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Acute Care Nurses

Provide advanced nursing care for patients with acute conditions such as heart attacks, respiratory distress syndrome, or shock. May care for pre- and post-operative patients or perform advanced, invasive diagnostic or therapeutic procedures.
  • Summary

  • Details

  • Work Activities

    • Distinguish between normal and abnormal developmental and age-related physiological and behavioral changes in acute, critical, and chronic illness.
    • Prescribe medications and observe patients' reactions, modifying prescriptions as needed.
    • Administer blood and blood product transfusions or intravenous infusions, monitoring patients for adverse reactions.
    • Collaborate with members of multidisciplinary health care teams to plan, manage, or assess patient treatments.
    • Assess the needs of patients' family members or caregivers.
    • Treat wounds or superficial lacerations.
    • Provide formal and informal education to other staff members.
    • Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in acute care.
    • Order, perform, or interpret the results of diagnostic tests and screening procedures based on assessment results, differential diagnoses, and knowledge about age, gender and health status of clients.
    • Prescribe medications and observe patients' reactions, modifying prescriptions as needed.
    • Adjust settings on patients' assistive devices, such as temporary pacemakers.
    • Refer patients for specialty consultations or treatments.
    • Diagnose acute or chronic conditions that could result in rapid physiological deterioration or life-threatening instability.
    • Collaborate with patients to plan for future health care needs or to coordinate transitions and referrals.
    • Discuss illnesses and treatments with patients and family members.
    • Assess the impact of illnesses or injuries on patients' health, function, growth, development, nutrition, sleep, rest, quality of life, or family, social and educational relationships.
    • Analyze the indications, contraindications, risk complications, and cost-benefit tradeoffs of therapeutic interventions.
    • Participate in the development of practice protocols.
    • Order, perform, or interpret the results of diagnostic tests and screening procedures based on assessment results, differential diagnoses, and knowledge about age, gender and health status of clients.
    • Perform emergency medical procedures, such as basic cardiac life support (BLS), advanced cardiac life support (ACLS), and other condition-stabilizing interventions.
    • Assess urgent and emergent health conditions, using both physiologically and technologically derived data.
    • Set up, operate, or monitor invasive equipment and devices, such as colostomy or tracheotomy equipment, mechanical ventilators, catheters, gastrointestinal tubes, and central lines.
    • Document data related to patients' care, including assessment results, interventions, medications, patient responses, or treatment changes.
    • Interpret information obtained from electrocardiograms (EKGs) or radiographs (x-rays).
    • Perform administrative duties that facilitate admission, transfer, or discharge of patients.
    • Obtain specimens or samples for laboratory work.
    • Manage patients' pain relief and sedation by providing pharmacologic and non-pharmacologic interventions, monitoring patients' responses, and changing care plans accordingly.
    • Participate in patients' care meetings and conferences.
    • Assist patients in organizing their health care system activities.
    • Set up, operate, or monitor invasive equipment and devices, such as colostomy or tracheotomy equipment, mechanical ventilators, catheters, gastrointestinal tubes, and central lines.
    • Administer blood and blood product transfusions or intravenous infusions, monitoring patients for adverse reactions.
    • Manage patients' pain relief and sedation by providing pharmacologic and non-pharmacologic interventions, monitoring patients' responses, and changing care plans accordingly.

    Skills

    • Troubleshooting
      • Figuring out what is causing equipment, machines, wiring, or computer programs to not work.
    • Management of Material Resources
      • Managing equipment and materials.
    • Operation and Control
      • Using equipment or systems.
    • Science
      • Using scientific rules and strategies to solve problems.
    • Monitoring
      • Keeping track of how well people and/or groups are doing in order to make improvements.
    • Social Perceptiveness
      • Understanding people's reactions.
    • Negotiation
      • Bringing people together to solve differences.
    • Writing
      • Writing things for co-workers or customers.
    • Speaking
      • Talking to others.
    • Time Management
      • Managing your time and the time of other people.
    • Management of Personnel Resources
      • Selecting and managing the best workers for a job.
    • Equipment Maintenance
      • Planning and doing the basic maintenance on equipment.
    • Repairing
      • Repairing machines or systems using the right tools.
    • Quality Control Analysis
      • Testing how well a product or service works.
    • Systems Evaluation
      • Measuring how well a system is working and how to improve it.
    • Equipment Selection
      • Deciding what kind of tools and equipment are needed to do a job.
    • Management of Financial Resources
      • Making spending decisions and keeping track of what is spent.
    • Programming
      • Writing computer programs.
    • Active Learning
      • Figuring out how to use new ideas or things.
    • Persuasion
      • Talking people into changing their minds or their behavior.
    • Systems Analysis
      • Figuring out how a system should work and how changes in the future will affect it.
    • Reading Comprehension
      • Reading work-related information.
    • Active Listening
      • Listening to others, not interrupting, and asking good questions.
    • Installation
      • Installing equipment, machines, wiring, or computer programs.
    • Operations Monitoring
      • Watching gauges, dials, or display screens to make sure a machine is working.
    • Mathematics
      • Using math to solve problems.
    • Operations Analysis
      • Figuring out what a product or service needs to be able to do.
    • Critical Thinking
      • Thinking about the pros and cons of different ways to solve a problem.
    • Learning Strategies
      • Using the best training or teaching strategies for learning new things.
    • Coordination
      • Changing what is done based on other people's actions.
    • Instructing
      • Teaching people how to do something.
    • Service Orientation
      • Looking for ways to help people.
    • Complex Problem Solving
      • Noticing a problem and figuring out the best way to solve it.
    • Judgment and Decision Making
      • Thinking about the pros and cons of different options and picking the best one.
    • Technology Design
      • Making equipment and technology useful for customers.

    Abilities

    • Perceptual Speed
      • Quickly comparing groups of letters, numbers, pictures, or other things.
    • Control Precision
      • Quickly changing the controls of a machine, car, truck or boat.
    • Mathematical Reasoning
      • Choosing the right type of math to solve a problem.
    • Stamina
      • Exercising for a long time without getting out of breath.
    • Dynamic Flexibility
      • Quickly and repeatedly bending, stretching, twisting, or reaching out with your body, arms, and/or legs.
    • Depth Perception
      • Deciding which thing is closer or farther away from you, or deciding how far away it is from you.
    • Trunk Strength
      • Using your lower back and stomach.
    • Visual Color Discrimination
      • Noticing the difference between colors, including shades and brightness.
    • Speech Recognition
      • Recognizing spoken words.
    • Oral Expression
      • Communicating by speaking.
    • Information Ordering
      • Ordering or arranging things.
    • Static Strength
      • Lifting, pushing, pulling, or carrying.
    • Gross Body Equilibrium
      • Keeping your balance or staying upright.
    • Peripheral Vision
      • Seeing something to your side when your are looking ahead.
    • Memorization
      • Remembering words, numbers, pictures, or steps.
    • Flexibility of Closure
      • Seeing hidden patterns.
    • Arm-Hand Steadiness
      • Keeping your arm or hand steady.
    • Number Facility
      • Adding, subtracting, multiplying, or dividing.
    • Reaction Time
      • Quickly moving your hand, finger, or foot based on a sound, light, picture or other command.
    • Problem Sensitivity
      • Noticing when problems happen.
    • Gross Body Coordination
      • Moving your arms, legs, and mid-section together while your whole body is moving.
    • Glare Sensitivity
      • Seeing something even if there is a glare or very bright light.
    • Deductive Reasoning
      • Using rules to solve problems.
    • Inductive Reasoning
      • Making general rules or coming up with answers from lots of detailed information.
    • Explosive Strength
      • Jumping, sprinting, or throwing something.
    • Finger Dexterity
      • Putting together small parts with your fingers.
    • Speech Clarity
      • Speaking clearly.
    • Originality
      • Creating new and original ideas.
    • Written Comprehension
      • Reading and understanding what is written.
    • Dynamic Strength
      • Exercising for a long time without your muscles getting tired.
    • Sound Localization
      • Noticing the direction that a sound came from.
    • Fluency of Ideas
      • Coming up with lots of ideas.
    • Extent Flexibility
      • Bending, stretching, twisting, or reaching with your body, arms, and/or legs.
    • Manual Dexterity
      • Holding or moving items with your hands.
    • Speed of Limb Movement
      • Quickly moving your arms and legs.
    • Near Vision
      • Seeing details up close.
    • Auditory Attention
      • Paying attention to one sound while there are other distracting sounds.
    • Selective Attention
      • Paying attention to something without being distracted.
    • Time Sharing
      • Doing two or more things at the same time.
    • Rate Control
      • Changing when and how fast you move based on how something else is moving.
    • Written Expression
      • Communicating by writing.
    • Night Vision
      • Seeing at night or under low light.
    • Category Flexibility
      • Grouping things in different ways.
    • Far Vision
      • Seeing details that are far away.
    • Hearing Sensitivity
      • Telling the difference between sounds.
    • Oral Comprehension
      • Listening and understanding what people say.
    • Wrist-Finger Speed
      • Making fast, simple, repeated movements of your fingers, hands, and wrists.
    • Response Orientation
      • Quickly deciding if you should move your hand, foot, or other body part.
    • Speed of Closure
      • Quickly knowing what you are looking at.
    • Spatial Orientation
      • Knowing where things are around you.
    • Visualization
      • Imagining how something will look after it is moved around or changed.
    • Multilimb Coordination
      • Using your arms and/or legs together while sitting, standing, or lying down.

    Knowledge

    • Administrative
      • Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.
    • Personnel and Human Resources
      • Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.
    • Geography
      • Knowledge of principles and methods for describing the features of land, sea, and air masses, including their physical characteristics, locations, interrelationships, and distribution of plant, animal, and human life.
    • Building and Construction
      • Knowledge of materials, methods, and the tools involved in the construction or repair of houses, buildings, or other structures such as highways and roads.
    • 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.
    • Philosophy and Theology
      • Knowledge of different philosophical systems and religions. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
    • Transportation
      • Knowledge of principles and methods for moving people or goods by air, rail, sea, or road, including the relative costs and benefits.
    • Design
      • Knowledge of design techniques, tools, and principles involved in production of precision technical plans, blueprints, drawings, and models.
    • 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.
    • History and Archeology
      • Knowledge of historical events and their causes, indicators, and effects on civilizations and cultures.
    • Food Production
      • Knowledge of techniques and equipment for planting, growing, and harvesting food products (both plant and animal) for consumption, including storage/handling techniques.
    • Engineering and Technology
      • Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.
    • Chemistry
      • Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.
    • 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.
    • Mechanical
      • Knowledge of machines and tools, including their designs, uses, repair, and maintenance.
    • Administration and Management
      • Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
    • Sales and Marketing
      • Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
    • 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.
    • Production and Processing
      • Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.
    • Computers and Electronics
      • Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
    • Biology
      • Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
    • Sociology and Anthropology
      • Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
    • Economics and Accounting
      • Knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.
    • Mathematics
      • Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
    • Fine Arts
      • Knowledge of the theory and techniques required to compose, produce, and perform works of music, dance, visual arts, drama, and sculpture.
    • 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, and rules of composition and grammar.
    • Foreign Language
      • Knowledge of the structure and content of a foreign (non-English) language including the meaning and spelling of words, rules of composition and grammar, and pronunciation.
    • Public Safety and Security
      • Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
    • Law and Government
      • Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
    • Telecommunications
      • Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.
    • Communications and Media
      • Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.
    • Physics
      • Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub-atomic structures and processes.

    Education

    Education
    Bachelor's degree
    Work Experience
    No work experience
    Training
    No on-the-job training

    Pay

    Washington Annual Salary
    112180/yr
    Washington Hourly Wage
    53.93/hr

    Washington Employment Trends

    Currently Employed
    69,180
    Yearly Projected Openings
    5150

    Personality

    Social: People interested in this work like activities that include helping people, teaching, and talking. They do well at jobs that need:
    • Integrity
    • Attention to Detail
    • Concern for Others
    • Self Control
    • Adaptability/Flexibility
    • Cooperation

    Tools

    • Acute care fetal or maternal monitoring units
    • Anesthesia nerve block kit or tray
    • Apnea monitors
    • Arterial blood gas monitors
    • Arterial line catheters
    • Autotransfusion units
    • Bedpans
    • Blood collection syringes
    • Blood pressure cuff kits
    • Breast pumps
    • Bronchoscopes
    • Cardiac output CO monitoring units
    • Cardiac pacemaker generators or cardiac resynchronization therapy pacemakers CRT-P
    • Cast cutters or saws
    • Cast or splint carts or stands
    • Central venous catheters
    • Clinical incubators or infant warmers
    • Clinical trapeze bars
    • Crutches
    • Desktop computers
    • Diagnostic or interventional vascular catheters for general use
    • Electrocardiography EKG transmitters or telemetry devices
    • Electrocardiography EKG units
    • Electronic blood pressure units
    • Electronic medical thermometers
    • Electrosurgical or electrocautery equipment
    • Emergency or resuscitation carts
    • End tidal carbon dioxide monitors
    • Endoscopic hemostatic balloons or needles or tubes or accessories
    • Endoscopic instrument sets
    • Endotracheal or tracheotomy sets
    • Endotracheal tubes
    • Enema kits
    • Enteral feeding infusion pump tubing sets
    • Eye charts or vision cards
    • Finger ring removers or cutters
    • Flow sensors or regulators or components
    • Glucose monitors or meters
    • Goggles
    • Gurneys or scissor lifts
    • Intermittent positive pressure breathing IPPB machines
    • Intracranial pressure ICP monitoring units
    • Intravenous infusion pumps for general use
    • Intravenous or arterial catheter trays
    • Intubation forceps
    • Intubator components
    • Laboratory graduated cylinders
    • Lancets
    • Manual resuscitators
    • Medical acoustic stethoscopes
    • Medical aspiration or irrigation syringes
    • Medical exam or non surgical procedure gloves
    • Medical nasal oxygen catheters or catheterization kits
    • Medical or surgical suction or vacuum appliances
    • Medical oxygen masks or parts
    • Medical radiological positioning aids for general radiological use
    • Medical staff isolation or cover gowns
    • Medical staplers for external use
    • Medical syringes with needle
    • Medical tuning forks
    • Medical ultrasound or doppler or echocardiograph transducer
    • Medical ultrasound or doppler or echocardiograph transducer accessories
    • Medication or pill dispensers
    • Microscope slides
    • Mobile medical services automated external defibrillators AED or hard paddles
    • Mobile medical services spine boards
    • Multiparameter vital sign units
    • Nasal exam specula or dilators
    • Nasogastric tubes
    • Nasopharyngeal tubes or airways
    • Nebulizers
    • Non invasive bi level machines
    • Notebook computers
    • Ophthalmic irrigation or aspiration supplies
    • Ophthalmic slit lamps
    • Ophthalmic tonometers
    • Ophthalmoscopes or otoscopes or scope sets
    • Orthopedic splint systems
    • Orthopedic traction hardware or weights
    • Ostomy appliances
    • Otological instruments
    • Oxygen concentrators
    • Patient care beds for specialty care
    • Patient floor scales
    • Patient shifting boards
    • Patient stabilization or fall prevention devices
    • Perfusion oxygen or hematocrit saturation monitors
    • Pericardiocentesis needles or kits
    • Pleural cavity drainage units or containers
    • Pulse oximeter units
    • Reflex hammers or mallets
    • Skin staple removers or kits
    • Specimen collection container
    • Spirometers
    • Surgical clamps or clips or forceps
    • Surgical drains or drain sets
    • Surgical irrigation sets
    • Surgical isolation or surgical masks
    • Surgical scalpels or knives or blades or trephines
    • Surgical scissors
    • Surgical shave kits or prep razors or clippers
    • Suture removal kits or trays or packs or sets
    • Suturing kits or trays or packs or sets
    • Tablet computers
    • Tablet crushers
    • Therapeutic heating or cooling blankets or drapes
    • Thoracentesis sets or trays
    • Tongue depressors or blades or sticks
    • Tourniquets
    • Transcutaneous electric nerve stimulation units
    • Ultraviolet UV lamps
    • Umbilical catheters
    • Urinalysis analyzers
    • Urinalysis test strips
    • Urinary catheterization kits
    • Vacuum blood collection tubes or containers
    • Vaginal exam speculas
    • Vascular or compression apparel or support
    • Walkers or rollators
    • Wheelchairs

    Technology

    • Data base user interface and query software
    • Electronic mail software
    • Enterprise resource planning ERP software
    • Medical software
    • Office suite software
    • Presentation software
    • Project management software
    • Spreadsheet software
    • Word processing software