Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required. Includes advance practice nurses such as: nurse practitioners, clinical nurse specialists, certified nurse midwives, and certified registered nurse anesthetists. Advanced practice nursing is practiced by RNs who have specialized formal, post-basic education and who function in highly autonomous and specialized roles.
Monitor, record and report symptoms and changes in patients' conditions.
Record patients' medical information and vital signs.
Modify patient treatment plans as indicated by patients' responses and conditions.
Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.
Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition.
Monitor all aspects of patient care, including diet and physical activity.
Direct and supervise less skilled nursing or health care personnel or supervise a particular unit.
Prepare patients for, and assist with, examinations and treatments.
Observe nurses and visit patients to ensure proper nursing care.
Assess the needs of individuals, families or communities, including assessment of individuals' home or work environments to identify potential health or safety problems.
Instruct individuals, families and other groups on topics such as health education, disease prevention and childbirth, and develop health improvement programs.
Prepare rooms, sterile instruments, equipment and supplies, and ensure that stock of supplies is maintained.
Inform physician of patient's condition during anesthesia.
Deliver infants and provide prenatal and postpartum care and treatment under obstetrician's supervision.
Administer local, inhalation, intravenous, and other anesthetics.
Provide health care, first aid, immunizations and assistance in convalescence and rehabilitation in locations such as schools, hospitals, and industry.
Perform physical examinations, make tentative diagnoses, and treat patients en route to hospitals or at disaster site triage centers.
Conduct specified laboratory tests.
Hand items to surgeons during operations.
Prescribe or recommend drugs, medical devices or other forms of treatment, such as physical therapy, inhalation therapy, or related therapeutic procedures.
Direct and coordinate infection control programs, advising and consulting with specified personnel about necessary precautions.
Perform administrative and managerial functions, such as taking responsibility for a unit's staff, budget, planning, and long-range goals.
Provide or arrange for training or instruction of auxiliary personnel or students.
Refer students or patients to specialized health resources or community agencies furnishing assistance.
Consult with institutions or associations regarding issues and concerns relevant to the practice and profession of nursing.
Work with individuals, groups, and families to plan and implement programs designed to improve the overall health of communities.
Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Medicine and Dentistry - Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
Medicine and Dentistry - Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Therapy and Counseling - Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Education and Training - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
Biology - Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Sociology and Anthropology - Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
Nurse-midwives must graduate from a four-year university program in nursing with a bachelor's degree (BSN), or obtain an associate's degree in nursing and pass the examination to become a registered nurse (RN). After successful completion of an accredited nursing program, registered nurses must enroll in a three-year program that provides all the essential elements of midwifery. Courses in the curriculum include professional responsibilities, ethics, management, childbearing, nutritional assessment, anatomy/physiology of conception, pregnancy, and lactation.
The Tennessee Board of Nursing is authorized to issue an advanced practice nurse (A.P.N.) certificate of fitness to nurse practitioners, nurse anesthetists, nurse-midwives, and clinical nurse specialists. Qualifications include current registered nurse licensure, a master's degree in a nursing clinical specialty area, three (3) quarter hours of pharmacology, national certification, and evidence of specialized practitioner skills. For additional information on educational preparation for this occupation, visit the
American College of Nurse-Midwives online. For related information and recommended courses to prepare for this occupation, Tennessee high school students may visit the Health Science Education Curriculum Standards online.
Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Time Management - Managing one's own time and the time of others.
Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
Coordination - Adjusting actions in relation to others' actions.
Service Orientation - Actively looking for ways to help people.
Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
Instructing - Teaching others how to do something.
Speaking - Talking to others to convey information effectively.
Writing - Communicating effectively in writing as appropriate for the needs of the audience.
Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
Oral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.
Oral Expression - The ability to communicate information and ideas in speaking so others will understand.
Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.
Written Comprehension - The ability to read and understand information and ideas presented in writing.
Written Expression - The ability to communicate information and ideas in writing so others will understand.
Near Vision - The ability to see details at close range (within a few feet of the observer).
Information Ordering - The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
Flexibility of Closure - The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
Speech Recognition - The ability to identify and understand the speech of another person.
Assisting and Caring for Others - Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
Updating and Using Relevant Knowledge - Keeping up-to-date technically and applying new knowledge to your job.
Identifying Objects, Actions, and Events - Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
Monitor Processes, Materials, or Surroundings - Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
Documenting/Recording Information - Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
Establishing and Maintaining Interpersonal Relationships - Developing constructive and cooperative working relationships with others, and maintaining them over time.
Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish your work.
Making Decisions and Solving Problems - Analyzing information and evaluating results to choose the best solution and solve problems.
Performing for or Working Directly with the Public - Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
Getting Information - Observing, receiving, and otherwise obtaining information from all relevant sources.
Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
Social - Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.
Investigative - Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.
Integrity - Job requires being honest and ethical.
Dependability - Job requires being reliable, responsible, and dependable, and fulfilling obligations.
Self Control - Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
Concern for Others - Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
Cooperation - Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
Adaptability/Flexibility - Job requires being open to change (positive or negative) and to considerable variety in the workplace.
Attention to Detail - Job requires being careful about detail and thorough in completing work tasks.
Stress Tolerance - Job requires accepting criticism and dealing calmly and effectively with high stress situations.
Initiative - Job requires a willingness to take on responsibilities and challenges.
Independence - Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
Social Orientation - Job requires preferring to work with others rather than alone, and being personally connected with others on the job.
Analytical Thinking - Job requires analyzing information and using logic to address work-related issues and problems.
Achievement/Effort - Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
Leadership - Job requires a willingness to lead, take charge, and offer opinions and direction.
Persistence - Job requires persistence in the face of obstacles.
Innovation - Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.
Social Service - Workers on this job have work where they do things for other people.
Co-workers - Workers on this job have co-workers who are easy to get along with.
Achievement-Mean Extent - Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.
Ability Utilization - Workers on this job make use of their individual abilities.
Achievement - Workers on this job get a feeling of accomplishment.
Activity - Workers on this job are busy all the time.
Relationships-Mean Extent - Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
Security - Workers on this job have steady employment.
Social Status - Workers on this job are looked up to by others in their company and their community.
Variety - Workers on this job have something different to do every day.
Authority - Workers on this job give directions and instructions to others.
Moral Values - Workers on this job are never pressured to do things that go against their sense of right and wrong.
Compensation - Workers on this job are paid well in comparison with other workers.
Responsibility - Workers on this job make decisions on their own.
Working Conditions-Mean Extent - Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.
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