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Nurse Practitioners

Nurse Practitioners

Overview
Job Zone Five: Extensive Preparation Needed
Experience

Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.

Education

Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).

Job Training

Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.

Examples

These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include pharmacists, lawyers, astronomers, biologists, clergy, neurologists, and veterinarians.

Diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. May order, perform, or interpret diagnostic tests such as lab work and x rays. May prescribe medication. Must be registered nurses who have specialized graduate education.

Salary Salary

Salary at 10th Percentile: $82K
Salary at 25th Percentile: $94K
Median Salary: $111K
Salary at 75th Percentile: $130K
Salary at 90th Percentile: $156K

Demand
Career Demand by State Career Demand by State Legend
Core Tasks

Maintain complete and detailed records of patients' health care plans and prognoses.

Develop treatment plans, based on scientific rationale, standards of care, and professional practice guidelines.

Analyze and interpret patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.

Provide patients with information needed to promote health, reduce risk factors, or prevent disease or disability.

Diagnose or treat complex, unstable, comorbid, episodic, or emergency conditions in collaboration with other health care providers as necessary.

Prescribe medication dosages, routes, and frequencies, based on such patient characteristics as age and gender.

Detect and respond to adverse drug reactions, with special attention to vulnerable populations such as infants, children, pregnant and lactating women, or older adults.

Diagnose or treat chronic health care problems, such as high blood pressure and diabetes.

Prescribe medications based on efficacy, safety, and cost as legally authorized.

Recommend diagnostic or therapeutic interventions with attention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy.

Diagnose or treat acute health care problems, such as illnesses, infections, or injuries.

Counsel patients about drug regimens and possible side effects or interactions with other substances, such as food supplements, over-the-counter (OTC) medications, or herbal remedies.

Order, perform, or interpret the results of diagnostic tests, such as complete blood counts (CBCs), electrocardiograms (EKGs), and radiographs (x-rays).

Educate patients about self-management of acute or chronic illnesses, tailoring instructions to patients' individual circumstances.

Consult with, or refer patients to, appropriate specialists when conditions exceed the scope of practice or expertise.

Maintain current knowledge of state legal regulations for nurse practitioner practice, including reimbursement of services.

Recommend interventions to modify behavior associated with health risks.

Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing.

Treat or refer patients for primary care conditions, such as headaches, hypertension, urinary tract infections, upper respiratory infections, and dermatological conditions.

Maintain departmental policies and procedures in areas such as safety and infection control.

Perform routine or annual physical examinations.

Schedule follow-up visits to monitor patients or evaluate health or illness care.

Advocate for accessible health care that minimizes environmental health risks.

Perform primary care procedures such as suturing, splinting, administering immunizations, taking cultures, and debriding wounds.

Provide patients or caregivers with assistance in locating health care resources.

Keep abreast of regulatory processes and payer systems, such as Medicare, Medicaid, managed care, and private sources.

Supervise or coordinate patient care or support staff activities.

Technology Skills
Technology
Example
Hot Technology
Data base user interface and query software
Microsoft Access
Electronic mail software
Microsoft Outlook
Internet browser software
Web browser software
Medical software
MEDITECH software
Office suite software
Microsoft Office
Presentation software
Microsoft PowerPoint
Project management software
Microsoft SharePoint
Spreadsheet software
Microsoft Excel
Word processing software
Microsoft Word
Tools Used
Tool
Example
Clinical nutrition
Nasogastric tubes
Communications Devices and Accessories
Multi-line telephone systems
Computer Equipment and Accessories
Personal digital assistants PDA
Emergency and field medical services products
Head immobilization devices
Independent living aids for the physically challenged
Crutches
Intravenous and arterial administration products
Arterial line catheters
Laboratory and scientific equipment
Microhematocrit centrifuges
Measuring and observing and testing instruments
Binocular light compound microscopes
Medical apparel and textiles
Protective gowns
Medical diagnostic imaging and nuclear medicine products
Doppler ultrasound equipment
Medical facility products
Crash carts
Orthopedic and prosthetic and sports medicine products
Upper extremity braces
Patient care and treatment products and supplies
Transcutaneous electric nerve stimulation TENS equipment
Patient exam and monitoring products
Holter monitors
Personal safety and protection
Safety goggles
Respiratory and anesthesia and resuscitation products
Arterial blood gas monitoring equipment
Surgical products
Carbon dioxide CO2 lasers
Wound care products
Surgical staple removers
Top 10 Knowledge Required
Medicine and Dentistry
97%
Importance

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.

English Language
86%
Importance

Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Biology
85%
Importance

Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.

Psychology
84%
Importance

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
83%
Importance

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
80%
Importance

Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.

Education and Training
76%
Importance

Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

Mathematics
73%
Importance

Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

Sociology and Anthropology
73%
Importance

Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.

Chemistry
64%
Importance

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.

Top 10 Skills
Active Listening
83%
Importance

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.

Complex Problem Solving
83%
Importance

Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Critical Thinking
83%
Importance

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Reading Comprehension
83%
Importance

Understanding written sentences and paragraphs in work related documents.

Active Learning
80%
Importance

Understanding the implications of new information for both current and future problem-solving and decision-making.

Judgment and Decision Making
80%
Importance

Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Monitoring
80%
Importance

Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Social Perceptiveness
80%
Importance

Being aware of others' reactions and understanding why they react as they do.

Speaking
80%
Importance

Talking to others to convey information effectively.

Writing
80%
Importance

Communicating effectively in writing as appropriate for the needs of the audience.

Top 10 Abilities
Inductive Reasoning
85%
Importance

The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

Problem Sensitivity
85%
Importance

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.

Written Comprehension
85%
Importance

The ability to read and understand information and ideas presented in writing.

Deductive Reasoning
83%
Importance

The ability to apply general rules to specific problems to produce answers that make sense.

Near Vision
83%
Importance

The ability to see details at close range (within a few feet of the observer).

Oral Expression
83%
Importance

The ability to communicate information and ideas in speaking so others will understand.

Written Expression
83%
Importance

The ability to communicate information and ideas in writing so others will understand.

Information Ordering
80%
Importance

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).

Oral Comprehension
80%
Importance

The ability to listen to and understand information and ideas presented through spoken words and sentences.

Speech Clarity
80%
Importance

The ability to speak clearly so others can understand you.

Top 10 Work Activities
Documenting/Recording Information
95%
Importance

Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.

Making Decisions and Solving Problems
93%
Importance

Analyzing information and evaluating results to choose the best solution and solve problems.

Getting Information
92%
Importance

Observing, receiving, and otherwise obtaining information from all relevant sources.

Assisting and Caring for Others
91%
Importance

Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.

Updating and Using Relevant Knowledge
89%
Importance

Keeping up-to-date technically and applying new knowledge to your job.

Identifying Objects, Actions, and Events
87%
Importance

Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.

Analyzing Data or Information
86%
Importance

Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.

Establishing and Maintaining Interpersonal Relationships
86%
Importance

Developing constructive and cooperative working relationships with others, and maintaining them over time.

Interpreting the Meaning of Information for Others
85%
Importance

Translating or explaining what information means and how it can be used.

Processing Information
85%
Importance

Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.

Detailed Work Activities

Record patient medical histories.

Develop medical treatment plans.

Communicate detailed medical information to patients or family members.

Analyze test data or images to inform diagnosis or treatment.

Diagnose medical conditions.

Treat medical emergencies.

Prescribe medications.

Treat chronic diseases or disorders.

Prescribe treatments or therapies.

Monitor patient conditions during treatments, procedures, or activities.

Treat acute illnesses, infections, or injuries.

Advise patients on effects of health conditions or treatments.

Operate diagnostic imaging equipment.

Order medical diagnostic or clinical tests.

Train patients, family members, or caregivers in techniques for managing disabilities or illnesses.

Maintain medical or professional knowledge.

Provide health and wellness advice to patients, program participants, or caregivers.

Collaborate with healthcare professionals to plan or provide treatment.

Refer patients to other healthcare practitioners or health resources.

Schedule patient procedures or appointments.

Examine patients to assess general physical condition.

Follow protocols or regulations for healthcare activities.

Immunize patients.

Apply bandages, dressings, or splints.

Advise patients on healthcare system processes.

Supervise patient care personnel.

Work Context
Face-to-Face Discussions

How often do you have to have face-to-face discussions with individuals or teams in this job?

Telephone

How often do you have telephone conversations in this job?

Electronic Mail

How often do you use electronic mail in this job?

Exposed to Disease or Infections

How often does this job require exposure to disease/infections?

Freedom to Make Decisions

How much decision making freedom, without supervision, does the job offer?

Work With Work Group or Team

How important is it to work with others in a group or team in this job?

Contact With Others

How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it?

Frequency of Decision Making

How frequently is the worker required to make decisions that affect other people, the financial resources, and/or the image and reputation of the organization?

Importance of Being Exact or Accurate

How important is being very exact or highly accurate in performing this job?

Indoors, Environmentally Controlled

How often does this job require working indoors in environmentally controlled conditions?

Education
Majors
Major
Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Nurse Practitioner Residency/Fellowship Programs
Interests
Social
91%
Importance

Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.

Investigative
86%
Importance

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.

Realistic
62%
Importance

Realistic occupations frequently involve work activities that include practical, hands-on problems and solutions. They often deal with plants, animals, and real-world materials like wood, tools, and machinery. Many of the occupations require working outside, and do not involve a lot of paperwork or working closely with others.

Artistic
39%
Importance

Artistic occupations frequently involve working with forms, designs and patterns. They often require self-expression and the work can be done without following a clear set of rules.

Conventional
39%
Importance

Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.

Enterprising
34%
Importance

Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.

Top 10 Work Styles
Attention to Detail
97%
Importance

Job requires being careful about detail and thorough in completing work tasks.

Dependability
96%
Importance

Job requires being reliable, responsible, and dependable, and fulfilling obligations.

Integrity
96%
Importance

Job requires being honest and ethical.

Concern for Others
95%
Importance

Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.

Adaptability/Flexibility
91%
Importance

Job requires being open to change (positive or negative) and to considerable variety in the workplace.

Stress Tolerance
90%
Importance

Job requires accepting criticism and dealing calmly and effectively with high stress situations.

Cooperation
89%
Importance

Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.

Analytical Thinking
88%
Importance

Job requires analyzing information and using logic to address work-related issues and problems.

Self Control
88%
Importance

Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.

Achievement/Effort
86%
Importance

Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.

Work Values
Relationships
96%
Importance

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.

Achievement
81%
Importance

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.

Independence
81%
Importance

Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.

Support
81%
Importance

Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.

Working Conditions
79%
Importance

Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.

Recognition
72%
Importance

Occupations that satisfy this work value offer advancement, potential for leadership, and are often considered prestigious. Corresponding needs are Advancement, Authority, Recognition and Social Status.