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Sophia Metrakos, RN

Average ER Nurse Salary

Jul 14 2022

Nurse Salaries / ER Nurse Salary

Emergency room nurses work at the frontlines of health care and treat patients who are in dire need of medical attention. However, not every ER patient is in critical condition. ER nurses can expect to have a lot of variety, seeing many different patients and conditions. 

While registered nurses overall in the United States receive $82,750 per year according to the United States Bureau of Labor and Statistics, ER nurses are among the highest-paid. According to data from Incredible Health, the average salary for ED/ER nurses is $91,071 which also translates to $43.78/hr. 

This hourly rate puts the average ER nurse salary at about 8% higher than a the average registered nurse’s median wage. Remember that this number is just the aggregate average salary and does not take into account nursing salaries that consider unit position, experience level, and other factors.


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Nursing positions are among the top in-demand jobs in the country, and experts project at least 6% between 2021 and 2031. Additionally, there is a shortage of professionals in the field. These primary factors contribute to higher ED/ER nursing sa laries and a strong outlook for the career path.

ER nurse salaries by state

ER nurse salaries vary by state since there is a different cost of living in every area. 

For example, you may earn a larger paycheck as a staff ER nurse in Hawaii because the cost of living is about 12% higher than the country’s average.

Conversely, ER nursees in Mississippi may earn less than ER nurses in other states because the cost of living is about 12% less than the country’s average.

The top five highest-paying cities for nurses, including ER nurses (without factoring in the cost of living) include the following:

StateSalaryCOL Adjusted SalaryLocal Estimates
California$124,000$106,529Get Local Estimate
Hawaii$106,530$89,296Get Local Estimate
Oregon$98,630$96,131Get Local Estimate
Alaska$97,230$92,512Get Local Estimate
Massachusetts$96,630$87,527Get Local Estimate

The top five highest-paying states for nurses, including ER nurses (adjusted for cost of living) are the following:

StateSalaryCOL Adjusted SalaryLocal Estimates
California$124,000$106,529Get Local Estimate
Oregon$98,630$96,131Get Local Estimate
Alaska$97,230$92,512Get Local Estimate
Nevada$97,230$92,146Get Local Estimate
Hawaii$106,530$89,296Get Local Estimate
ER nurse salaries – all states
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Washington
Wisconsin
West Virginia

Frequently asked questions about ER nurses

What is the difference between an ER nurse and an ICU nurse?

The skillset of ER and ICU nurses is similar since both need to know how to treat critical level patients. ER nurses are the initial nurse that will be seen when an emergency patient enters the hospital. If this patient is in critical condition, they’ll then be transferred to an ICU for further care. ER nurses may also see less critical patients who are simply treated and then discharged or transferred to less critical floors like med-surg. 

What is the average nurse-to-patient ratio for ER nurses?

ER nurses can typically expect a nurse-to-patient ratio of 1:3 or 1:4 but this can vary depending on the hospital and staffing conditions. 

Are there any additional recommended certifications to have?

BLS and ACLS certification are required by most emergency departments but certification requirements vary by hospital. Some may also require PALS, CEN, or TCRN certifications. 


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Top ER nurse jobs on Incredible Health

  • 🏥 Emergency Charge Nurse

    Clearlake, CA | $62,000 to $118,000 /year

  • 🏥 Nurse Manager – Emergency Department

    Zachary, LA | $56,000 to $88,000 /year

  • 🏥 Registered Nurse – Emergency Department

    Gresham, OR |

  • 🏥 Registered Nurse – Emergency Department

    Boulder, CO | $67,000 to $104,000 /year

  • 🏥 Registered Nurse – Emergency Department

    Goldsboro, NC | $47,960 to $79,360 /year

Sources

  • “Registered Nurses: Occupational Outlook Handbook.” bls.gov. Accessed July 6, 2022.
  • “Average Rent by State 2022.” worldpopulationreview.com. Accessed July 6, 2022. 
  • “AACN Fact Sheet – Nursing Shortage.” aacnnursing.org. Accessed July 6, 2022. 
Written by Sophia Metrakos, RN

Sophia is a copywriter and registered nurse. Her writing experience spans across a variety of topics including healthcare, wellness, and parenting. She has experience caring for renal and oncology patients. She graduated from the University of North Florida with a Bachelor’s in Nursing in 2019.

Read more from Sophia

Positives of Nursing

May 27 2022

Nursing is an incredibly competitive field of work – and for good reason. Nurses may face a laundry list of work-related challenges but they also get to enjoy plenty of positives of nursing as welll. 

Many nurses feel underappreciated, overworked, and even burnt out. They say, “if it’s worth it, it won’t be easy.” 

This article will cover some reasons why becoming a nurse is entirely worth the challenges it brings with it including:

  • Making a difference in the lives of others
  • You can work anywhere
  • The ability to move up and change roles
  • Continuing education

You make a difference!

One of the most common reasons people pursue a job as a nurse is to make a difference in the lives of others – I know that was my motivation. 

I never thought I had it in me to be a nurse and couldn’t even wrap my head around why people chose this career route. It wasn’t until someone close to me was hospitalized and I visited her that it all clicked. 

Nurses and doctors make a major impact on so many lives, every single day. 

As a nurse, I’ve faced many challenging moments that left me feeling powerless. But all it took were those few impactful experiences to keep me going. 

Sometimes something as simple as washing a patient’s hair and combing it out meant the world to them. Being hospitalized can be challenging and upsetting, and nurses are essentially angels to so many people.

Nursing can go anywhere

Not only will you have a guaranteed job right out of school, but you can literally take your nursing job just about anywhere. There are nurses needed everywhere and you’re always able to switch jobs if and when you want to. 

You never have to worry about getting bored as a nurse because there will always be new opportunities awaiting. Nursing jobs can vary by specialty and job title.

As you gain more experience, you may try working on a different floor of the hospital or even move into a leadership role, such as management or education. 

Where can nurses practice?

The majority of states are compact states, meaning that nurses in the United States have the ability to move around quite a bit without even having to get a new license. Even if you don’t have a compact nursing license, license transfers are easy to do when moving to a new state. 

As a nurse, you can even work internationally. Plenty of countries accept nurses from the United States. However, you may be required to speak the native language or obtain a work visa beforehand. 

Volunteering as a nurse internationally is another impactful way to combine your passions for nursing and adventure. 

If you want to stay within the states, you still have plenty of options. You can consider less traditional workplace options such as being a school nurse, camp nurse, or even working on a cruise ship! 

When we say nurses are needed everywhere, we mean everywhere. Yes, many nurses work in hospitals but nurses are also employed in many other locations such as schools, summer camps, and even cruise ships. 

Nursing has a lot of upward mobility 

The potential for professional development is another major benefit of working as a nurse. 

Many hospitals offer yearly raises. You may get the opportunity to work as a charge nurse or preceptor on your unit, once you’ve gained some experience. This is a great way to test the waters with leadership roles to see if you might want to try management down the line. 

In addition to having plenty of different job options within a given unit, you can also switch specialties and move to a different unit or hospital.

Continuing education is another option that allows nurses to change roles. Graduate school is a great option, but you can also grow your nursing knowledge by completing certification courses or preceptorships. 

There are also plenty of unconventional work options for nurses as well, some of which might surprise you! 


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Changing specialty 

The burnout rate is high for nurses, which is why it is great that the demand for nurses is also incredibly high. When one door closes, a new one will always be opened for you. 

Some nurses go directly into a specialty setting like L&D or the ICU after graduating, while others choose to complete a year of Med-Surg first. Either way, once you have some experience, you can pretty much switch to any specialty, as long as they’re willing to give you the necessary training. 

You may want to complete a preceptorship when changing specialties in order to ensure that you’re getting the most out of your training but this isn’t always necessary. If you’re not a fan of the hospital where you’re working, then it shouldn’t be hard to find somewhere else that will hire you.

Working in a hospital is a common choice amongst nurses, given the longer shifts and more flexible work weeks. However, this is nowhere near the only choice. Nurses work in a wide variety of settings. 

You could opt for a position in a doctor’s office or same-day surgery clinic if you’re looking for more of a Monday-Friday work schedule. 

Nurses can even work from home. Once you have plenty of experience, you may want to look into legal nursing. This is a lucrative field of nursing that allows plenty of schedule flexibility, but it requires a lot of experience working as a nurse first. 

Continuing education

If you’re ready to start opening more doors for yourself as a nurse, you may consider getting an advanced degree. Many nurses return to school to gain a Master’s or Doctorate degree.

Both of these degrees can lead to a career as an advanced practice nurse or nurse practitioner. Nurse practitioners can also work all over and they make a much higher income. On top of that, you’ll have more autonomy by stepping into the provider role. 

If graduate school isn’t for you or you just don’t feel ready yet, you still have continuing education options. There are a variety of certificate programs for nurses that can create new employment opportunities, such as becoming an infusion nurse or vascular access nurse. 

For nurses who already work in a specialized field, you could further your education by getting certified in something relevant to your job. Such as an oncology nurse getting certified in bone marrow transplants, or a post-partum nurse becoming a certified lactation consultant. 

Certifications help to prove your credibility for future employers and may even boost the pay rate at your current job. 


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Next Steps

For nurses who have already gotten to the point of working, remember there are great nursing jobs out there. If you’re not happy right now, don’t give up, there are plenty of other options, especially once you have some experience under your belt. 

Consider what you want most out of your job. Are you looking for higher pay? More flexibility? Better management? 

Networking with other nurses is one way to find out what other options exist to help you find a job that speaks to you. Visit our nurse forum to connect with and learn from other nurses about what opportunities are out there. 

Becoming a nurse is tough and continuing to show up to a challenging work setting can be even tougher. I promise you though, it is worth all of the work. You will always have job security and you never have to worry about running out of work options. The possibilities really are endless when you choose a career as a nurse!

Sources
  • “Nursing Licensure Compact.” ncsbn.org. Accessed May 22, 2022. 
  • “Healthcare & Medical Volunteering Abroad.” unitedplant.org. Accessed May 22, 2022.
  • “Medical Jobs and Careers at Carnival Cruise Line.” medicaljobs.carnival.com. Accessed May 22, 2022.
Written by Sophia Metrakos, RN

Sophia is a copywriter and registered nurse. Her writing experience spans across a variety of topics including healthcare, wellness, and parenting. She has experience caring for renal and oncology patients. She graduated from the University of North Florida with a Bachelor’s in Nursing in 2019.

Read more from Sophia

RN vs. CNA: A Definitive Overview of Both Roles

May 02 2022

Nurse Types / Registered Nurse / RN vs CNA

CNA programs 

Becoming a CNA does not require a college education. In order to become a CNA, you’ll have to complete an accredited CNA program. 

The amount of time required to complete a CNA program varies depending on which one you choose. On average, CNA programs take around 4 to 6 weeks to complete. 

CNA to RN bridge

There are a number of routes you can take to become an RN. One of the most common routes is enrolling in a CNA to RN bridge program. These programs are designed for anyone who has experience as a CNA. 

CNA-to-RN bridge programs typically take 18 to 24 months to complete. These programs include classroom time as well as clinical rotations. 

The goal of these programs is to provide students with the skills and training to pass the NCLEX exam. Once you pass the NCLEX, you are eligible to work as a registered nurse. 

ADN vs BSN

To become an RN, you can either complete an associate’s degree in nursing or a bachelor’s. 

Associate degrees are a faster route, as this only requires you to complete two years of college. Although many people rule out the ADN route and go straight for the BSN, there are many successful registered nurses who are practicing with an ADN.

Bachelor’s degrees are becoming the preferred credential for many hospitals. Both ADN and BSN prepare nurses to sit for the NCLEX exam. However, nurses with a bachelor’s degree may be eligible for higher-paying positions and more opportunities. 

RN to BSN bridge

BSN bridge programs offer a way for RNs with associate’s degrees to easily acquire a bachelor’s degree in nursing. 

These programs are typically online and can take anywhere from 1 to 3 years to complete depending on whether you choose to do full-time or part-time classes. 

Accelerated BSN programs 

Accelerated BSN programs – also known as ADNs – offer a fast path to becoming an RN but this route requires you to already have a bachelor’s degree.

Completing an accelerated BSN program typically takes one year but it is a rigorous process and requires a full-time commitment. 

Financial commitment

Completing a CNA program can cost anywhere from a $1,000 to $3,000, but this amount can vary depending on what state you’re in. 

RN programs will cost more and are more variable since there are so many different routes you can take to become an RN. T

To complete an ADN, expect to pay anywhere from $6,000 to $40,000. 

Bachelor’s degrees in nursing can cost anywhere from $40,000 to over $200,000 to complete.

Luckily, there are plenty of different scholarship and grant opportunities that can help you pay your way through nursing school. 

Deciding which is best for you

There is plenty of crossover between the jobs of CNA and RN. So, it’s understandable that many people are conflicted about where to begin their nursing journey. 

When it comes to determining which job will best suit you, there are many factors to consider. We’ll compare and contrast the two options to help you decide which role best suits you.

Why you should become a CNA 

As a CNA, you’ll get to work in a fast-paced environment that always keeps you on your toes. You’ll be able to dive right into working in the healthcare environment sooner and save money!

Gaining experience as a CNA also allows you to test the waters to determine if nursing is right for you. Many RNs will spend some time working as a CNA either before going to nursing school or while attending it. Some people even say that being a CNA first can make you a better nurse. 

An additional benefit is that once you are employed, you may be able to get tuition reimbursement for continuing education. If this is something you are interested in, we recommend you ask your employer if they offer tuition reimbursement.

Why you should become an RN

RNs have more job flexibility and higher salaries than CNAs. You’ll also be able to take on more of a leadership role when working as an RN. 

As an RN you’ll have the opportunity to work in specialized settings and you can go on to become a nurse practitioner if you’d like to. Registered nurses make a serious impact on the patients they come into contact with. Working as an RN is an exciting and ever-evolving career path; you’ll always have the opportunity to change specialties and learn an entirely new job with the same degree. 

Next steps

Now that you know the ins and outs of CNAs and RNs, you can decide which job sounds best for you.

There is absolutely nothing wrong with deciding that RN school is too involved and settling into your role as a CNA. Hospitals need good CNAs and RNs, so regardless of which job you choose, you will be making a positive impact. 


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What's your current role?

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Sources
  • “Nursing Assistants and Orderlies” bls.gov. Accessed April 17, 2022.
  • “Registered Nurses” bls.gov. Accessed April 17, 2022.
  • “How long does it take to be a CNA?” cnatraininginstitute.org. Accessed April 17, 2022. 
  • “CNA to RN Programs” EveryNurse.org. Accessed April 17, 2022.
  • “How Long is an RN-to-BSN Program?” onlineeducation.com. Accessed April 17, 2022.
  • “How Much Does CNA Training and Certification Cost?” toughnickel.com. Accessed April 17, 2022. 
Written by Sophia Metrakos, RN

Sophia is a copywriter and registered nurse. Her writing experience spans across a variety of topics including healthcare, wellness, and parenting. She has experience caring for renal and oncology patients. She graduated from the University of North Florida with a Bachelor’s in Nursing in 2019.

Read more from Sophia
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