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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

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

    Skills

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

    Abilities

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

    Knowledge

    • 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.
    • 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.
    • Mathematics
      • Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
    • Telecommunications
      • Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.
    • History and Archeology
      • Knowledge of historical events and their causes, indicators, and effects on civilizations and cultures.
    • 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.
    • 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.
    • 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.
    • English Language
      • Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
    • 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.
    • 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.
    • Food Production
      • Knowledge of techniques and equipment for planting, growing, and harvesting food products (both plant and animal) for consumption, including storage/handling techniques.
    • Production and Processing
      • Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.
    • Biology
      • Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
    • 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.
    • Law and Government
      • Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
    • 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.
    • 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.
    • 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.
    • 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.
    • Fine Arts
      • Knowledge of the theory and techniques required to compose, produce, and perform works of music, dance, visual arts, drama, and sculpture.
    • 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.
    • 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.
    • 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.
    • 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.
    • 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.
    • 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.
    • 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.
    • 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.
    • Computers and Electronics
      • Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
    • Mechanical
      • Knowledge of machines and tools, including their designs, uses, repair, and maintenance.

    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
    • Stress Tolerance
    • Attention to Detail
    • Dependability
    • Adaptability/Flexibility
    • Concern for Others

    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