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By: Sarah Jividen

RN, BSN




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Levels of Nursing Credentials (Ranked From Lowest to Highest) Levels of Nursing Degrees (Ranked from Lowest to Highest) Opportunities for Career Advancement in Nursing Nursing Levels FAQs
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Whether you are interested in becoming a nurse, or you're an APRN who already has many years under your belt, it is essential to understand the nurse levels and hierarchy so that you know what options you have in your career. Generally speaking, the higher the degree level a nurse has, the more education and experience they have received.  
Between starting as a novice nurse and the highest ranks of nursing, there is a wide range of positions. Read on to understand the ranks and levels of nursing.
A certified nursing assistant, or CNA , helps patients with activities of daily living and other healthcare needs under the direct supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN). 
Certified nursing assistants must complete a state-approved training program. These programs are generally found at local community colleges, high school, vocational or technical schools, or local hospitals.
LVNs and LPNs are interchangeable titles depending on where you work in the US. California and Texas use the title LVN, and the rest of the US uses LPN.
LPNs and LVNs work in hospitals, nursing homes, and other medical facilities and are typically responsible for more basic kinds of patient care and comfort measures. Usually, they work under the guidance of an RN or MD.
To become an LVN/LPN, you need a high school diploma or GED and to graduate from an accredited LVN/LPN program and pass the National Council Licensure Exam. LPN programs typically include one year of coursework and training at a hospital, community college, or technical school. There are also LPN to RN programs where LPNs can go back to school to become either an ADN RN or a BSN RN through accelerated programs.
A registered nurse administers hands-on patient care in a variety of settings including hospitals, medical offices, nursing homes, and other facilities.
RNs work with physicians and other members of the health care team to provide the best course of treatment possible. They also help to educate patients and their families about health issues.
To become an RN you'll need to complete either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) degree, followed by your NCLEX-RN. 
An APRN is a master’s degree prepared RN with a post-master's certificate, or a DNP in one of the following four roles:
APRN’s are licensed through the state board of nursing in which they practice. In many states, APRNs can prescribe medication and practice independently, while in other states, they do so under the oversight of a Medical Doctor (MD).
Many nurses who are APRNs also have a DNP, but you can have one without the other. An APRN with a DNP is considered a practicing doctorate.
Nurses can increase their earning potential and advance their careers away from the bedside by pursuing a non-clinical advanced nursing career. 
An RN diploma is another route to becoming a registered nurse. Like the ADN, these programs typically take around two years to complete and they both prepare students to take the NCLEX-RN. The main difference is that the ADN is a college degree while the diploma is not. Diploma programs are typically offered at hospitals, but may also be available at technical or vocational schools. 
An ADN is a 2-year degree and is the minimum amount of education required to obtain a license to work as an RN, other than an RN diploma (See next section).  
Most RN’s begin their careers working at the bedside performing direct patient care. This experience is usually preferred for nurses who wish to advance their careers and eventually earn a BSN, MSN, APRN, or DNP. However, there are also many career paths that an RN can take outside of the hospital setting, including case management, or aesthetic nursing.
A BSN is a 4-year nursing degree for students who want to be a registered nurse (RN), or for RNs who currently only have an associates degree in nursing (ADN). Many nurses who start their careers with an ADN eventually advance their careers by achieving a BSN. 
Bachelor’s trained nurses work in nursing specialties throughout the hospital setting. For example, cardiac, neuro, pediatrics, labor & delivery, emergency room, and ICU, to name a few.
Nurses are encouraged to become certified within their chosen specialty after they have gained at least one or more years of direct nursing experience. For example, a nurse on an ICU neuro/trauma can study and sit for the Certified Neuroscience Registered Nurses Certification (CNRN). Achieving certification within your chosen specialty shows that you are an expert nurse in a particular nursing field. In addition, many institutions will pay nurses more when they are certified within their specialty.
Both ADN and BSN graduates must pass the NCLEX-RN examination to become licensed to work as an RN.
There are several types of master's degrees in nursing . Advanced practice registered nurse degrees prepare a registered nurse for an advanced clinical role. Other types of MSN degrees focus on preparing nurses for non-clinical roles such as public health or nursing informatics.
It takes about 2-3 years to earn a master’s in nursing but online options are available.
A Doctorate Of Nursing Practice (DNP) is the highest level of nursing education and expertise within the nursing profession. DNP’s work in nursing administration or direct patient care as an Advanced Practice Registered Nurse (APRN). As thought leaders, DNP’s also implement health policy and influence healthcare outcomes.  
In the healthcare setting, DNP’s work in:
Education to obtain a DNP requires three to six years of study, depending on what level of nursing education you currently have. Most DNP programs require that you have a master’s degree in nursing, although some will start at the BSN level and require more years of study.
There will be more opportunities than ever for nursing career advancement in the coming years. Nationwide employment of RNs is projected to grow 9 percent from 2020 to 2030 . This is partially due to an increased emphasis on preventative care, higher rates of chronic conditions such as obesity and type 2 diabetes, and an aging baby boomer population.  
Advancing your education has never been more attainable, especially with the rise of online learning . A few educational opportunities you may want to consider are RN to BSN , BSN to MSN, and MSN to DNP programs.  
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