with a destination in mind 

Step 1: Earn a nursing degree 

The first step in starting a career as a nurse is to earn a nursing degree or certificate. Choose from several different educational pathways, including earning a LPN/LVN certificate, a nursing diploma from an accredited nursing program, an associate degree in nursing (ADN), or a bachelor of science in nursing (BSN). Each educational pathway prepares you for entry-level nursing positions, but the higher the level of education you attain the more opportunities you'll have for career advancement. For instance, a master's degree in nursing (MSN) is a popular next step for RNs with BSNs who aspire to become advanced practice nurses. 

Step 2: Get licensed

After completing a nursing program, graduates must pass the National Council Licensure Examination (NCLEX) to become licensed as a nurse. The exam is available in two formats, the NCLEX-RN for RNs and the NCLEX-PN for LPNs and LVNs. Licensing requirements vary by state, so it’s important to research the specific requirements for the state in which you plan to practice. APRNs are required to complete a certification exam. 

Step 3: Pursue job opportunities

Licensed nurses can explore different job opportunities in any setting they choose. RNs can also specialize in areas like pediatrics, oncology, or mental health depending on their interests and career goals.

Plot a new destination

Once nurses have some experience under their belts, they can decide to further their education and training to advance their careers. This could mean earning a master's or doctoral degree in nursing to prepare for leadership roles, research or teaching positions, or advanced practice roles.

APRN positions include:

Clinical nurse specialists (CNSs): CNSs specialize in a specific area of healthcare, such as oncology, critical care, or mental health. They offer advanced clinical expertise, educational support, consultation, research, and leadership in their field.

Certified registered nurse anesthetists (CRNAs): CRNAs administer anesthesia and care for patients before, during, and after surgical procedures. They collaborate with surgeons, anesthesiologists, and other healthcare professionals to ensure the safety and comfort of patients during medical procedures.

Certified nurse midwives (CNMs): Nurse midwives are advanced practice nurses who support patients during pregnancy, childbirth, and the postpartum period. They can also offer family planning services and primary healthcare.

The nursing field provides diverse career paths and opportunities for individuals at all life stages. With commitment, perseverance, and a focus on patient well-being, nursing offers limitless potential for a fulfilling career.

Whether you're actively seeking a new role or assessing your next steps, explore Nurse.com's talent marketplace to help match your experience and skills to the best-fitting role.