Intensive care unit nurses (also called critical care nurses) work with patients who have life-threatening injuries or medical conditions, or who are at risk for or are experiencing serious health complications from an underlying medical condition or injury. ICU nurses are different from ER nurses in that they work with patients on an ongoing basis after the immediate medical crisis that brought them to the hospital has been treated.
ICU nurses must be registered nurses first, which requires getting a nursing degree and passing a licensing exam. There is no separate degree needed to work in critical care, but you do have to have at least a couple years' experience working as a general nurse before you can do critical care.
There are many specializations within the specialization of critical care nursing. You can work only with adults, or even more specifically, with elderly patients. Or you can become a psychiatric ICU nurse. The Mayo Clinic in Rochester, Minn., has 10 intensive care units: medical, surgical, cardiovascular, organ transplant, neurology, surgical trauma, neonatology, pediatrics and thoracic vascular.
After two or more years of experience working as an ICU nurse, you can earn certification by successfully taking the Critical Care Registered Nurse certification examination. This step is not mandatory, but it does demonstrate to employers that you have a measurable level of experience, competence and specialized knowledge in the field.
According to the American Association of Critical Care Nurses, the nursing shortage for the career as a whole is "especially acute" for specialized nurses in intensive care units. As a result of this, medical employers are willing to offer financial incentives, such as relocation bonuses, beyond the base salary to attract qualified nursing staff. A Bureau of Labor Statistics survey conducted in 2011 and cited by Villanova University showed a salary range from just under $45,000 for the lowest-earning registered nurses to more than $96,500 for nurses with the highest levels of education and experience, or those who work in specialized areas.
- Jacksonville University: ICU Staff RN
- Nurse Source: Critical-Care Nurse
- Nurse Without Borders: Becoming a Critical Care Nurse
- Nursing 2013: Are You Ready To Move Into Critical Care?
- American Association of Critical-Care Nurses: About Critical Care Nursing
- Villanova University: Nursing Careers: Critical Care Nurse
- Bureau of Labor Statistics: Occupational Outlook Handbook
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