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Of the
					total number of licensed nurses working almost 60 percent works in the
					hospital, while 21 percent work in other settings that includes offices
					of physicians, home health care services, nursing facilities and
					employment services. The rest works in government agencies, social
					assistance agencies, and educational services. Some of the licensed
					nurses are finding their way towards alternative employment including
					public health, and other care settings like assisted living facilities,
					hospices, businesses, schools, and many more.
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							 | 19 | 
Table of
					Employment [1]
Regardless
					of their specialty or work setting, registered nurses have common job
					descriptions and responsibilities which are to treat patients, educate
					patients, the family as well as the public about the different medical
					conditions, and are there to explain to the patients' families the
					situation, teach patients and the families how to manage the illness or
					injuries, offer advices and provide emotional support for the family.
					One misconception is that registered nurses are one and the same. While
					it's quite true, the specific work responsibilities will differ from one
					RN to another based on their specialties as well as work settings or
					patient population served.
Although
					majority of licensed nurses works in the hospitals, more and more are
					going into alternative career or specialties. There are those who find
					they want to add more excitement to their already exciting career and
					take a different path than the usual. Nurses are fanning out into a
					multitude of jobs, ranging from nurse-run community clinics to long-term
					care facilities to corporations. The market is now shifting and this
					giving way to alternative careers or specialties. Businesses are now
					focusing on preventive care and wellness in the workplace and have
					become a big source of jobs. Long-term facilities or nursing care
					facilities are growing bigger with the increase number of elderly
					people. More and more people want to be taken care of at home or in
					hospices rather than the hospitals and would-be nurses should also look
					beyond the hospitals to alternate care settings.
Below are
					some of the few specialties that do not necessarily work in the hospital
					settings or may not work with patients. Some of these specialties may
					require additional certifications whose qualifications may or may not
					need number of years of clinical experience or relevant work experience
					and/or number of hours of continuing education. Primarily, one needs to
					have a current and active RN license before one can take a certification
					with American Nurses Credentialing Center (ANCC) or American Nurses
					Association (ANA) or the corporation tasked for specific certifications
					or credentials.
Forensic
					Nurse
					 The TV series Bones and CSI have certainly made forensic really
					popular. Unfortunately, many assume that those in forensics are all
					medical doctors. There are also forensic nurses who are actually
					registered nurses who provide care to the victims of violence. They
					assist police investigations by collecting evidences and thus serve
					unique and critical roles to the health care and judicial systems with
					at least eight (8) specialty areas or career paths including Forensic
					Clinical Nurse Specialist, Forensic Nurse Investigator, Forensic
					Psychiatric Nurse, Nurse Coroner, Sexual Assault Nurse, Legal Nurse
					Consultant, Forensic Gerontology Specialist and Correctional Nursing
					Specialist. These specialty areas allow these forensic nurses to work in
					different settings including schools, corrections, pediatrics, and the
					crime labs. They can certainly travel to different crime scenes,
					morgues, prisons, police departments and yes, hospitals. 
					
					Occupational Health Nurse
					 These are the registered nurses who work in different industries such
					as manufacturing, construction, mining and environments including
					offices, schools, factories, and hospitals to observe the working
					conditions and hazards in these workplaces. This is one very diverse
					specialty as OHNs can work as clinicians, independent consultants,
					educators and corporate directors. Some of their jobs include making
					sure that companies/industries comply with government regulations for
					workplace safety, designing disease-prevention programs, training and
					mentoring co-workers, and advising employees on health and wellness in
					the workplace, to name a few.
					Home
					Health Nurse
					 This is one of the fastest growing areas of nursing and according to
					BLS it is expected to grow by 33percent from 2008 to 2018. This
					is because more and more patients would rather receive care in their
					homes rather than in the much expensive hospitals. Also, technology has
					made it easier to provide complex treatments in the home and so there is
					an increasing need for highly skilled health care specialist in the home
					setting. They have a variety of patients from the elderly to the
					disabled who prefers to be treated at home to those who are recovering
					from accidents or who suffer from a serious and/or terminal illness.
					They may work with an individual patient on a full-time basis or
					multiple patients every day. Usually though they work independently with
					the patient's family as the working team from administering medications
					at the right time and with the proper dosage, wound care, monitoring of
					patients health and needs and many more.
Public
					Health Nurse
					 Public health nurses cares not for an individual but rather provides
					healthcare services for the whole community to prevent diseases and
					improve overall health.
		Health
					screenings, preventive care, and health education are just some the
					services that public health nurses provide to the community especially
					to those without healthcare. The PHNs may work in public health
					departments, home health agencies, and ambulatory care clinics. They may
					be assigned in a specific geographical area and they may travel to
					schools, community shelters, patient's homes and other healthcare
					facilities within the specified area. 
		Legal Nurse Consultant
					 One of the specialty nurses of forensic nursing is legal nurse
					consultants who are highly experienced registered nurses who provide
					their services to businesses, attorneys, prosecutors, insurance
					companies, healthcare facilities, private corporations and government
					agencies. They use their nursing knowledge and qualifications to fill in
					the gaps in medical knowledge in the legal profession such as in
					reviewing medical records to verify if medical malpractice occurred,
					helping lawyers prepare for a deposition, and can sometimes be used as
					expert witnesses in court cases. 
		Genetic Clinical Nurse
					 A genetic nurse is a licensed registered nurse with special education
					and training in genetics. Many common diseases including cancer, heart
					disease, diabetes, and Alzheimers are now known to have genetic
					component. Genetic nurses provide help to people that are at risk or are
					affected by these diseases with genetic component by performing risk
					assessment and analyzing the genetic contribution to the disease risk.
					They also discuss these and the impact of the risk on healthcare
					management to the patients and the families. They may work with patients
					but genetic nurses work in other settings that include specialty clinics
					where gene-based diagnoses and therapies are offered, prenatal and
					reproductive technology centers, cancer centers, primary health care
					settings, pediatric clinics, industrial health, school health, research
					centers, biotech and insurance industries.
					Correctional Nurse/Prison Nurse
					 Another specialty under forensic nursing is correctional nursing
					wherein the specialists provide quality health care to individuals
					detained by courts including those in jails, prisons, and other
					correctional facilities and institutions. Experienced nurses can work as
					correctional/prisons nurses after having been certified. The ability of
					the nurse to assess medical issues is critical especially since they are
					required to determine if there is a need to relocate the patients for
					additional treatment options. 
					School Nurse
					 By the name itself we know that school nurses are licensed
					professional nurses who work in schools and are responsible for
					providing health care to those attending the schools or colleges. They
					are not just there to intervene when students are in need of medical
					help but they are important to the daily operation of a school since
					there are emergency and non-emergency situations that they need to take
					care of. They assess and monitor immunization status of the students,
					collaborate with the faculty, parents and students on health and safety
					awareness programs and as a whole ensure that there is a healthy school
					environment. This specialty should work best for those who want to work
					on predictable and regular working hours and in a specific community.
					Travel Nurse
					 Indulge your love for travel and nursing at the same time by becoming
					a travel nurse. These licensed registered nurse travel in different
					states on a short term assignment to lessen staff shortages due to nurse
					staff on vacation, maternity leave, on training, or urgent shortage due
					to epidemics or pandemics. The assignment could last up to a year but
					majority of the assignments usually last 3 to 4 months. The allure of
					travel and high salary, with bonuses and stipends such as housing,
					relocation, travel allowance and insurance reimbursement to name a few,
					as well as the opportunity of gaining knowledge and expertise in the
					different fields of healthcare wherever you go is certainly a dream come
					true for some people. 
Nurse
					Informatics Specialist
					 Nursing has certainly evolved over time and just like all the other
					industries and sectors, it has also crossed over the lines of technology
					in nursing informatics. No longer limited to providing care to patients
					in need nurses, like the nurse informatics specialists, also use
					technology to provide improved delivery of healthcare services. In nurse
					informatics the science of nursing is merged with information science
					and computer technology to ensure improved communication and
					documentation and totally making nurse practices even better. For those
					who love nursing and technology, nurse informatics may just be the thing
					to go into. 
							Ambulatory Care Nurse
					 For those registered nurses who thrive in unpredictability, this may
					be the specialty for you. Ambulatory care nurses provide preventive care
					and pain management for widely diverse illnesses and injuries with
					patients who are on outpatient or episodic basis. They usually come in
					contact with the patient for less than 24 hours and they may not have
					prior knowledge of the patients' medical history and background. These
					specialized nurses requires specialized skills such as including IV
					therapy, teaching, phlebotomy, interpersonal communication, triage, ECG,
					and autonomy.
					Telephone Triage Nurse  
					Triage
					services are not health advice lines that offer
					answers to general healthcare questions. Triage services, where
					telephone triage nurses work, are offered by healthcare facilities in
					association with a physician's office. They take calls when patients try
					to contact their physicians or other health care providers after office
					hours. They do not diagnose patients over the phone but is there to
					assess the severity of the caller's complaints or the patient's symptoms
					and directs the caller to the appropriate emergency services if
					necessary. For telephone triage nurse it is important to have impeccable
					listening skills because they will just be listening to the complaints
					and assessing the health concerns without face-to-face interaction or
					the advantage of visual inspection. 
		Nurse Researchers
					 Considered one of the highest paying specialties, nurse researchers
					are scientists who design and implement scientific studies in order to
					look for ways to improve healthcare services and outcomes, improve
					quality of life of chronically ill patients, better ways to provide care
					and comfort to patients at the end of life and many more. They study the
					different aspects of health, illness, and healthcare and may work in
					diverse healthcare settings such as universities, laboratories, research
					organizations or may be hired by private companies and non-profit
					organizations that focus on healthcare issues. Nurse researchers already
					get high salaries but those with advanced degrees can supplement their
					income by teaching, consultancy and writing books and professional
					speaking engagements.
		Military Nurse
					 Serving the country and still be a nurse can be done in military
					nursing. All one has to do is choose which branch of the military
					service  army, navy, air force. These nurses provide nursing care and
					practice both in peace and war-time settings. Since these registered
					nurses enter active duty as an officer, they are often given broader
					range of responsibility and scope of practice than civilian practice
					nurses are. Also, because the US military can be found nationally as
					well as internationally, it is expected that registered nurses in active
					duty may be placed in a wide variety of work environments around the
					world including field hospitals, military hospitals overseas, on a ship
					or vessel. It may also happen that as part of the military program as a
					nurse you will be called to provide help to other communities in need
					around the world. 
					Flight / Transport Nurse
					 These are licensed professional nurses who give medical and emergency
					care to patients as well as injured individuals at scenes of accidents
					and who play a role in transporting these patients via ambulance,
					helicopter or airplane to the nearest medical facility. They may also
					transport via commercial airplanes those less critical patients. They
					evaluate the in-flight needs for medications, supplies and equipment as
					well as serve as liaisons between support personal, flight paramedics,
					aircrew members, and medical personnel. In case of an absence of a
					doctor, they may also provide emergency treatment during a flight. Being
					able to think and act fast under pressure is important because there are
					times this is what the job will demand. 
					Camp Nurse
					 A camp nurse provides medical and healthcare services to camps and
					retreat attendants of all ages. It can be a summer camp or groups of
					terminally ill patients on a retreat. The expertise needed for camp
					nurses is highly skilled since they have variety of patients from
					healthy to ill patients of all ages, young and old. 
These
					specialties work in a wide variety of settings but clinical experience
					has always been a basis in being successful in these exciting
					specialties. Take a look at these specialties and take courses and work
					on towards your goal. 
http://www.bls.gov/oco/pdf/ocos083.pdf
http://www.bls.gov/oes/current/oes291111.htm
http://www.nursingschools.net/profiles/
http://www.nursingschoolguys.com/careers/
http://www.learn4good.com/nursing/career_choices_nurse_education.htm
http://www.free-4u.com/nursing/Careers-and-Salaries.html
http://www.allnursingschools.com/nursing-careers/career
http://www.registerednursern.com/nursing/different-types-of-nursing-specialities/
Nursing Specialty Certification/Credentialing
American Nurses Credentialing Center http://www.nursecredentialing.org/Certification.aspx
AboutNursing.com http://www.aboutnursing.com/certifications/
NurseZone http://www.nursezone.com/Edu-Prof-Development/certification.aspx
The National Certification Corporation http://www.nccwebsite.org/Certification
The Genetic Nursing Credentialing Commission http://www.geneticnurse.org/
Nursing Specialty Associations
American Forensic Nurses http://www.amrn.com/
International Association of Forensic Nurses http://www.iafn.org/
American Association of Occupational Health Nurses https://www.aaohn.org/
Home Health Nurses Association http://www.hhna.org/
American Public Health Associatio http://www.apha.org/
American Association of Legal Nurse Consultants http://www.aalnc.org/
International & American Association for Legal Nurse Consultants http://www.iaalni.org/
International http://www.isong.org/
American Correctional Health Services Association http://www.achsa.org/
National Association of School Nurses http://www.nasn.org/
American Travel Health Nurses Association http://www.athna.org/
ANIA-CARING - Nursing Informatics Organization http://www.ania-caring.org/
American Academy of Ambulatory Care Nursing http://www.aaacn.org/