Incredible Health Staff

Have you ever stopped to think about how much your vocabulary has expanded since the time you decided to become a nurse? Symptoms and conditions alone lift the number into the thousands, and then you add on interventions and acronyms, drugs and their interactions, tests and procedures and the vocabulary associated with specialty areas and you’ve probably acquired well over 50,000 terms, and still adding new ones every day.

The one area where your education may have fallen short is in the vast array of descriptions and terminology you’ll find throughout your search for a new nursing position. Below, we’ve put together a helpful glossary to refer to anytime during your job search.

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Contract Role

A job that is described as a contract role is a temporary position in a specific area, department, or for a specific project for a defined period. A contract role can last for a few weeks to cover another employee’s vacation or short-term disability or it can be longer, but notably has an established start and end date. A contract nursing position will have predictable duties and responsibilities and will usually be paid on a salaried basis, though pay may be hourly. Some contract roles will also be offered with benefits. 

A nurse who performs well in a contract role may be offered the opportunity to renew the contract either for the same position or for a different project or position. Contract roles can be offered by hospitals, long-term care facilities, clinics, and specialty centers as well as by travel nursing agencies. This type of role allows you to tailor your work schedule to your personal life and availability. 

Flex

A nursing job offered as a flex is usually either part-time or per diem, with varied schedules and hours and offering a high degree of control for the employee. They are frequently temporary or short-term, with no long-term commitment from either the employer or the nurse, and are frequently offered by hospitals, clinics, or other healthcare facilities as well as by staffing agencies to cover temporary shortages or specific projects. Nurses who work in flex positions will generally need to be able to adapt to different settings and work environments, as assignments can change. In some cases, a flex position will involve travel within the hospital system. 

Flex positions are a great way to supplement your income in a way that doesn’t tie you to any one facility or schedule.

Internal Float

Nurses hired for internal float positions work in a single healthcare facility and are temporarily assigned to the units or departments where they are most needed. Hospitals hire nurses for internal float positions because they can be certain of the skill level and quality of care that will be provided in the face of staffing shortages, vacation and sick coverage, and surges in patient volume. 

Nurses who work as internal floats will need to use a variety of skills depending upon the department they rotate through, so being adaptable is as important as having diverse abilities. These positions are a great opportunity to sharpen your skills, build experience, and assess your preference for different specialty areas.

Internal Registry

Hospitals hire nurses for internal registry positions to cover shifts for permanent staff members who are absent due to illness, vacation, or personal leave. The ‘internal’ part of the job description is an indication that the employer is the healthcare facility rather than an agency. These positions are temporary or per diem, and generally do not guarantee a specific number of hours per week. Notably, a nurse hired for an internal registry position may be asked to work in different departments or units, so it is important to be adaptable and ready to deploy diverse skills with different teams. 

Nurses who take on internal registry positions have the opportunity to gain experience in different specialty areas.

Internal Travel

Internal travel nursing positions are offered on a temporary or per diem position. Like internal registry positions, nurses are asked to cover shifts for absent staff members for a particular facility rather than for an agency, but internal travel nurses’ duties specifically have them being assigned to departments, or even different facilities within the same organization, and therefore they must be able to quickly familiarize themselves with the routines, procedures, and equipment of different units.

Locum

A job described as a locum nursing position is a temporary assignment at a specific healthcare facility. The nurse is usually hired to hold the place of or fill in for staff members absent due to vacation, illness, or maternity leave. The assignments are short-term and can last anywhere from a few days to several months, depending upon the facility’s needs.

Locum nurses can be hired by hospitals, long-term care facilities, and other healthcare organizations. They can work as independent contractors or they can sign on for an agency. Locum positions require significant adaptability because nurses can be assigned to a range of departments or units, and offer the advantage of variety and flexibility.

Per Diem

Hospitals and other healthcare facilities hire per diem nurses to work on an as-needed basis to address staff shortages, special projects, or high patient volumes. Nurses who take these positions are paid hourly and usually do not receive benefits. Though the positions do not have a pre-determined schedule or guaranteed number of hours, nurses hired per diem are generally able to indicate the hours when they are available. 

Per diem positions offer great flexibility and the chance to earn additional income. They also offer the ability to establish valuable connections within a healthcare organization that can be leveraged for future career opportunities.

Another term sometimes used in place of per diem is Casual Contingent.

Permanent

Permanent nursing positions are ongoing and stable. Whether hired for a full-time or part-time position, a nurse who accepts a permanent position can anticipate working for the organization indefinitely, with no end date to their employment contract. The positions generally come with a guaranteed number of hours, though the individual’s schedule may vary depending on the facility. Pay may be hourly or salaried, and full-time permanent employees generally receive benefits. and schedule. 

Working as a permanent employee is a long-term commitment that comes with the advantage of becoming established as part of a team. Nurses who work in permanent positions optimize their opportunities for professional development and advancement into leadership positions.

Registry

A nursing job described as a registry position can be either a temporary or per diem role, either for a healthcare facility (in which case it can be referred to as an internal registry position) or with a staffing agency. No matter whether the employer is an agency or a healthcare organization, the role is generally short-term with no long-term commitment. 

Registry nurse positions are similar to per diem positions: Nurses can usually indicate their availability and are used to cover for staff nurses who are out on sick leave or vacation. There is no guarantee of the number of hours or schedule, but have the benefit of offering flexibility, diverse work settings and experience, and the ability to expand your professional network.

Staff

Nursing positions classified as ‘staff’ are the same as permanent positions. They represent a commitment from both the nurse and the healthcare organization with no end date. Whether full-time or part-time, staff positions have a set number of hours working for a specific department and a specific role within the facility. Salary is agreed to and benefits are generally provided. A nurse in a staff position has a higher level of stability and job security and will be able to work as a permanent member of a team, establishing relationships with colleagues and taking advantage of professional development and career advancement opportunities.

Strike

Strike nurse positions are emergency staffing positions offered by healthcare facilities to temporarily fill nursing roles usually held by staff members who are out on strike. These short-term replacement positions only last for the duration of a strike, but are essential to the continuity of patient care and the continued operation of a healthcare facility. Nurses who take on strike nurse responsibilities should be nimble and adaptable so that they can take on diverse responsibilities. They also need to be aware that they may be asked to cross a picket line or be confronted by striking nurses. 

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Nurse Types / Pediatric Nurse Practitioner

Pediatric nurse practitioners (PNPs) care for children through every stage of their youth, from newborns to young adults.

In this article we will explore what pediatric nurse practitioners do, and what it takes to become one.

What do pediatric nurse practitioners do?

Pediatric Nurse Practitioners are indispensable members of healthcare teams, chiefly employed in clinics, physician’s offices, and children’s hospitals. Their primary mission is to uphold and enhance child health through preventive measures, timely medical intervention, and educational outreach to families. As adept clinicians, they undertake a variety of responsibilities including:

• Conducting developmental assessments to monitor growth and maturation
• Performing routine wellness checks and school physicals
• Prescribing necessary medications under a defined scope of practice
• Addressing common childhood ailments and injuries with evidence-based treatments
• Ensuring immunization compliance by keeping accurate records
• And administering vital immunizations, although this task is commonly handled by nurses

In many U.S. states, pediatric nurse practitioners enjoy full practice authority. This means they are not required to work under the supervision of a doctor.

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Why do we need pediatric nurse practitioners?

With healthcare costs continuing to rise in the U.S., pediatric nurse practitioners help lower the cost of healthcare and ensure accessibility. They also help fill the gap with the ongoing primary care physician shortage in the U.S. The Association of American Medical Colleges predicts by 2033, the U.S. will face a shortage of between 54,100 and 139,000 physicians.

In many U.S. states, pediatric nurse practitioners enjoy full practice authority. This means they are not required to work under the supervision of a doctor. In these states, PNPs can diagnose and treat patients as well as perform the same procedures as primary care physicians. This makes them an asset to any pediatric care team and the broader community.

What is the process for becoming a pediatric nurse practitioner?

Becoming a nurse practitioner requires achieving a high level of education, certification, and experience. Below is a simplified roadmap of the steps you need to take to work as a pediatric nurse practitioner:

Step 1. Earn a Bachelor of Science in Nursing (BSN)

BSN programs are four-year undergraduate programs that prepare students for the nursing profession. These programs teach students a wide range of topics, including anatomy, physiology, nutrition, pharmacology, and nursing skills. BSN programs emphasize critical thinking, problem-solving, communication skills, and also include clinical rotations, which allow students to gain hands-on experience in a variety of healthcare settings.

Step 2. Become a licensed Registered Nurse (RN)

To become a licensed RN, students must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN). After passing the NCLEX-RN, students can apply for licensure in the state where they plan to work.

Step 3. Gain experience as an RN, preferably in a pediatric care setting

Most NP programs require applicants to have at least one year of experience as an RN, preferably in a pediatric care setting if you hope to work as a pediatric nurse practitioner. This experience gives students the opportunity to develop their nursing skills and knowledge, and to learn about the specific needs of pediatric patients.

Step 4. Complete a Master of Science in Nursing (MSN) program

MSN and DNP programs in pediatric nurse practitioner studies typically take two to four years to complete. These programs teach students advanced nursing skills and knowledge, and prepare them to provide primary and specialty care to pediatric patients.

Step 5. Earn certification

To become a certified pediatric nurse practitioner, students must pass an exam administered by the Pediatric Nursing Certification Board (PNCB). Certification demonstrates that a nurse practitioner has met the highest standards of education and practice in pediatric nursing.

The PNCB offers two specialty certifications. Nurses can apply to earn one or both:

• Certified Pediatric Nurse Practitioner – Primary Care (CPNP-PC): This certification option is suited to PNPs who plan to focus on providing preventative and ongoing healthcare services to infants, children, adolescents, and young adults through age 21.
• Certified Pediatric Nurse Practitioner – Acute Care (CPNP-AC): PNPs who wish to concentrate on providing acute care to infants, children, adolescents, and young adults through age 21 should seek this certification. Most PNPs who apply for this certification work in emergency rooms, hospitals, surgical units, and specialty care clinics.

What is the career outlook for pediatric nurse practitioners?

As with other nurse practitioner specialties, the demand for PNPs is expected to increase by 40% from 2021 to 2031. The U.S. Bureau of Labor Statistics (BLS) expects nurse practitioner positions to grow at a pace much faster than the average for other professions during the same period.

As of May 2021, the average salary for a nurse practitioner in the United States is $118,040, making them among the healthcare professions with the highest earning potential.