Career Paths in Nursing
Nurses today have many choices of how and where they want to practice.
So, you plan on making your career in nursing. Well, you need to think about it long and hard. Although nursing seems like a simple enough decision, the span of the profession is quite wide in today’s society. A nurse can range from an LPN in a hospital setting that seems more like an aide than a nurse to an Advanced Practice Nurse Practitioner who will seem more like a doctor.
Nurses do patient care, but they also work as administrators in hospitals, public health, and long-term-care facilities. Nursing can also lead to a career path that ends as a teacher of future nurses.
Many nurses today start out as traditional nurses doing patient care and passing out medications. Because of the opportunities for growth and advancement in many areas of nursing, most nurses continue their education throughout much of their career and move into areas that are a little removed from direct care. Nurses can become more involved with the management and paperwork end of the job.
Some nurses are drawn toward the obstetrics side of the field. In this area, you can be involved with labor and delivery even to the point of becoming a licensed midwife. Other nurses choose to move more toward the after-delivery care of the newborns in either the nursery or the Neo-natal Intensive Care Unit. Both of these areas are extremely rewarding and can be quite competitive to gain entry into them.
Long-term care is another field that draws many nurses. They find that they enjoy the daily interaction with the residents over longer periods of time. This allows relationships to build. These facilities when ran correctly can seem more like large extended families than health care facilities. The drawback to this field is that these residents are often elderly and each year some die within the facility. It takes a special person to be able to feel like they have succeeded if when a resident dies, the nurse can take comfort that the care they helped give made someone’s life better than it might have been during the final few years.
Intensive care is the field for nurses who want to stay on the leading edge of where medical science works. In these units, many patients receive state-of-the-art care with highly sophisticated equipment. It is generally fast paced and mentally challenging. The rewards come when you realize that because of your work, someone received a chance at life that may not have otherwise.
Nurses who work in the psychological field must be prepared to deal with personalities that range from catatonic to dangerous. Learning how to deal with the diversity in this field is the greatest challenge. Many nurses find this to be the best field to work with once they adapt to the various moods and personality disorders that are encountered daily.
A nurse who desires to move up the ladder can choose to return to school and become a Nurse Practitioner. There are many areas of practice that fall under this umbrella. You can specialize in family practice, ob/gyn, psychological nursing, or a host of other areas. The advantage of this advanced practice license is that you function much like a physician. Nurse practitioners in most places have to be monitored by a licensed physician. They still have a wide range of things that can be done. In this field, you can write most prescriptions, diagnose illness, and even do minor surgeries all without being directly supervised by a doctor. Many states are looking into allowing nurse practitioners to be able to establish their own independent practice.
With masters degrees and doctorates, nurses become masters of their domain. Many run institutions that employ nurses and doctors. They can teach the next generation of nurses based on their wide experience and expertise. The nursing field is extremely wide open to innovation. A good nurse can name his or her price, pick a field of specialty, and find work almost anywhere or anytime.
Liked it


M J Katz | Oct 9, 2008 | Reply
Maybe there are hospitals that use LPNs more in the capacity of an aide than of a nurse but I feel your limited observation implies that the training which an LPN has received is only a little more advanced than what the Certified Nursing Assistant receives. Besides hospitals, there are medical clinics, rehabilitation centers, detox units, geriatric centers, mental health centers, and doctors’ offices which all utilize the full capacity of an LPN’s training as a Nurse. The RN’s schooling is longer while the LPN’s is much more compressed but please bear in mind that the LPN must learn the same things that are taught to an RN while also being told that, legally, He/she will not be able to use some of this knowledge in every state. In one state the LPN can do ‘A’ and ‘B’ but not ‘C’ while in another state the LPN can do ‘B’ and ‘C’ but not ‘A’. And there are states in which the LPN can not do any of them…but the knowledge has to be there, still. I’m sorry that your article did not delve deeper into the merits and value of starting a nursing career as an LPN because many times this is the most inexpensive venue in which to enter this field. The next time I am taking care of a vent patient, changing a G-Tube, inserting and maintaining IVs and Hep Locks, reading and monitoring cardiac rhythms, assisting the physician with obtaining bone marrow for transplants, monitoring patients for s/sx’s of drug interaction or the start of infection, changing sterile dressings on a burn victim, suctioning out/changing a trach, and maintaining the smooth running of an acute or chronic medical unit as a Charge Nurse/Per Diem Evening Supervisor in accordance with Policy and Law, I will remember that, to some, I am ‘more like an aide’. By the way…don’t put the CNA down. Many patients would die or a center would go out of business if we didn’t have so many wonderful, competent, and SMART CNAs working with us. But I’ll save that for another time.