My own summary of the tasks and expectations in the field of nursing.

Nursing is a profession focused on assisting individuals, families, and communities in attaining, maintaining, and recovering optimal health and functioning. Modern definitions of nursing define it as a science and an art that focuses on promoting quality of life as defined by persons and families, throughout their life experiences from birth to care at the end of life.

Registered nurses (RN) comprise the largest group of healthcare workers. Most RNs work directly with patients and their families. They are the primary point of contact between the patient and the world of health care, both at the bedside and in out-patient settings. RNs perform frequent patient evaluations, including monitoring and tracking vital signs, performing procedures such as IV placement, phlebotomy, and administering medications. Because the RN is much more regular contact with patients than are physicians, the RN is usually first to notice problems or raise concerns about patient progress.

RNs also develop the day-to-day nursing care plans both in hospital, and for care after discharge by families and visiting nurses.

While there is a national component to RN training (culminating in the NCLEX licensing exam), state laws determine the formal responsibilities of the RN. Nonetheless, because of the relatively broad nursing job description for RNs, the particular work enivironment determines what the daily routine is.

Just as you might think, large cities like New York, Los Angeles, and Chicago hold the top spots for the number of nursing jobs available. The larger cities also have higher salaries and better benefits for their nurses. The tradeoff is longer hours and more stress in large city nursing jobs versus the small community jobs where hours are usually better and the number of patients to serve is lower.

• Registered nurses constitute the largest health care occupation, with 2.5 million jobs.
• About 59 percent of jobs are in hospitals.
• The three major educational paths to registered nursing are a bachelor’s degree, an associate degree, and a diploma from an approved nursing program.
• Registered nurses are projected to generate about 587,000 new jobs over the 2006-16 period, one of the largest numbers among all occupations; overall job opportunities are expected to be excellent, but may vary by employment setting.