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Become a Substance Abuse Nurse in 3 Steps

Jul 10 2022

Nurse Types / Substance Abuse Nurse

Substance abuse affects nearly 21 million Americans. Only 10% of those struggling with addiction receive treatment. Addiction care services require the expertise of many healthcare professionals. Substance abuse nurses are among them.

If you’re a nursing professional looking for a change in your career, becoming a substance abuse nurse might be an excellent choice.

In this article you’ll discover:

  • What is a substance abuse nurse?
  • What do substance abuse nurses do?
  • Where do substance abuse nurses work?
  • What are closely related fields?
  • How do you become a substance abuse nurse in 3 steps?
  • What are additional requirements of substance abuse nurses?
  • What are the salary and career outlooks for substance abuse nurses?

What is a substance abuse nurse?

A substance abuse nurse specializes in treating patients addicted to alcohol, drugs, and other substances. Sometimes called addiction nurses, they are trained in both general medicine and mental health.

When you become a substance abuse nurse, you’re tasked with educating your patients and their caregivers about the dangers of substance abuse. You also might provide emotional support to patients in crisis at any stage in their addiction recovery.

Qualities of a successful substance abuse nurse

  • Compassion
  • Excellent interpersonal skills
  • Strong communication
  • Ability to collaborate with other healthcare professionals

What do substance abuse nurses do?

Substance abuse nurses are healthcare professionals, mental health advisors, and community advocates, all rolled into one. As a substance abuse nurse, you’ll help patients learn to cope with and recover from their addictions. Some of the most common day-to-day tasks you can expect in this role include:

  • Administering medications prescribed for pain management
  • Conducting mental health screenings 
  • Providing emotional support services
  • Delivering direct-patient care to patients 
  • Monitoring patient progress
  • Determining if care plan adjustments are needed
  • Providing education and support to patients and their families
  • Regulating treatment plans for substance abuse patients

A day in the life of a substance abuse nurse

A day in the life of a substance abuse nurse has many ups and downs, emotionally and physically. Each shift starts with an assessment of patient progress and mental and physical status. If a patient is in detox or residential care, you’ll need to perform assessments at least twice during your shift.

Medication management takes up a significant portion of your shift. You must ensure medication is filled and taken at the recommended times. Conferring with other members of the patient’s recovery team can happen daily or weekly.


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Common conditions treated by substance abuse nurses

Substance abuse nurses treat patients during the recovery process. You’ll often have patients with complex mental or physical health needs that extend beyond addiction.

Between 3 and 19% of substance abuse patients developed an addiction from prescribed pain medication. You may need to address the addiction plus the underlying condition that caused the patient to abuse prescription painkillers.

Another reason some people become addicted to alcohol, drugs, and other substances is to cope with mental health crises and disorders. Your patients may need ongoing emotional or psychological support.

Where do substance abuse nurses work?

Substance abuse nurses work in any healthcare setting that offers substance abuse and addiction recovery support and treatment. The most common work environments for substance abuse nurses include:

  • Inpatient and outpatient substance abuse treatment centers
  • Mental health clinics
  • Psychiatric wards in hospitals

What are closely related fields?

Similar occupations to substance abuse nursing include:

  • Health education specialists
  • Community health workers
  • Rehabilitation counselors
  • Social workers 

How do you become a substance abuse nurse in 3 steps?

Substance abuse is a nursing specialty, so you’ll first need to become an RN if you don’t already hold you RN licensure. Other steps include gaining relevant experience and becoming certified.

Step 1 – Become a registered nurse (RN)

The first step in your journey to becoming a substance abuse nurse is to earn your RN licensure. If you are currently a licensed practical nurse (LPN), you can take the NCLEX-RN exam. However, many healthcare employers have begun to prefer RNs with a Bachelor of Science in Nursing (BSN) degree. 

Earn a BSN degree

There are several ways to earn a BSN degree. Many nursing professionals already working in their field opt for attending a BSN program while continuing to work. RNs can participate in an RN-to-BSN program designed to take the skills they already have and build on them. These programs usually take up to 2-3 years to complete.

Accelerated BSN programs are ideal if you hold a BSN in another discipline and want to switch to nursing. You can expect to focus on nursing education in one of these specialized curriculums.

Pass the NCLEX-RN exam

After you earn your BSN, you must pass the NCLEX-RN exam if you have not already done so. You can familiarize yourself with the format of the test by visiting the official exam website. There you’ll find practice exams and other test-prep materials for obtaining your RN licensure.

You can take the test again if you don’t pass on your first try. There is a 45-day waiting period between attempts.

Step 2 – Accumulate experience

You’ll want to gain some relevant experience in substance abuse nursing as an RN. Patients recovering from substance abuse can suffer from acute illnesses. You’ll have a variety of settings where you can provide direct patient care while gaining on-the-job proficiency.

Try working in and inpatient and outpatient detox program to focus on the physical effects of substance abuse. You’ll gain knowledge about how to treat the symptoms of substance abuse, including withdrawal.

Psychiatric centers emphasize the mental effects of substance abuse. In this setting, you can practice emotional support for patients.

See if you can shadow substance abuse nurses in different settings to learn more about the profession and see if it’s a good fit for you.

Helpful skills and experience

Compassion and empathy are your go-to skills if you want to work as a substance abuse nurse. Working alongside other nurses in this specialty can help you gain the experience needed to improve patient outcomes and expand your advancement opportunities in nursing. 

Changing specialty to a substance abuse nurse

If you’re already working as an RN and want to switch over to a substance abuse nursing specialty, you can use your current licensure to help get you there. 

You can concentrate on taking continuing education courses that relate to addiction nursing. Then, you can obtain certifications addiction recovery services look for when hiring substance abuse nurses.

[ MORE: Earn your CEUs online, 100% free with Incredible Health. ]

Step 3 – Obtain certifications

The final step in becoming a substance abuse nurse is to obtain certifications relevant to your specialty.

One of the most popular choices is the Certified Addictions Registered Nurse (CARN) certification. You must complete 2,000 hours of professional nursing experience in a substance abuse setting, plus 30 hours of continuing educated related to addictions nursing.

Additional certifications are available, but you must have a Master of Science in Nursing (MSN) to qualify.

What are additional requirements of substance abuse nurses?

You’ll need to maintain your credentials to continue working as a substance abuse nurse. Your RN licensure must be renewed according to the terms set forth by the state board of nursing in your state of practice. 

Certifications may need to be renewed. You can check with the issuing body to find out the specific criteria for keeping your certification in good standing.

What are the salary and career outlooks for substance abuse nurses?

Addiction nursing is a growing field because of the number of Americans who struggle with alcohol, drug, and other substance abuse.

Nationwide, the average salary for substance abuse nurses is $64,091. Some addiction nurses can earn as much as $133,000 annually depending on where they work. According to the U.S. Bureau of Labor Statistics (BLS), demand for experienced addiction nurses is expected to grow by 6% between 2021 and 2031.

Substance abuse nurse salary by state
Alabama
Arizona
California
Colorado
Florida
Georgia
Iowa
Idaho
Illinois
Indiana
Louisiana
Massachusetts
Maryland
Michigan
Minnesota
Missouri
North Carolina
New Jersey
New York
Ohio
Pennsylvania
South Carolina
Tennessee
Texas
Virginia
Washington
Wisconsin
West Virginia

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Job satisfaction

Research revealed that social capital is the main driver in ensuring job satisfaction among addiction nurses. Working as a substance abuse nurse can be taxing emotionally and physically. Find a work culture that supports you as well as your patients.

Next steps

Becoming a substance abuse nurse opens the door to other advancement opportunities in your nursing career. You can go on to earn a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP) to become a nurse educator or researcher in addiction care.

Don’t be afraid to ask questions and seek advice from other addiction nursing professionals. They can help you make the best choices for your career path.


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Sources
  • Addiction Nursing Competencies: A Comprehensive Toolkit for the Addictions Nurse. journals.lww.com. Accessed June 22, 2022.
  • Investigating the Feasibility of Brief Compassion Focused Therapy in Individuals in Treatment for Opioid Use Disorder. ncbi.nlm.nih.gov. Accessed June 22, 2022.
  • NCLEX & Other Exams. ncsbn.org. Accessed June 22, 2022.
  • Opioid Overdose Crisis. nida.nih.gov. Accessed June 22, 2022.
  • Registered Nurses. bls.gov. Accessed June 22, 2022.
  • Photo by Jeremy Bezanger on Unsplash
Written by Incredible Health Staff

At Incredible Health, it's a team effort to achieve our vision: Help healthcare professionals live better lives. Many are licensed practitioners themselves; others are simply passionate writers and leaders dedicated to providing valuable resources to nurses.

Read more from Incredible Health

Northwell Health System Nurse Awarded Presidential Medal of Freedom

Jul 07 2022

This week, President Joseph R. Biden awarded the nation’s highest civilian honor – the Presidential Medal of Freedom — to 17 worthy recipients. Among them will be Sandra Lindsay, the nurse who was the first American to receive a COVID-19 vaccine outside of clinical trials.

Why did she get the award?

In December of 2020, the American public watched news feeds of refrigerated trucks carrying the long-awaited COVID-19 vaccine to hospitals and pharmacies around the country. The trucks signaled a remarkable breakthrough in medical science and promised an end to the nightmare that the pandemic had created. 

Among those who had eagerly awaited the vaccine was Sandra Lindsay, a nurse at New York’s Northwell Health. Dr. Lindsay had registered for the shot along with several colleagues, and she told National Public Radio’s Allison Aubrey that when she rolled up her sleeve she’d had no idea that she’d be the first in the nation to receive it — or that her injection would be televised and broadcast around the world. The Jamaican immigrant, director of critical care nursing at Long Island Jewish Medical Center, certainly did not expect the acclaim or honors that would follow. She just wanted the protection that the vaccination promised, and to lead by example. She said the goal was “Not to be the first one to take the vaccine, but to inspire people who look like me, who are skeptical in general about taking vaccines.”

Since that time she has become a powerful advocate for health care workers receiving the mental health support they so desperately need and deserve, and a potent example and supporter of the power of vaccination. 

Who is Sandra Lindsay?

Sandra Lindsay’s story would be noteworthy without the distinction of being a vaccine pioneer. As a child in Jamaica she helped care for her grandmother, who though her primary caregiver, suffered with diabetes and hypertension. This experience inspired her lifelong desire to be a nurse, and when she immigrated to the U.S. three decades ago, she earned her bachelor’s degree in nursing by attending community college and then St. Joseph’s College in Brooklyn. She earned her Master’s degree at Lehman College in the Bronx. Repeated promotions took her from her first role, at Lenox Hill Hospital, as an oncology nurse, to her current role of Director of Patient Care Services, Critical Care. She also earned her MBA at Hofstra University and is a Doctor of Health Sciences following her studies at A.T. Still University of Health Sciences.

What does it mean that she got the award?

According to a statement from the White House, “the Presidential Medal of Freedom is the Nation’s highest civilian honor, presented to individuals who have made exemplary contributions to the prosperity, values, or security of the United States, world peace, or other significant societal, public or private endeavors.” Ms. Lindsay’s contribution to American society was critical, as the vaccine was being met with skepticism, particularly by people of color. In raising her hand to be the first and in speaking of the relief and hope that the vaccine bestowed, she paved the way for millions of others to move forward and protect themselves and their communities by getting vaccinated.

What does Sandra Lindsay do as a nurse?

At the time that Sandra Lindsay was vaccinated, more than 35,000 New Yorkers and 300,000 Americans had lost their lives to the virus. The hospital where she worked opened six new intensive care units, tripling capacity to 150 patients at a time. Asked about her experience she said, “Some days, I don’t know how I got through it. Some days I didn’t know how I got home, but I knew I had to rest and get ready to come back and do it again. Because I did not want to leave my team to do it alone.”

Her hospital was not alone in having faced — and continuing to face — challenges. Though the majority of nurses in the United States have been protected against the worst impact of the virus through voluntary or mandatory vaccination, the pandemic has significantly impacted nurses’ emotional health, and pandemic burnout has led to concerning attrition among staff. Today Sandra Lindsay’s advocacy has gone beyond the vaccination goal, and much of her time is spent advocating on behalf of supporting nurses’ mental health.

What has she done since she got the shot heard around America?

Since her unexpected time in the spotlight, Sandra Lindsay has used the attention she has received to work on behalf of healthcare workers suffering trauma and burnout. She was recently invited to speak at the Aspen Ideas Festival. She has received numerous accolades and awards, including:

  • USA Today Woman of the Year 2022
  • U.S. Citizen and Immigration Services (USCIS) American by Choice Recognition (2021)
  • Robert Nesta Marley Humanitarian Award (2021)
  • President Award (American Nurses Association, 2021)
  • Leader of the Year 2022 Herbert Lehman College
  • Alumni Achievement Award – Herbert Lehman College 2022
  • Commencement Speaker Herbert Lehman College 2022
  • Leadership Award – Little Flower of New York (2022)
  • Trailblazer Award – Glenmuir High School (2021)

Conclusion

While Sandra Lindsay’s fame came as a result of receiving an injection, she has continued to make valuable contributions to American society through the example of her remarkable empathy. In offering advice on persuading hesitant friends or family members to get vaccinated, she stresses the importance of acting with love rather than by trying to use shame. She says that by showing the reluctant individual that you’re acting out of concern for others rather than seeking control, you can shift the tone and impact of the conversation. “Saying ‘you can’t come here’ is not the answer,” she says. Instead, “let them know you really want to spend time with them.” Her compassionate approach and leadership have made her a worthy recipient of this incredible honor.

Sources

  • “‘I Trust Science,’ Says Nurse Who Is First to Get Vaccine in U.S.” nytimes.com. Accessed July 6, 2022.
  • “COVID-19 Vaccines and People of Color.” hopkinsmedicine.org. Accessed July 6, 2022.
  • “President Biden Announces Recipients of the Presidential Medal of Freedom.” whitehouse.gov. Accessed July 6, 2022.
  • “Sandra Lindsay got the first U.S. COVID jab. Here’s her secret to motivate others.” npr.org. Accessed July 6, 2022.
  • “The first public Covid-19 vaccines reach all states as the US death toll tops 300,000.” cnn.com. Accessed July 6, 2022.
  • “The lightning-fast quest for COVID vaccines — and what it means for other diseases.” nature.com. Accessed July 6, 2022.
  • “Vaccine Transport Leans on Tight Network of Refrigerated-Truck Operators.” wsj.com. Accessed July 6, 2022.
Written by Incredible Health Staff

At Incredible Health, it's a team effort to achieve our vision: Help healthcare professionals live better lives. Many are licensed practitioners themselves; others are simply passionate writers and leaders dedicated to providing valuable resources to nurses.

Read more from Incredible Health

Become a Diabetes Nurse in 3 Steps

Jul 07 2022

Nurse Types / Diabetes Nurse

Becoming a diabetes nurse is an excellent career choice for nursing professionals who want to help their patients live healthier lives. People with diabetes must practice a strict lifestyle management protocol to keep their diabetes in check. Nurses who specialize in diabetes play a significant role in that process.

If you know you want to become a nurse but you’re still exploring your options, you may want to consider this choice. Learning more about what diabetes nurses do can assist you in deciding. In this article you’ll learn:

  • What is a diabetes nurse?
  • What do diabetes nurses do?
  • Where do diabetes nurses work?
  • What are closely related fields?
  • How do you become a diabetes nurse in 3 steps?
  • What are additional requirements of diabetes nurses?
  • What are the salary and career outlooks for diabetes nurses?

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What is a diabetes nurse?

About 1 in 10 Americans have diabetes, a chronic health condition that interferes with how your body turns food into energy. People with the condition either can’t produce insulin or don’t produce enough, so they require medication and lifestyle changes to stay healthy.

There are three main types of diabetes:

  • Type 1 diabetes causes the body to attack itself by mistake, which keeps it from making insulin. Medical professionals believe it’s caused by an autoimmune disorder.
  • Type 2 diabetes keeps your body from using the insulin it produces properly, so you struggle to maintain blood sugar levels.
  • Gestational diabetes develops in pregnant women who did not previously have diabetes. It usually goes away once the baby is born. However, having gestational diabetes puts your baby at risk of developing Type 2 diabetes later in life.

Diabetes nurses can help with all three types of diabetes or choose to specialize only in one.

Qualities of a successful diabetes nurse

If you’re going to work in the nursing profession, compassion for others is a must-have quality. Other abilities you’ll need if you decide to specialize in diabetes care include:

  • Analyzing patient information to make appropriate adjustments in care, including insulin dosage and dietary guidelines
  • Communicating clearly with other members of the healthcare management team, patients, and patient families
  • Discussing sensitive information with patients and their families

What do diabetes nurses do?

Diabetic nurses have many responsibilities. Your primary role as a diabetic nurse involves educating patients and their families about how to best control symptoms through a combination of exercise, medication, and nutrition. You’ll also help your patients monitor their blood sugar and minimize nerve damage, which can be common in diabetic patients.

A day in the life of a diabetes nurse

There’s never a dull moment when you’re a diabetes nurse. You can go from consulting with a patient’s healthcare team about the best options for a treatment plan to educating a patient and their family about how to manage symptoms.

You can count on one thing if you become a diabetes nurse: no two days are the same. So, if variety is the spice of your life, diabetes nursing may be the perfect career choice.

Common conditions treated by diabetes nurses

Diabetes nurses treat all three types of diabetes (Type I, Type II, and Gestational). Some of the other common conditions you may encounter include:

  • Dehydration
  • Nerve damage
  • Wounds that won’t heal

Where do diabetes nurses work?

Diabetes nurses can work in a variety of settings. Some of the most common are:

  • Doctors’ offices
  • Hospitals
  • Outpatient clinics
  • Pharmacies 
  • In-home care 

Traveling diabetic nurses are more likely to perform in-home care than other diabetic nursing professionals.

Working with endocrinologists and other endocrine system specialists is another option for diabetes nurses since diabetes affects the endocrine system. Diabetes nurses who earn a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) can teach or become diabetes researchers.

What are closely related fields?

If you enjoy being a diabetes nurse, there are some other closely related fields you may want to explore. Some of the possibilities include:

  • Diabetes management nurses help patients diagnosed with Type I or Type II diabetes manage their conditions. They educate on the best lifestyle changes and medications to control their diabetes. 
  • Endocrinology nurses specialize in the care of patients with endocrine system disorders like diabetes and thyroid issues. They can work in a variety of healthcare settings, including ambulatory centers and hospitals. 

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How do you become a diabetes nurse in 3 steps?

The nursing profession is highly specialized. Once you earn your Registered Nurse (RN) licensure, you have several options for career paths. Becoming a diabetes nurse is one of them. Follow these 3 steps if you want to help people living with diabetes.

Step 1 – Become a registered nurse

The first step toward specializing in diabetes care is to become a registered nurse (RN). You can qualify for RN licensure by completing nursing school. Some nursing professionals choose to become LPNs and then pursuing their RN licensure. Others choose a bachelor’s degree program, which can take 4 years to complete. Either way allows you to become an RN.

Earn a BSN degree

Many healthcare employers, especially hospitals, are requiring RNs to have a minimum of a BSN degree. For this reason and others, many nursing professionals opt for their BSN before becoming a licensed RN. If you’re an LPN already working in nursing, you can fast-track your BSN with an RN to BSN program. If you have a bachelor’s degree in an unrelated field, you can check out the Accelerated BSN program.

Pass the NCLEX-RN exam

Once you earn your BSN, the final step to becoming a licensed RN is to pass the NCLEX-RN exam. About 78% of test-takers pass on their initial try. You can repeat the exam if you’re not so lucky on your first attempt. However, you must wait 45 days between testing dates.

Step 2 – Accumulate experience

Some diabetes nurses choose this nursing specialty because they have diabetes themselves. Others find the condition fascinating and want to make a positive impact on patient outcomes. Regardless of why you choose this nursing path, you’ll need to gain some valuable experience on the job before you can advance further in your career.

Helpful skills and experience

Working with diabetic patients in any setting can be the most effective way to build your skills after earning your RN licensure. You can grow your knowledge base quickly by seeking out a nurse mentor already working in the specialty to guide you on the job.

Experienced diabetes nurses have:
  • Analytical skills to help them make appropriate adjustments to patient care
  • Communication skills to clearly state any treatment plans or adjustments to patients and their families
  • Interpersonal skills for discussing patient needs with other healthcare professionals and health insurance companies
  • Leadership skills to direct other nurses and medical staff to ensure your patients receive the best care possible

Changing specialties to a diabetes nurse

If you’re already working as an RN and want to change your specialty to diabetes care, you may need to acquire new skills or knowledge. Let’s say you want to switch from a pediatric RN position to a pediatric endocrinology nurse.

You’ll want to increase your knowledge base in preparation by taking continuing education classes focused on endocrinology. Certification isn’t needed for this specialty. However, you have the option of becoming a certified diabetes instructor through the Association of Diabetes Care and Education Specialists (ADCES). The certification might come in handy when communicating with children and their families.

Step 3 – Obtain certifications

As previously mentioned, there are no specific certifications for diabetes nurses. You can complete the requirements for becoming a certified diabetes instructor through the ADCES. Applicants must earn 6-10 continuing education credits in different disciplines to qualify.

What are additional requirements of diabetes nurses?

Like all RNs, diabetes nurses must maintain their RN licensure. The requirements for renewing your license depend on your state of practice. When you receive your initial license, you receive information about the renewal process from the board of nursing.

Completing continuing education credits during the lead-up period to renewal is a common requirement in most states. You’ll need a broad knowledge base to be an effective diabetes nurse.

What are the salary and career outlooks for diabetes nurses?

RNs are in demand in all specialties. The U.S. Bureau of Labor Statistics predicts a growth of 6% between 2021 and 2031. The national average salary for diabetes nurses is $93,036 annually. Some RNs in this specialty can earn upwards of $200,000 in some of the highest-paying cities in the U.S.

The best places to work as a diabetes nurse include:

  • Santa Clara, CA – $114,732
  • San Francisco, CA – $111,037
  • Fremont, CA – $108,339
  • Marysville, WA – $106,820
  • Jackson, WY – $103,456

You can check out the average nurse by state before you accept a diabetes nurse position to ensure you’ll be well compensated for your skills and experience.

Diabetes nurse salary by state
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Florida
Georgia
Iowa
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Michigan
Minnesota
Missouri
North Carolina
Nebraska
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Virginia
Washington
Wisconsin
West Virginia

Job satisfaction

Finding a healthcare employer that respects work-life balance can improve your job satisfaction. Diabetes nurses, like other RNs, have demanding jobs. Choosing a work environment that supports you and your patients is a must if you don’t want to burn out on the job.

Next steps

Deciding to become a diabetes nurse is a major life decision. You can seek advice from other nurses in this specialty before deciding if it’s right for you. Choosing this specialty opens the doors to future advancement in nursing, including becoming a nurse educator.


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Sources
  • Accessing the Job Satisfaction of Registered Nurses Using Sentiment Analysis and Clustering Analysis. journals.sagepub.com. Accessed June 21, 2022.
  • ADCES Certificates. diabeteseducator.org. Accessed June 21, 2022.
  • Diabetes and Endocrine Function. endocrine.org. Accessed June 21, 2022.
  • Diabetes Nurse Salary. ziprecruiter.com. Accessed June 21, 2022.
  • Endocrinology Nursing pathway. endocrinology.org. Accessed July 2, 2022.
  • MSN Career Spotlight: Diabetes Management Nurse. onlinenursing.duq.edu. Accessed June 21, 2022.
  • NCLEX The Pathway to Practice. ncsbn.org. Accessed June 21, 2022.
  • Registered Nurses. bls.gov. Accessed June 21, 2022.
  • The Facts, Stats, and Impacts of Diabetes. cdc.gov. Accessed June 21, 2022.
  • What is Diabetes? cdc.gov. Accessed June 21, 2022.
  • Photo by Towfiqu barbhuiya
Written by Incredible Health Staff

At Incredible Health, it's a team effort to achieve our vision: Help healthcare professionals live better lives. Many are licensed practitioners themselves; others are simply passionate writers and leaders dedicated to providing valuable resources to nurses.

Read more from Incredible Health

LPN to RN: A Practical Guide

Jul 07 2022

Nurse Types / Registered Nurse / LPN to RN

The transition from a Licensed Practical Nurse (LPN) to a Registered Nurse (RN) is an exciting career step in nursing. LPNs can advance their careers by enrolling in LPN to RN bridge programs to enhance their skills, education, and abilities. 

If you’re an LPN who has completed a nursing diploma program and want to know more about this next move, Incredible Health has compiled everything you need to know. 

  • What is an LPN?
  • What is an RN?
  • What are the differences between LPNs and RNs? 
  • What are the benefits of LPN to RN programs?
  • What are the requirements of LPN to RN programs?
  • What are pathways for becoming an RN?

What is an LPN?

LPNs are nurses who have graduated from a practical nursing program and passed a nursing board exam to become licensed in their state. LPNs are also called Licensed Vocational Nurses (LVN) in Texas and California.

What is an RN?

Registered Nurses (RN) have also graduated from a nursing school and passed the NCLEX-RN exam in their state. They hold a college degree in nursing, so they have more advanced education than an LPN.

What are the differences between LPNs and RNs?

Although they may work together in many settings, LPNs and RNs are very different.

DifferencesLPNRN
Program length1 year2- or 4-year program
Program complexityTeaches basic hands-on careIncludes nursing theory and evidence-based practice
PrerequisitesHigh school diplomaHigh school diploma and some may require college courses
Diploma earnedDiploma from their nursing schoolAssociate’s or bachelor’s nursing degree

Responsibilities

LPN and RN responsibilities differ in their scope of practice. Scope of practice means what is allowed under the terms of their license. Each state’s Nurse Practice Act defines what nurses can do in their state.

States vary on what their LPNs are allowed to do. According to the National Council on State Boards of Nursing, LPNs in most states are allowed to: 

  • Assess and monitor vital signs
  • Administer meds and injections (except high-risk medications such as heparin)
  • Monitor blood transfusions 
  • Perform basic nursing care (wound care, catheter insertion, nasogastric tubes, etc.)
  • Provide safety and comfort for patients (bathing, dressing, toileting)
  • Reinforce patient teaching

In most states, LPNs are not allowed to:

  • Independently develop the plan of care 
  • Make changes in the plan of care
  • Perform telephone triage

The scope of practice for RNs allows them to perform all of the LPN tasks plus additional responsibilities such as:

  • Assessing, monitoring, and revising nursing care plans
  • Delegating tasks
  • Hanging blood products and IV fluids or meds and start transfusions
  • Initiating, administering, and titrating routine and high-risk IV push meds
  • Performing admissions and discharges, or make referrals
  • Providing patient education

Education 

LPN and RN programs differ in length and complexity. LPN programs typically last one year and teaches students the basics of hands-on nursing care. 

RN programs last 2–4 years and cover more courses such as research and management. They may also require certain college courses before admission.

LPNs and RNs earn different diplomas. LPNs who complete their nursing program earn an LPN or LVN diploma. RNs earn either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN).

Licensing/Certification

After graduation, both nurses must pass the NCLEX board exam to become licensed nurses in their state. LPN/LVNs take the NCLEX-PN, whereas RNs take the NCLEX-RN.

Salary

According to the Bureau of Labor Statistics (BLS), the average salary for an LPN in the U.S. is $51,850 or $24.93 hourly. Compare that to an average salary for an RN of $82,750 or $39.78 hourly. 

Salaries vary regionally. California, Hawaii, and Oregon are among the highest paying states for RNs. Incredible Health’s free nursing salary estimator tool can show you what you might make in your state.


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Job Outlook

The job outlook for nurses in 2022 is promising. Employment for LPNs and RNs is projected to grow about 6% between 2021 and 2031.

What are the benefits of LPN to RN programs?

LPNs wanting to level up in their careers can explore LPN to RN programs. Completing an LPN to RN program prepares nurses to apply for an RN license. 

Career advancement opportunities

RNs have multiple advantages over LPNs, including greater job opportunities because they have college degrees. RNs can hold supervisor or manager positions because they have a greater scope of practice.

What are the requirements of LPN to RN programs?

Time commitment

Nurses returning to school for an RN degree must devote time to their education. Overall, LPN to RN bridge programs may take 2–4 years, depending on whether students attend classes part- or full-time. However, some online programs advertise that their coursework can be completed in as few as 12 months.

​​Prerequisites

Application prerequisites for most LPN to RN programs include:

  • High school diploma or GED
  • Active, unencumbered LPN license
  • Diploma or transcript from an accredited LPN program
  • GPA of 2.0 or higher (schools vary)
  • 6-12 months of work experience (determined by the state board of nursing)
  • Current BLS/CPR certification
  • College credits in general courses including Algebra or Statistics, English Composition, Human Growth and Development, Microbiology, Psychology, and Sociology

Additionally, some schools require:

  • Writing samples
  • National League of Nursing (NLN) Acceleration Challenge exams
  • Test of Essential Academic Skills (TEAS) exams

Coursework 

LPN to RN courses vary by school but generally include adult nursing and assessment, pediatric nursing and assessment, pharmacology, and communication.

What to expect as a student 

As a student, nurses will attend classes or lectures to learn nursing theory and complete clinicals for real-world nursing experiences. Here’s a sample class schedule for an LPN to RN program:

  • Semester 1
    • English Composition I (3 credits)
    • Fundamentals of Biology (4 credits)
  • Semester 2
    • Introduction to Psychology (3 credits)
    • Microbiology (4 credits)
    • Human Anatomy and Physiology I (4 credits)
    • Evidence-Based practice (1 credit)
  • Semester 3
    • Intro to Speech (3 credits)
    • Human Anatomy and Physiology II (4 credits)
    • Medication Math I (1 credit)
    • Lifespan Growth and Development (3 credits)
    • Nutrition (3 credits)
  • Semester 4
    • Transition to RN (3 credits)
  • Semester 5
    • Concepts of Nursing Practice I (5 credits)
    • Concepts of Nursing Practice II (5 credits)
  • Semester 6
    • Concepts of Nursing Practice III (5 credits)
    • Psychiatric Nursing (4 credits)
  • Semester 7
    • Concepts of Family Nursing (4 credits)
    • Complex Issues in Healthcare (5 credits)
    • Nursing Leadership (2 credits)

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Financial commitment

Students pursuing an LPN to RN program must also consider the financial commitment. The estimated cost for ADN programs is between $6,000-$20,000 at public schools or $30,000-$100,000 at private schools. BSN programs can cost $40,000-$100,000. 

Aside from tuition, nursing students are also responsible for lab fees, textbooks, and other student fees such as parking passes or library cards.

LPN to RN students may qualify for federal student aid, grants, or scholarships while pursuing their college degrees.

What are pathways to becoming and RN?

As an LPN wanting to advance your career, the first step is choosing a degree path. There are two choices for LPNs, either ADN or BSN program. 

LPN to ADN

Nurses who want to become an RN often choose the ADN route. The LPN to ADN program is the shorter path and rewards students with an Associate Degree in Nursing (ADN). 

Later on, ADN nurses can explore RN to BSN programs, which last 1-2 years. 

LPN to BSN 

The more expensive and longer path is the LPN to BSN degree option. It takes nearly twice as long but rewards nurses with a 4-year college degree. The Bachelor of Science in Nursing (BSN) is the better option for nurses who want to pursue a Master of Science in Nursing or Doctor of Nursing Practice degree or want to be managers or leaders in their specialty. Most employers will be requiring a BSN in order to get a job, so this is something you want to think about.

Both degrees qualify you to take the NCLEX-RN board exam. After you pass this exam, you’ll become a licensed RN!

Next steps

Now you know the ins and outs of moving from an LPN to an RN so you can make the right choice for your future. And remember, no matter your choice, you will be making a difference in your patients’ lives!

If you’re still undecided, check out Incredible Health’s nursing career resources for more help planning your next move. 


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Sources
  • “Best LPN to RN Programs”. affordablecollegesonline.org. Accessed June 28, 2022.
  • “Federal Student Aid”. studentaid.gov. Accessed July 2, 2022.
  • “Licensed Practical and Licensed Vocational Nurses”. bls.gov. Accessed June 27, 2022.
  • “LPN to RN Programs”. pacific-college.edu. Accessed June 28, 2022.
  • “LPN to RN Programs”. practicalnursing.org. Accessed June 28, 2022.
  • “LPN to RN Programs”. catalog.mchenry.edu. Accessed June 28, 2022.
  • “Nurse Practice Act.” ncsbn.org. Accessed July 1, 2022.
  • “Practical Nurse Scope of Practice White Paper”. ncsbn.org. Accessed June 27, 2022.
  • “Registered Nurses”. bls.gov. Accessed June 27, 2022.
  • “Transition LVN to RN”. howardcollege.edu. Accessed July 2, 2022.
Written by Sarah Falcone, BSN, RN

Sarah S. Falcone, BSN, RN, is a professional Registered Nurse and freelance health content writer in Fort Worth, TX. She has worked in various settings, including Med-Surg and L&D. But home health has her heart. Sarah is a passionate advocate for moving advanced levels of care to the home, where her clients can safely receive the medical treatments they need with greater satisfaction and comfort. She focuses on patient experience, outcomes, and advancing clinical models using innovative technology to serve patients better. After 15 years of practicing patient care and nursing leadership, Sarah began sharing her own nursing experiences and expertise through digital media.

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What’s a DNP Degree?

Jul 06 2022

Nursing Degrees & Schools / DNP

A Doctor of Nursing Practice (DNP) degree is one of the highest degrees a nurse can achieve. Nurses with a DNP degree are eligible to work in leadership roles, taking care of patients hands-on as a chief nursing officer or director of patient care services.

In this article, we will cover:

  • What is a DNP degree?
  • What does a DNP do?
  • NP vs. DNP
  • How to get a DNP
  • Top DNP programs in the U.S.
  • How much does a DNP program cost?
  • Is it worth getting DNP degree?
  • FAQs

Let’s take a look!


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What is a DNP degree?

The Doctor of Nursing Practice is an advanced degree within the nursing field. It is one of the two terminal — or highest — degrees a nurse can achieve. 

According to the American Association of Colleges of Nursing, the Doctor of Nursing Practice is designed for nurses seeking an alternative to research-focused doctoral programs. In other words, the DNP is a practicing degree. A nurse with this designation won’t work in academia or research. Instead, they have skills and training to utilize within the field.

Though a DNP degree is technically on a doctorate level, nurse practitioners with DNPs do not have the same authority as a physician or other kinds of medical doctors. A DNP degree signifies that a nurse has reached the pinnacle of education.

Many nurses with DNP degrees end up in administrative or other leadership positions within the healthcare sector. Others use their degree to pursue nurse practitioner roles.

The DNP degree offers nurses a chance to have a competitive advantage over nurses with NPs applying for the same roles. In the future, nurse practitioners may have to receive their DNP to begin practicing.

What does a DNP do?

Doctor of Nursing Practice graduates have a variety of jobs they can pursue. The two most common settings where they work include:

  • Leadership and administration
  • Advanced Practice Registered Nursing (APRN)

DNPs can choose whether they want to work with patients directly or indirectly.

Leadership and Administrative Roles

The DNP degree provides nurses with an opportunity to use their skills to help influence care programs and create nursing initiatives. Additionally, they can help bolster executive nursing leadership roles.

Specifically, DNPs work in:

  • Organizational leadership
  • Nurse management
  • Health policy
  • Health informatics systems

Advanced Practice Nursing

DNPs who choose to become advanced practice registered nurses (APRN) have an opportunity to work directly with patients by managing, evaluating, and assessing treatment and care.

The DNPs who choose to become APRNs need to take the APRN certification exam. Additionally, they may have to receive an advanced specialty certification.

The DNP often works in the following capacities:

  • Nurse Practitioner (NP). Nurse practitioners are healthcare professionals who work independently with a doctor’s supervision to prevent illnesses and teach wellness.
  • CRNA or nurse anesthetist. These clinicians coordinate with the physicians and nurses to administer anesthesia to patients.
  • Nurse Midwife (CNM). Nurse midwives are healthcare professionals who provide reproductive care throughout all phases of the birthing process.

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  • 🏥 Advance Practice – Transplant Nurse Practitioner

    Newark, NJ | $70,920 to $117,990 /year

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  • 🏥 Advanced Practice Nurse

    Livingston, NJ | $70,920 to $117,990 /year

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    Falls Church, VA | $83,000 to $131,000 /year

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NP vs. DNP

The main similarity between an NP and a DNP is they are both advanced positions. In other words, they both require a graduate degree.

Additionally, these two positions share a lot of the same job opportunities. Nurses who receive graduate degrees can become many different types of advanced practice registered nurses. Some of these include:

  • Nurse practitioners
  • Nurse educators
  • Certified registered nurse anesthetists 
  • Nurse midwives 

Below is an overview of the differences between the nurse practitioner and DNP roles.

CategoryDNPNP
Overview The DNP is an advanced nursing degree. With this degree, nurses can pursue many different kinds of nursing specialties. A nurse practitioner role is an advanced practice role that requires a master's degree to practice.
Role or DegreeDegreeRole
CurriculumNursing leadership, health informatics, evidence-based practice techniquesClinical practice, healthcare policy, direct patient care
Clinical Hours 1,000 hours minimum500 hours minimum
Career OutlookNursing leaderships roles such as chief nursing officer, director of patient care servicesPrimary healthcare provider

How to get a DNP degree

How do you get a DNP degree? There are multiple ways to receive a DNP. Often, people get their BSN to MSN and then a DNP. However, there are bridge programs to help you achieve your doctorate and save time.

MSN to DNP

This MSN to DNP bridge program is the most common method of getting a DNP degree. Since the nurse will already have a Master of Science in Nursing, they most likely will work in an advanced position. This means they may not have the capacity to go to school full-time.

The MSN to DNP program takes 1-2 years full time or 3-4 years part-time. This nursing program revolves around specialized coursework. Clinical hours from the MSN program may apply toward the clinical hour requirements.

BSN to DNP

The BSN to DNP bridge program brings together the curriculum of an MSN and DNP. A few programs allow you to leave the program once you’ve completed the MSN requirements.

If you choose this program, expect it to take 3-4 years full time or 4-6 years part-time. The program includes MSN and DNP curricula to avoid repetition. It often consists of an early exit before the DNP portion.

RN to DNP

The RN to DNP bridge program is less common. However, it allows someone without a bachelor’s degree to pursue a DNP.

An RN to DNP program usually takes 4-6 years full time or 6+ years part-time. Some programs require prerequisites to take undergraduate coursework before taking graduate courses. You also have the potential to earn an MSN degree before taking DNP courses. Other programs provide the option to award an MSN and DNP after graduation.

Direct-entry DNP

The Direct-entry DNP program is a good option for students who have a bachelor’s degree in an area outside of nursing. The program takes 4-6 years full time. Part-time options are generally not available. Students have to become registered nurses before taking graduate coursework

Choosing the right DNP program depends on your circumstances and how much time you want to devote to a given program.

Top DNP programs in the U.S.

Looking for the best DNP program available? You may need to travel. But the good news is there are several universities in the United States that offer top-tier DNP degree programs. Here are the top five according to U.S. News.

John Hopkins University

Johns Hopkins University, a private school in Baltimore, Maryland, is well-known for its nursing programs. The school’s DNP degree is no different. The application deadline is January 1st and there is an application fee of $75 for U.S. residents.

Rush University

Rush University is a private school located in Chicago, Illinois. If you’re interested in pursuing a DNP degree at this school, the application deadline is January 2nd. Prospective students who are U.S. residents must pay an application fee of $115.

The University of Washington

A public school in Seattle, Washington, the University of Washington has an impressive School of Nursing. The application deadline is January 15th. U.S. residents must pay an application fee of $85.

Duke University

Duke University is a private school in Durham, North Carolina. If you decide to get your DNP degree here, apply by December 1st. The application fee is $50 for US residents.

Columbia University

Columbia University in New York, New York is a private school with strong nursing programs. This school has an application deadline of January 20th and an application fee of $75 for U.S. residents.

How much does a DNP program cost?

You can expect to pay between $21,318 and $38,912 for an MSN-DNP program. A BSN-DNP will cost between $40,953 and $74,752 for your tuition.

These numbers might seem intimidating, but don’t let them scare you off. Every nursing program is different. And there are several steps you can take to get help paying for school.

Paying for a DNP program

Once you’ve selected the best program for you, you’ll need to decide how you want to pay for your DNP degree.

Take inventory of your financial situation and see if you qualify for government funding. To find out if you’re eligible, fill out the Free Application for Federal Student Aid (FAFSA). Schools use this tool to determine eligibility for providing need-based grants, scholarships, and student loans. If you’re worried about taking loans out, some programs offer student loan forgiveness following graduation.

Is it worth getting a DNP degree?

A DNP program is an excellent opportunity for nurses to enhance their skills. By getting a DNP degree, you can move up within the nursing ranks and advance your career. You can have a greater impact on policies, initiatives, and patient care at your hospital or workplace as you take on more responsibility.

You will also be paid more than when you were an RN. Nurses with DNP degrees earn an average of $117,412 per year or $56 per hour, according to ZipRecruiter. Meanwhile, RNs earn an average of $82,750, according to the BLS.

If you’re a new DNP graduate, Incredible Health can help you find advanced nursing positions. Click here to start searching for your next job!


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FAQs

Is a DNP higher than a PhD?

Neither a DNP or a Ph.D. is necessarily “higher” than the other. The Doctor of Nursing Practice focuses on nursing practice, while a Ph.D. in nursing focuses on nursing research. While both degrees are doctoral level, graduates will be working in different capacities after graduation, with different roles and responsibilities.

Is a DNP the same as a nurse practitioner?

No. DNPs and NPs are different. The DNP is an advanced nursing degree that qualifies graduates to work in a variety of nursing specialties. NPs earn a master’s degree and can work as primary care provider. 
However, these are both advanced nursing positions. Nurses who are qualified to work as DNPs or NPs may be eligible for the same types of roles. And if a DNP becomes an advanced practice registered nurse (APRN), they will be able to work as a nurse practitioner.

What can a DNP do?

If you receive a Doctorate of Nursing Practice, you will be eligible for several advanced nursing roles. You will be able to work in nursing leadership positions including chief nursing officer or director of patient care services.

How much does a DNP earn?

Nurses with DNP degrees earn an average of $117,412 per year or $56 per hour.

Sources
  • “DNP Fact Sheet.” aacnnursing.org. Accessed June 22, 2022.
  • “2023 Best Nursing Schools: Doctor of Nursing Practice.” usnews.com. Accessed June 22, 2022.
  • jhu.edu. Accessed June 22, 2022.
  • rushuu.rush.edu. Accessed June 22, 2022.
  • washington.edu. Accessed June 22, 2022.
  •  duke.edu. Accessed June 22, 2022.
  • columbia.edu. Accessed June 22, 2022.
  • “Complete the FAFSA Form.” studentaid.gov. Accessed June 22, 2022.
  • “DNP – PhD Comparison.” nursing.duke.edu. Accessed June 22, 2022.
Written by Demetrius Burns

Demetrius was an Incredible Health contributor. He has worked as a freelance writer and content strategist. His work has appeared in outlets such as Java Magazine, Phoenix Magazine, and Nurse.org.

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