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Blog

The 7 Best White Nursing Shoes

Jun 06 2022

Personal Finance / Best White Nursing Shoes

Nursing school has an ample amount of requirements, and one of them is wearing white nursing shoes.

Despite the ever-changing procedures in the nursing profession, there are some traditions that persist: taking the oath at graduation, the pinning ceremony, and perhaps the one we’re best known for – wearing white.

When you buy your first pair, it becomes a symbol of the choice you’ve made to follow the difficult but fabulously rewarding path of becoming a nurse. When you buy your tenth or fifteenth pair, it’s a record of all the trials you’ve overcome and the hard work you’ve put in for the good of your patients. 

Whatever point you’re at in your shoe-buying journey, we’ve sorted through all the possibilities out there and narrowed it down to help you check off one more thing on your to-do list.

→MORE: 10 Best Shoes for Nurses


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Overall Best Picks

Dansko:

Dankso is perhaps the most well-known shoe in the nursing world. Dansko offers clogs with great arch support, such as their LT Pro White Box. 

Though loved by many, be aware that they can be a bit heavy, so if you have to run they may not be for you. Many report a breaking-in period as well, so be prepared for that. 

These are definitely investment shoes, which means they’ll have a higher price tag, but will last for several years. Before purchasing, make sure you check out their video instructing you on how to find the right size clogs for your feet.

Sticky Shoes:

I only just learned about this brand and I’m itching to try them. Not only is the name a hilarious reference to a beloved sitcom, but all of their shoes are waterproof! 

Have you ever experienced getting your favorite pair of work shoes soaked in whatever bodily fluid your patient has to offer? That won’t be a problem with Sticky Shoes. Those messes wipe right off. 

The pair that caught my eye for nursing students was their Sticky Professional Shoes for Women – Stetho Love. These adorable clogs are white, but they have a subtle design on them of hearts and stethoscopes. What a great way to follow the rules, but sneak in a little individuality as well! 

Nurse Mates:

Nurse Mates is a contender for Dansko, as they have their own clogs to offer. 

But what piques my interest is their line of shoes with orthotic insoles called “Align”. They promise to “help place the foot in a more optimum position to assist with proper alignment, stability, and support”. 

I gotta tell ya, that description got my feet aching for that insole instead of just, well, aching.  Although they don’t go quite as high in price as Dansko shoes, these are still an investment.

Go check out their Align™ Arya in white. They have such a cute and unique design! Get them on my feet now! 

Alternative for Comfort

Skechers:

Although Skechers is a brand more associated with sports and exercise, they also boast a Work & Safety line for both men and women. If you’re looking for more of a sneaker look, then these are your shoes. 

They’re in the same price range as Nurse Mates, so keep that in mind for your budget.

The main reason my feet end up killing me at the end of a shift is because I put all of my weight on my heels. But, Skechers has a solution for that!

I was drawn to their Work: Max Cushioning Elite SR – Serotina. These crazy awesome shoes feature major cushioning and shock absorption. I can already hear my heels sighing with relief.

Crocs:

Crocs are a bit controversial, but if you’re a Crocs convert, you’re converted for life. Crocs combine the convenience and comfort of slip-on shoes with the support and anti-slip soles of work shoes.

Crocs have a specific section on their website for nurse shoes as well to give you some direction. They also have an adorable pack of medical-themed Jibbitz and I’m not going to lie – they are tempting! (Cut to me trying to make Jibbitz stay attached to my regular shoes)

Best Budget-Friendly Option

Walmart:

Nurse friends, I was so poor during nursing school. I lived off of ramen and caffeine and no sleep. I used a $15 pair of generic white Walmart tennis shoes throughout all 5 semesters. 

They weren’t the most comfortable shoes and only offered a little support. My feet were always killing me, and the soles fell off by the end of nursing school. But you know what? They were exactly what I needed to get me through. Now I have my favorite pair of fancy nursing shoes, but not everyone can afford those, especially in school.

Walmart also offers more expensive and more supportive brands of shoes if you have the means. They’ll pretty much have something to fit whatever situation you’re in. And, as a bonus, you can pick up some ramen while you’re there.

My nursing shoes of choice:

I can’t recommend all these other shoes without putting in a plug for the shoes that I chose for myself. My shoes of choice are regular athletic shoes that I found on Amazon from a brand called Tiosebon. They fit almost everything I look for in a nursing shoe. 

The first pro is that they are slip-ons, so there are no laces to mess with or to come untied. This was important to me because, in L&D, I had to change in and out of my shoes and scrubs every shift. And there is nothing worse than your shoe coming untied during an emergency. Ain’t nobody got time for laces! 

Secondly, they are made of a breathable mesh material. My feet get so hot when I’m running around. I need my feet to breathe or else I start feeling almost claustrophobic. The stretch of the material is also important to me because I have wide feet and these shoes don’t squeeze my feet like others do. 

Finally, I like the way they look. The look isn’t necessarily the most important thing, but if you can get comfort and cuteness in the same package, why not? The one need it didn’t meet was the insole. But I replaced the insole it came with Dr. Scholl’s WORK Massaging Gel Advanced Insoles. These shoes are still going strong three years later and I only recently had to replace the insoles. So wins all around I would say.


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Final advice on caring for your valuable nursing feet

First: find good socks that don’t rub, don’t leave imprints on your feet when you wear them for twelve hours straight, and that have some breathability. A good pair of compression socks can be a life-saver!

Second: insoles are the best purchase you’ll ever make! Even all these great shoe options can be improved with a better pair of insoles! I want to shout this from the rooftops for all the nurses to hear!

So get out there nurse friends and start shopping! Pamper those feet in between shifts, and remember that you rock my socks!

Written by Jaimie Radcliffe, RN

Jaimie Radcliffe is a writer specializing in healthcare topics. Jaimie is a registered nurse with 6 years of experience. She specializes in labor and delivery, women's health, mental health, and education. Jaimie has written for patient education newsletters and staff education websites. She graduated from Ameritech College of Healthcare with an Associate's of Science in nursing. She is nationally certified in fetal heart monitoring, and trained in NRP, AWHONN, and de-escalation techniques.

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An Overview of Telemetry Nursing

Jun 04 2022

Nurse Types / Telemetry Nurse

When people think of nurses, they often imagine ICU or emergency room nurses like the ones seen on TV on shows like Nurses or ER. However, there are several different types of nurses within the field. One of the lesser-known roles is the telemetry nurse. 

In this article, we will dive into an overview of telemetry nursing. 

We will cover: 

  • What is a telemetry nurse?
  • What does a telemetry nurse do?
  • What are the duties and responsibilities of a telemetry nurse?
  • Where do telemetry nurses work?
  • What skills does a telemetry nurse need?
  • How do you become a telemetry nurse?
  • What are the salary and job outlooks for a telemetry nurse?
  • FAQs

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What is a telemetry nurse?

A telemetry nurse is a healthcare worker who specializes in using medical tools to measure a patient’s health. 

This might not sound that different from a typical nurse’s role. The main difference is that telemetry nurses work with equipment that most nurses and doctors may never use. Their ability to operate this type of medical equipment makes them a vital component to any medical team. 

What does a telemetry nurse do?

Telemetry nurses work with patients experiencing cardiovascular issues. Specifically, they work with patients who have: 

  • Heart conditions
  • History of stroke 
  • Heart failure
  • History of heart attack or chest pain
  • High blood pressure 

They record and monitor the output of electrocardiograms (EKGs). The EKG machine transfers the heart’s electrical impulses into a rhythm the telemetry nurse can understand. The telemetry nurse can then tell when rhythmic changes need medical attention and if a doctor needs to be alerted.

The telemetry nurse helps keep track of vital signs such as blood pressure, oxygen levels, and more. They can also help with cardioversions to restore the heart to a regular rhythm—and other cardiac emergencies. 

What are the duties and responsibilities of a telemetry nurse?

Some other duties a telemetry nurse may be responsible for are:

  • Conducting diagnostic tests 
  • Administering medication as needed
  • Tending to patients with cardiac pain 
  • Checking vital signs including blood pressure, breathing pattern, and oxygen levels 
  • Teaching patients and family members about cardiac health
  • Helping doctors with procedures and treatments for cardiac issues 
  • Performing complete patient history and physical assessments of new patients 

Where do telemetry nurses work?

Telemetry nurses tend to work in the Telemetry and ICU units of a hospital. However, they can also work in these settings: 

  • Home healthcare
  • Nursing homes
  • Outpatient surgery centers
  • Long-term care spaces

Telemetry nurses can work as full-time employees or independent contractors. If the telemetry nurse has all the right qualifications and certifications, they can choose their work capacity. 

What skills does a telemetry nurse need?

The telemetry nurse provides a specialized role within the nursing field. They must possess a specific skill set to best meet their patient’s needs. The following are some traits that telemetry nurses may want to possess. 

Technological savvy

People who have a knack for technology and can interpret data might consider telemetry nursing. Every day, a telemetry nurse works with technology such as EKG machines and other instruments to measure a patient’s health patterns.

Excellent communication skills

Telemetry nurses work on a team of nurses, doctors, and other healthcare members. To achieve success, there must be consistent, effective communication. Also, telemetry nurses have to communicate with patients and family members, often on complex issues.

Organizational aptitude

Nurses within this field often juggle more than five patients at any given time. It can prove stressful. Telemetry nurses must prioritize and organize their shifts to best meet all their patients’ needs. 


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How do you become a telemetry nurse?

Becoming certified within telemetry can take a long time. The process includes four important steps. 

Obtain a nursing degree

The first hurdle you have to jump through involves obtaining a degree. This is standard for any nursing specialty. You can choose to earn an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN). Many positions only require an associate degree, though some require that you enroll in a BSN program. 

Transition to a registered nurse (RN) 

In order to become a registered nurse, you need to pass the National Council Licensing Examination (NCLEX) for Registered Nursing. Passing this exam will grant you eligibility as a registered nurse and allow you to continue on the path toward telemetry. 

Obtain a nursing license

After passing the NCLEX, you must apply for a license with your state’s nursing board. The requirements vary by state and may include additional steps, such as a background check.

Gain Relevant Experience 

To become a telemetry nurse, you need about 1 to 3 years of relevant experience working with telemetric tools and patients who need them. 

Become telemetry certified

Two types of certifications exist within telemetry:

  • The Advanced Cardiovascular Life Support (ACLS) course takes about two days to complete and covers topics such as recognizing respiratory arrest and performing basic life support.
  • The Progressive Care Certified Nurse (PCCN) is a specialty certification for nurses who provide direct care to acutely ill adult patients regardless of their physical location. There is a two-year (usually for nurses who work fulltime) and a five-year option (usually nurses who work parttime). Both have their own requirements.

After earning the certifications, it’s crucial to keep up with their renewals. The ACLS requires renewal every two years and the PCCN renewal period is every three years. 

To renew your certifications, you will need to complete a certain amount of training hours and continuing education units to stay current with the field’s standards. 

What are the salary and job outlooks for a telemetry nurse? 

The need for telemetry nurses will always exist. The Bureau of Labor Statistics projects that the need for RNs will grow by at least 6% between 2021 and 2031. The average annual salary for all RNs is $82,750.

The telemetry nursing field pays competitively. According to data from Incredible Health, the average salary for telemetry nurses is $92,076 which also translates to $44.27/hr. This largely depends on the level of education, experience, and location.

Telemetry nurse salary by state
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
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Virginia
Washington
Wisconsin
West Virginia

FAQs

What is a telemetry nurse?

A telemetry nurse is a healthcare worker who specializes in using medical tools to measure a patient’s health.

How much does a telemetry nurse make?

The telemetry nursing field pays competitively. According to data from Incredible Health, the average salary for telemetry nurses is $92,076 which also translates to $44.27/hr. This largely depends on the level of education, experience, and location.

What does a telemetry nurse do?

The telemetry nurse helps keep track of vital signs such as blood pressure, oxygen levels, and more. They can also help with cardioversions to restore the heart to a regular rhythm—and other cardiac emergencies.

Top telemetry nurse jobs on Incredible Health

  • 🏥 Clinical Nurse Educator – Surgical

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

  • 🏥 Nurse Practitioner – Home Health

    Wibaux, MT |

  • 🏥 Registered Nurse – Med Surg Float Pool

    Philadelphia, PA | $49,900 to $105,000 /year

  • 🏥 Registered Nurse – Oncology

    Phoenix, AZ | $75,000 to $100,000 /year

  • 🏥 Registered Nurse – Telemetry

    Falls Church, VA | $69,000 to $109,000 /year

Get matched with these and thousands more permanent jobs on Incredible Health.

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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.

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Become a PICU Nurse in 3 Steps

Jun 02 2022

Nurse Types / PICU Nurse

Pediatric Intensive Care Unit (PICU) nurses provide exceptional nursing care to very sick children or adolescents. PICU nursing is a type of critical care nursing that requires advanced knowledge and skills specific to this patient population.

This article will help you understand the ins and outs of PICU nursing, including:

  • What is a PICU nurse?
  • What do PICU nurses do?
  • Where do PICU nurses work?
  • What are specific types of PICU nurses?
  • How do you become a PICU nurse in 3 steps?
  • What are additional requirements of PICU nurses? 
  • What are the salary and career outlooks for PICU nurses?

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What is a PICU nurse?

PICU nurses care for the most severely ill children and adolescents who need the highest level of medical care. Patients in the PICU need intensive monitoring and frequent interventions, often requiring one-to-one level care.

Qualities of a successful PICU nurse

PICU nurses provide very specialized care. Nurses in this specialty must have:

  • A love of working with children and adolescents
  • A deep understanding of pediatric health issues, including disease processes, and other conditions
  • Advanced knowledge of critical care nursing specific to the pediatric population, including:
    • infusion therapy 
    • ventilator management
    • cardiac monitoring 
    • management of endotracheal tubes; extraventricular drains; intravenous, intraosseous, and arterial lines 
    • catheters
    • dressings and wound care
  • An ability to provide developmentally appropriate patient education as well as teaching to the family
  • Strong critical thinking skills
  • Ability to work independently and as part of a team

What do PICU nurses do?

PICU nurses have a big job that requires compassion and highly developed knowledge and skills. PICU nurses must also be flexible and quick on their feet. One study of PICU nurses found that they perform an average of 90 tasks per hour, requiring changing tasks every 40 seconds!

A day in the life a PICU nurse

Many PICU nurses work with one or two patients at a time. Most patients in the PICU need very close monitoring, and their conditions can change swiftly. A PICU nurse must pay attention to indications of a change in status, particularly for patients who can’t speak due to age, condition, intubation or sedation. 

A typical shift in the PICU begins with receiving a report from another nurse. Next, the PICU nurse performs a full assessment of their patient. This includes:

  • Vital signs 
  • Drain output
  • Skin condition
  • Pain assessment
  • Respiratory waveform and cardiac rhythms
  • Neurological status

PICU nurses must administer medications requiring frequent assessments. This medical care must be balanced with daily care activities, like diaper changes, bathing, or feeding. 

Throughout the shift, the PICU nurse will need to provide updates to the patient’s care team. If the patient requires blood draws, respiratory therapy, occupational therapy, imaging studies, or surgery, the PICU nurse will coordinate care with different members of the healthcare team.

The PICU nurse must document and communicate assessment findings, medication administration and patient response, daily care activities, and changes in status. The nurse must balance these responsibilities with providing emotional support and education to the patients and their families.

Common conditions treated by PICU nurses

Patients admitted to the PICU tend to have more complicated medical histories, like prematurity or pre-existing congenital disorders. One study found that 77% of PICU admissions involved at least one pre-existing chronic condition.

Respiratory infections are the most common condition treated in the PICU, and up to 40% of PICU patients require mechanical ventilation during their hospital stay.

Common conditions treated by PICU nurses include:

  • Respiratory infections, like flu or RSV
  • Chronic respiratory issues like asthma
  • Congenital anomalies, like congenital heart defects or neural tube defects
  • Neurologic disorders
  • Infections
  • Injuries
  • Neoplasms (cancerous and non-cancerous growths)
  • Endocrine disorders
  • Circulatory disorders
  • Sepsis and shock

Patients in the PICU may pose additional challenges. According to the Society for Critical Care Medicine, up to 38% of children admitted to the PICU have some sort of developmental delay. 

In addition, PICU patients often require lengthy stays in the hospital, which poses unique challenges as far as supporting the emotional and developmental needs of these patients. 

Where do PICU nurses work?

PICU nurses work almost exclusively in hospitals due to the complicated and advanced level of care required for these patients.

There are different types of PICUs. Some specialize in a particular condition or disease, like cardiovascular PICUs or transplant services. Additionally, PICUs can provide different levels of care. 

What are specific types of PICU nurses?

Nurses who are interested in critical care pediatric nursing are in high demand, so they have options available when it comes to where to work.

PICU nurses can choose between community-level PICUs or more specialized units in hospitals. There are PICU nurses who specialize in burn care, cardiac care, or cancer. Others work with the youngest patients in the neonatal intensive care unit (NICU). 

Some critical care pediatric nurses transition into flight nursing, which involves transporting critically ill patients via helicopter to specialized care facilities.

Closely related fields

PICU nurses are a type of critical call nurse. Critical care nurses provide specialized nursing for patients with serious medical or surgical health needs. 

Other critical care nursing fields include:

  • Emergency and trauma nursing
  • Flight nursing
  • Neonatal intensive care unit (NICU) nursing 
  • Adult intensive care unit (ICU) nursing
  • Burn units
  • Step-down care after surgery
  • Cardiac intensive care unit (CCU) nursing

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How do you become a PICU nurse in 3 steps?

Step 1 – Become a registered nurse

The first step is to become a Registered Nurse, which involves earning a Bachelor of Science in Nursing (BSN) and passing a national exam to prove competency.

Earn a BSN degree

There are many ways to earn your BSN degree, from traditional four-year college programs, accelerated second-degree BSN programs (ABSN), and RN-to-BSN bridge programs.

Many hiring managers prefer to hire BSN-prepared nurses, and these nurses often earn higher salaries than nurses with associate degrees.  

Choosing the right program for you depends on your educational and professional history as well as your professional goals. 

Pass the NCLEX-RN exam

After obtaining your BSN, it’s time to take the NCLEX-RN exam. Once you pass the NCLEX, you are eligible to apply for a nursing license in the state you wish to work.

Once you have your BSN and have passed the NCLEX, you’re ready to start your job hunt. Check out Incredible Health’s career resources to help you find and prepare for your ideal job.

Step 2 – Accumulate experience

New graduate nurses can sometimes find jobs in the PICU, but it can be difficult due to the specialized skills required for this position. Many nurses transition into the PICU after obtaining experience in other units first.

Helpful skills and experience

You can boost your chances of finding a job in the PICU by completing your nursing school practicum hours in a PICU. Newer nurses might also start by targeting community-level PICUs that serve patients at a lower acuity level.

You can also demonstrate your interest in PICU nursing through continuing education units (CEUs) in pediatric topics. Incredible Health offers free CEUs on a variety of topics, including pediatric care.

Changing specialty to a PICU nurse

Are you looking to change your specialty from another area to PICU nursing? Many PICU nurses start in another area of the hospital, like med-surg. This previous experience will help you stand out when you apply for a position in the PICU. 

If you currently work in a unit that serves children (like the ER, urgent care, or med-surg floor), try talking to your manager or charge nurse about your professional goals. They may be able to help you by assigning you pediatric cases when possible.

Another option is to reach out to nursing colleagues to see if you can shadow them for a day to learn more about the job.

Step 3 – Obtain certifications

There are three main certifications available to pediatric nurses, and each of them requires several years of experience working with pediatric patients.

Once you obtain a job working in pediatrics, you can pursue either the Certified Pediatric Nurse (CPN) or Pediatric Nursing Certification (PED-BC™) certification. 

These certifications are less specialized than the Critical Care Nurse (Pediatric) Certification (CCRN), but they can help demonstrate your dedication and knowledge of pediatric disease processes and developmental needs. 

The CPN and PED-BC exams require 2-5 years of pediatric nursing experience. This can take place in many settings:

  • Children’s hospital
  • School
  • Home health
  • Specialty clinic
  • Special needs daycare
  • Public health agency
  • Primary care practice

The CCRN is an advanced certification available to nurses with demonstrated experience caring for pediatric patients who are critically ill. There are two-year and five-year options for certification, and both pathways require passing an exam to demonstrate your knowledge.

Check with your current employer to see which certifications they prefer (sometimes, you can get the cost of the exam covered by your employer!).

What are additional requirements of PICU nurses? 

PICU nurses must be able to work in high-stress, fast-paced work environments requiring attention to detail and specialized knowledge of advanced medical technology. Successful PICU nurses are calm under pressure and willing to tackle challenges head-on.

In addition to providing exceptional and specialized care, PICU nurses need to be able to bear the emotional burden of caring for very ill children and adolescents. These nurses must walk a delicate line between providing compassionate care while protecting their own mental health.

PICU nurses must also be great communicators who can provide emotional support and education to their patients and worried family members. 

What are the salary and career outlooks for PICU nurses?

The career outlook for PICU nurses is strong. These specialized nurses often earn more due to their experience and advanced certifications. Additionally, nursing in general is a growing field, with expected job growth of 6% between 2021 and 2031. 

While the U.S. Bureau of Labor Statistics doesn’t break down salary according to specialty, the median pay for all nurses is $82,750 per year. Nurses with additional certifications and expertise can reasonably expect to earn even more than this. 

The average annual pay for a PICU nurse is $94,000. The top 5 cities are:

CitySalary
Sunnyvale, CA$116,648
Santa Rosa, CA$112,820
Williston, ND$111,000
Manhattan, NY$110,708
Cambridge, MA$109,339
Pediatric ICU nurse salary by state
Arizona
California
Florida
Georgia
Illinois
Maryland
Missouri
North Carolina
New York
Pennsylvania
South Carolina
Texas
Virginia

Curious to see how much you could earn? Try our free salary estimator. 

There are many other ways that employers provide benefits to their nursing staff. From childcare benefits to paid time off, qualified and experienced nurses are compensated in many different ways.

Job satisfaction

The PICU can be a challenging place to work, given the high morbidity and mortality of patients in this environment. The need to perform advanced nursing skills and demonstrate continued proficiency with advanced medical technology can also make PICU nursing difficult.

One review study found that working in a supportive work environment with a good team can help protect PICU staff from burnout. PICU nurses also benefit from a strong sense of competence that comes from using advanced skills in a specialized setting.

We can help you find the right PICU for your next career move. Set up a free profile today, and we’ll help connect you to employers competing to hire PICU nurses!


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Next steps 

PICU nurses looking to expand their career options might look at the CCRN certification or additional training to work as a charge nurse in their unit. Another option is to move to a specialty pediatrics center that serves more acute cases. 

Some PICU nurses obtain a Master’s of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) and subsequently move into a different role on the healthcare team.

PICU nurses looking to advance their career might consider positions in management, academics, or advanced practice nursing. These paths may offer increased salaries or job responsibilities.

Ready to take the next step? Join Incredible Health today to make your next career move…incredible!

Sources
  • “Critical Care Registered Nurse (Pediatric) Certification.” aacn.org. Accessed May 29, 2022.
  • Critical Care Statistics. sccm.org. Accessed May 30, 2022. 
  • Crowe, L., Young, J., & Turner, M. J. (2021). What is the prevalence and risk factors of burnout among pediatric intensive care staff (PICU)? A review. Translational pediatrics, 10(10), 2825–2835. https://doi.org/10.21037/tp-20-400 
  • Douglas, S., Cartmill, R., Brown, R., Hoonakker, P., Slagle, J., Schultz Van Roy, K., Walker, J. M., Weinger, M., Wetterneck, T., & Carayon, P. (2013). The work of adult and pediatric intensive care unit nurses. Nursing research, 62(1), 50–58. https://doi.org/10.1097/NNR.0b013e318270714b
  • ‘Explosive’ growth in PICUs prompts updated policy on levels, practice of critical care. publications.aap.org. (2019.) Accessed May 29, 2022.
  • Pediatric Nursing Certification. nursingworld.org, Accessed May 30, 2022.
  • PICU Nurse Salary. ziprecruiter.com. Accessed June 1, 2022.
  • “Steps to CPN Certification.” pncb.org. Accessed May 29, 2022.
  • Photo by Solen Feyissa on Unsplash
Written by Elizabeth Morrill, MHS, BSN, RN 

Elizabeth Morrill, MHS, BSN, RN is a former ER nurse and current nurse writer who specializes in health content for businesses, patients, and healthcare providers. Her career has spanned the globe, from Bosnia-Herzegovina to Colombia to Guatemala.

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All About the HESI Exam and Resources to Help Pass

May 27 2022

Nursing Degrees & Schools / HESI Exam

If you are in nursing school or considering nursing school, chances are you have heard about the HESI exam. The HESI exam is a standardized exam used by many nursing programs around the country. Many schools require you to take the HESI exam to be admitted into their nursing program or to be eligible to graduate.

This article will help you understand what is covered on the HESI exam and how to prepare for this part of your nursing journey.

  • What is the HESI exam?
    • Is the HESI mandatory?
    • How long is the HESI?
    • HESI A2 vs. HESI exit exam
    • HESI vs. TEAS
  • What should I expect to be on the HESI exam?
  • How should I prepare for the HESI?
  • Studying resources
  • Next steps

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What is the HESI exam?

HESI stands for Health Education Systems Incorporated. This exam is used to help schools assess and improve student performance.

Many schools use the HESI exam as a part of the admission process. It’s also used in many nursing programs to help students prepare for the NCLEX. Studies have shown that students who perform well on the HESI exam have a high probability of passing the NCLEX.

Is the HESI mandatory?

The HESI exam is not mandatory to become a registered nurse. However, some schools require it. Many schools include the exam as a part of their application process and as a requirement to graduate.

It is important to be aware of your school’s requirements for the exam and when you will be expected to take it.

Your school will dictate when you need to take the HESI exam. You may be required to take the HESI Exit Exam before you can graduate.

How long is the HESI?

The HESI Admissions Exam consists of 326 questions over 4 hours. The HESI Exit Exam consists of 150 questions.

Different schools may only require you to take certain parts of the exam. It is essential to talk with your school to understand which parts of the exam you need to prepare to take.

HESI A2 vs. HESI exit exam

The HESI A2 exam consists of 9 sections:

  • Reading Comprehension
  • Grammar
  • Vocabulary
  • Basic Math Skills
  • Biology
  • Anatomy and Physiology
  • Physics
  • Chemistry

Each section contains 25-50 questions. The exam also includes a learning style inventory so schools can understand how you learn best. This exam gives a comprehensive picture of your baseline knowledge and learning style.

At the end of your nursing program, you take the HESI Exit Exam to identify strengths and weaknesses before taking the NCLEX. This exam focuses specifically on nursing content and critical thinking. The exam consists of 150 questions and uses NCLEX style questions, including multiple-choice, select all that apply, fill in the blank, and drag/drop.

Your school may require a specific passing score on the HESI Exit Exam to be eligible to graduate.

HESI vs. TEAS

Another standardized exam schools may use is the TEAS exam (Test of Essential Academic Skills). This exam is less specific than the HESI A2 exam and is also used for non-medical programs.

The main difference between the HESI and TEAS exams is the content. The TEAS exam consists of 4 sections:

  • Reading
  • Math
  • Language Usage
  • Science

The TEAS exam consists of 170 questions over 3.5 hours compared to the 326 questions in 4 hours for the HESI A2 exam.

What should I expect to be on the HESI exam?

The HESI Exit Exam consists of 3 sections with 150 questions in total:

  • Nursing Process: assessment, analysis, planning, implementation, evaluation
  • Client Needs: safe and effective care environment, health promotion and maintenance, psychosocial integrity, physiological adaptation
  • Nursing Specialties: dosage calculation, fundamentals, health assessment, nutrition, pathophysiology and pharmacology, community health, critical care, gerontology, maternity, pediatrics, medical-surgical, psychiatric/mental health

It’s also important to note that you can not use a personal calculator. You can only use the calculator provided on the exam computer.

Once you have taken the exam, you can expect results within 2 weeks.

How should I prepare for the HESI exam?

It is important to know the subjects that will be covered by your school as you may only need to study specific content.

It is also important to develop study methods that cater to your learning style. Study groups, flashcards, practice tests, and study guides are just a few methods to help you prepare for the HESI exam.

HESI has many study tools and practice tests that you can access here.

Practice tests can help you identify weak areas and gauge your expected score.

A passing score for the HESI A2 exam is dependent on each school. For score requirements, you can check your school’s admissions requirements.

The HESI Exit Exam scores indicate NCLEX pass probability:

  • Above 950: outstanding pass probability
  • 900-949: excellent pass probability
  • 850-899: average
  • 800-849: below average
  • 750-799: additional preparation needed
  • 700-749: serious preparation needed
  • 650-699: probability of failing
  • Below 649: expected poor performance

Your school may require a certain passing score to be eligible to graduate. Most schools allow two attempts to pass the exam.

You are allowed to take the HESI A2 exam once every 60 days. If you do not meet your school’s passing score, you have another 3 attempts over the course of 12 months.

The cost of the HESI exams is dependent on each school, but it typically ranges from $40-100 per test. Some schools will incorporate the cost of the exams into tuition. You can also inquire with your school for more information on payment for the exam.

Studying resources

To begin preparing for the HESI exam, there are many practice tests, study guides, and resources available here.

You may also want to begin preparing to take the NCLEX exam. Most schools offer free or discounted NCLEX test prep to their students.

There are many test prep companies that also offer NCLEX practice tests and study resources. Kaplan and UWorld are great places to find different study tools.

Finding the right test prep for you can be overwhelming. Sometimes it helps to hear from firsthand experience. Check out Incredible Health’s nurse forum where you can get firsthand advice for your specific questions. This is a great option to connect with other nurses and nursing students.

Next steps

Now that you have learned more about the HESI exams, what are your next steps? 

Your first step is to determine what your school requires and when to expect to take the HESI exam. You can find this information on your school’s application website or by reaching out to your academic advisor.

Exams can seem overwhelming at first. But remember, it is a tool to help you practice for the NCLEX so you can continue your career as a registered nurse.

With the proper preparation, you can be confident you will pass the HESI exam.

There are so many tools to help you prepare for these exams, and all your hard work and preparation will pay off as you begin your nursing career!


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Sources

“HESI Review & Testing Solutions”. Evolve.elsevier.com. Accessed May 24, 2022.

“About the ATI TEAS”. Atitesting.com. Accessed May 24, 2022.

“Free NCLEX-RN Practice Questions and Tests”. Kaptest.com. Accessed May 24, 2022.

“NCLEX RN Test Prep”. Nursing.uworld.com. Accessed May 24, 2022.

Written by Emily Tuttle, RN

Emily Tuttle is a writer specializing in healthcare related topics. Emily has 8 years of experience as a registered nurse in a variety of specialties including pediatric surgery and nursing education. She also serves as adjunct faculty at St. Louis University School of Nursing. She graduated from St. Louis University with a bachelor’s in nursing and graduated from Chamberlain University with a master’s in nursing education.

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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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What's your current role?

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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.

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