The Beginner’s Guide to Understanding the Different Levels of Nursing Credentials (2024)

The Beginner’s Guide to Understanding the Different Levels of Nursing Credentials (1)

You’ve finally made the decision to answer your calling to become a nurse. Now all you need to do is find a program and earn your nursing degree, right? If only it were that easy.

The truth is there are many different levels of nursing degrees and credentials, and many specialties and job titles under each umbrella. A nursing degree isn’t exactly one-size-fits-all. Depending which focus you’re interested in, it will have its own path and various nurse education requirements you’ll need to meet to pursue the position you have your sights set on.

So how is an aspiring nurse supposed to navigate this course? Don’t be intimidated by themany credentialsyou’ve come across. When it all comes down to it, the nursing hierarchy isn’t as confusing as it may seem.

We created this handy guide to help simplify things for you. Keep reading to gain a clearer understanding of the different levels of nursing degrees so you can identify which educational path aligns with your career aspirations.

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4 Main levels of nursing degrees and credentials

The fact that there are different credentials in the nursing profession is exciting news. It means there are potential opportunities out there for those wanting to make an impact in the healthcare field—no matter their level of educational attainment. And the options don’t end once you’re employed, either—you can mold your career to fit your passions and priorities by continuing to ascend the nursing hierarchy later in your career.

Whether you have hopes of specializing, climbing the ranks or pursuing entrepreneurial endeavors, there are types of nursing degrees or certifications available to prepare you for your professional goals.

Let’s learn more about the four core levels of nursing.

1. Nursing assistant (CNA)

Nursing assistants also go by the title of nursing aides or CNAs (Certified Nursing Assistants). While these professionals are not technically nurses, they are on the frontline of contact between medical staff and patients—and the role can serve as a starting point for many aspiring nurses.Nursing assistantsbathe their patients and help them dress, eat, use the bathroom and perform other daily activities. They measure vital signs and listen to their patients’ health concerns and transfer patients between beds and wheelchairs.

Some CNAs also may dispense medication,according to the Bureau of Labor Statistics(BLS), depending on their state’s rules and regulations.1The BLS adds that CNAs are often the principal caregivers in nursing homes and residential care facilities, having more direct contact with the residents than other staff members.

How to become one:To become a CNA, you must complete a state-approved education program. A nursing assistant training program will typically take just a matter of weeks to complete. Upon completion of the program, aspiring nursing assistants mustpass an examto earn their CNA (or related) title. After successful completion, CNAs are state-certified.

Nursing assistant job outlook:

2. Licensed practical nurse (LPN)

LPNs, sometimes known aslicensed vocational nurses(LVNs), are responsible for a variety of patient support duties. They monitor patient health and administer basic care. Theirtasks might includetaking blood pressure, inserting catheters, starting IV drips (in some states) and changing bandages. They communicate with patients (and sometimes patient family members) to educate them on care plans. State regulations vary for LPNs on administering medication and supervision requirements.

How to become one:LPNs get their start by successfully completing aPractical Nursing Diplomaprogram. These programs can be found at technical schools, community colleges or career colleges and can usually be completed in as few as 12 months.2After graduation, you’ll be required to pass the National Council Licensure Examination (NCLEX-PN®) to receive your state license and be qualified to work.

Additional certification is also available for nurses at the LPN level. Certifications show that an LPN or LVN has an advanced level of knowledge about a specific subject,according to the BLS.1To gain an edge in the job market or to acquire some specialty training, LPNs can earn certification in specialized areas like IV therapy, developmental disabilities, childbirth and more.

Licensed practical nurse job outlook:

3. Registered nurse (RN)

Registered nurses (RNs) tend to be the group most people associate with the term “nurse.” They assume a wide variety of roles in patient care. RNs are responsible forrecording patient medical history, monitoring symptoms and medical equipment, administering medicine, establishing or contributing to a plan of care, performing diagnostic tests and collaborating with doctors.

Some RNs can be responsible for overseeing LPNs, CNAs and other healthcare staff,the BLS reports.1Specific job titles and duties will vary depending on where they work and the types of patients they care for. There are also opportunities for RNs to limit their work to caring for specific patient populations, such as inpediatric nursing,emergency nursing,neonatal nursing,psychiatric nursingand more.

RNs also have a plethora of choicesoutside of direct patient care. The BLS notes that RNs might also work to promote public health, run health screenings or blood drives, or staff the health clinics in schools.1

How to become one:There are two primary levels of nursing degrees that can lead to a career as an RN: earning anAssociate’s Degree in Nursing(ADN) or earning aBachelor of Science in Nursing(BSN). The Rasmussen University ADN program can be completed in as few as 18 months.2On the other hand, earning your BSN at Rasmussen University could be done in as few as 33 months, oras few as 18 monthswith a prior degree under your belt.2

When choosing which track to take, it’s important to think ahead and determine what the educational preferences are for the type of work you want. Some employers (especially hospitals) prefer RNs to have a bachelor’s degree. Many working RNs with an ADN opt to go back to school later to earn their bachelor’s degree through anRN-to-BSN online program.

But whichever nursing degree level you decide on, you’ll still have to pass the National Council Licensure Examination (NCLEX-RN®) if you want to start working as an RN. Additional requirements may also exist depending on your state, so be sure to look intostatewide RN qualificationsas well.

Registered nurse job outlook:

4. Advanced practice registered nurses (APRNs)

Nurses who earn theirMaster of Science in Nursing(MSN) or Doctor of Nursing Practice (DNP) can become advanced practice registered nurses (APRNs). These nurses have all sorts of options when it comes to career choices. They can work independently as well as in collaboration with physicians,according to the BLS.1They can perform all of the duties of an RN as well as more extensive tasks like ordering and evaluating test results, referring patients to specialists and diagnosing and treating ailments.

For a better idea of how these nurses fit in the healthcare system, seethis handy breakdownthe American Nurses Association® offers to highlight the four types of APRNs:nurse anesthetists, nurse midwives, nurse practitioners and clinical nurse specialists.

There are a few other notable career paths MSN nurses could pursue outside of these APRN roles. One option is tobecome a nurse educatorand help train the next generation of nurses. Another possibility is to advance into leadership positions, like becoming adirector of nursing.

How to become an APRN:The first step toward becoming an advanced practice registered nurse is becoming an RN. MSN programs typically require candidates to first have an active RN license, with most preferring a BSN degree,according to the BLS.1

APRN roles include nurse anesthetist, clinical nurse specialist, nurse midwife and nurse practitioner (NP). Specific graduate programs exist for each of these outcomes. For instance, prospective nurse practitioners enroll in a program that aligns with specialized licensure options like psychiatric-mental health, adult gerontology, pediatrics or family primary care.

Once you decide which APRN career option to pursue, you’ll need to gain acceptance into an accreditedMSNor DNP program and earn your degree. Depending on the specialty you wish to pursue, there might be further requirements in order to obtain licensure, including clinical experience or additional certification.

After graduation, the BLS states that you’ll likely need to pass a national certification exam in your area of expertise.1Requirements vary slightly by state, so check out theNational Council of State Boards of Nursing®for specifics in your area. Some advanced practice certifications will also need to be renewed after a certain number of years to remain valid.

Advanced practice registered nurse (nurse anesthetists, nurse midwives and nurse practitioners) job outlook:

Find your ideal level of nursing degree

This simple breakdown of the different levels of nursing should help you have a better understanding of your options in the field. Even so, these only scratch the surface of the career options available within each level.

Now that you’re more familiar with the nursing hierarchy, you may have a better idea of which path you'd like to pursue. Regardless of which level of nursing credential you choose, completing the TEAS test is a common education requirement you'll likely encounter. Learn more about what to expect from the exam in our article “Don't Fear the TEAS Test: 5 Common Questions Answered.”

1Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook [career information accessed May 2022]. Data represents national averaged earnings for the occupations listed and includes workers at all levels of education and experience. Ranges do not represent starting salaries and employment conditions in your area may vary.
2Time to completion is dependent on number of transfer credits accepted and the number of courses completed each term.

EDITOR’S NOTE: This article was originally published in 2015. It has since been updated to include information relevant to 2022.

National Council of State Boards of Nursing, NCLEX, NCLEX-PN and NCLEX-RN are registered trademarks of National Council of State Boards of Nursing, Inc.
American Nurses Association is a registered trademark of American Nurses Association Corporation.

The Beginner’s Guide to Understanding the Different Levels of Nursing Credentials (2024)

FAQs

What are the nursing levels? ›

What Are the Types of Nurses? In general, nurses fall into three categories: non-degree, degree, and advanced degree. Non-degree nurses include certified nursing assistants (CNAs) and licensed practical nurses (LPNs), who complete nursing education programs that don't culminate in a degree.

What is the lowest level of nursing? ›

As the name suggests, CNAs assist nurses with patient admittance and vitals. It is the lowest-level credential related to the nursing field and the quickest point of entry.

What is the highest level of nursing? ›

The highest level of nursing education is the doctoral level. Positions that require doctoral nursing degrees include certain types of advanced practice registered nurses (APRNs), as well as leadership positions such as chief nursing officer or director of nursing.

What order do nursing credentials go in? ›

Nurses in clinical practice tend to list their licensure first followed by degrees and then certifications. For example: RN, BSN, CCRN. Nurses who are academic educators list their academic degrees first followed by licensure and then certifications. For example: DNP, RN, CNE.

Can an LPN call themselves a nurse? ›

First, LPNs must pass a national licensure exam prior to assuming nursing responsibilities. In my opinion, if an individual passed the NCLEX-PN, they have earned the title nurse. Furthermore, a governing nursing board can suspend or revoke an LPNs license if he or she engages in a disorderly act.

What is the easiest nursing job? ›

Easiest Nursing Jobs Availabile
  • Nurse Educator. Average Annual Salary: $62,000. ...
  • Nurse Blogger. Average Annual Salary: N/A. ...
  • Clinic Nurse. Average Annual Salary: $65,000. ...
  • Traveling Nurse. Average Annual Salary: $70,000. ...
  • School Nurse. Average Annual Salary: $50,000. ...
  • Summer Camp Nurse. ...
  • Nurse Administrator. ...
  • Public Health Nurse.
31 Aug 2022

What does RN level 1 mean? ›

Level 1 Novice Nurse

The Level I Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of direct care to assigned patients. The Level I Registered Nurse contributes to unit activities and supports enhancement of the care delivery system at the unit level.

What is a sister in nursing? ›

Sister. Sisters and charge nurses are responsible for the overall running of each ward/unit and for standards of nursing care. They lead a team of staff who ensure the delivery of quality services and are key in ensuring clear communication between those involved in patient management.

Is BSN higher than RN? ›

Any registered nurse with or without a BSN has passed the National Council Licensure Examination (NCLEX) exam and obtained nursing licensure. The distinguishing difference between a BSN nurse and an RN is that BSNs hold a bachelor's degree in nursing while RNs have an associate degree.

Is a nurse practitioner higher than an RN? ›

Registered nurses need a bachelor's degree in nursing, to pass the National Council Licensure Examination (NCLEX), and to obtain a state licensure to get started in the medical field. Nurse practitioners, on the other hand, must have earned a master's degree in nursing (MSN) or higher.

What is a Level 4 RN? ›

More Definitions of Registered Nurse Level 4

Registered Nurse Level 4 means a Registered Nurse who is engaged as such and may be referred to as Assistant Clinical Care Supervisor – Care, Assistant Clinical Care Supervisor – Management, or Assistant Clinical Care Supervisor – Staff Development.

What are the 4 fields of nursing? ›

There are four fields of nursing: adult nursing • children's nursing • learning disabilities nursing • mental health nursing.

Can you be a nurse without a degree? ›

While nursing is a practical, hands-on profession, it also requires special technical competencies and clinical analysis skills that will potentially save people's lives. As such, you cannot become a Nurse without a degree in nursing.

Should I get my RN or BSN first? ›

They are both acceptable ways to list your credentials. However, the American Nurses Credentialing Center (ANCC) recommends listing the education level before the license. So, in this case, BSN RN would be the way to go.

Which comes first BSN or RN? ›

Either way is correct when writing out your name and credentials — Jane Doe, RN, BSN, or Jane Doe, BSN, RN. In the world of academia, the college degree is used first and then licensure and other credentials. But for the rest of us, both ways work.

Which is higher Aprn or FNP? ›

As previously mentioned, FNPs are a type of advanced practice registered nurse (APRN). This means that every FNP is also an APRN. An FNP is set apart from other APRNs because they have skills needed to handle patient care at all ages, and to act as primary care providers in a clinical setting.

What is the chain of command in nursing? ›

The chain of command in its simplest definition is the line of authority and responsibility along which orders are passed within the nursing department, the hospital, and between different units. Nurses who ignore the chain of command may lose their jobs, and in some cases their licenses.

How do you write LPN after your name? ›

Find Nursing Programs
  1. Start with Education. Immediately following someone's name, start by listing the highest earned degree. ...
  2. Licensure. Next up is your licensure (e.g. “RN” “LPN”). ...
  3. Specialty. If you've gone on to earn any additional advanced nursing specialization, you'll want to list that designation next.
9 May 2022

What are credentials examples? ›

What are credentials?
  • Secondary (high) school diploma.
  • College diploma.
  • Bachelor's degree.
  • Master's degree.
  • PhD or Doctorate degree.
  • Professional school degree (for example, for law, medicine, teaching)
12 Jul 2016

Why are LPNs being phased out? ›

KEY TAKEAWAYS. LPNs have been phased out of hospitals because of research that shows a BSN-prepared nurse results in better outcomes. Allegheny Health Network turned to LPNs to help fill nurse staffing gaps by creating blended teams. Units with the blended nursing model have reduced patients' length of stay.

Can LPNs put in IVS? ›

Licensed Practical Nurses (LPN) may, under the supervision of a registered nurse, administer intravenous medications and fluids provided the LPN has had the appropriate practice and annual documented education.

Are LPN allowed to draw blood? ›

Yes Based on training and competency an LPN may draw blood and administer vaccines.

What is the hardest nursing job? ›

Most Stressful Nursing Positions
  • Intensive Care Unit nurses (ICU) ICU is an extremely high-pressure environment and these nurses work with patients who have significant injuries and disease with added morbidity risks. ...
  • Emergency Department nurses. ...
  • Neonatal ICU. ...
  • OR nursing. ...
  • Oncology Nursing. ...
  • Psychiatric Nursing.
27 Jan 2021

Who are the happiest nurses? ›

Low-Stress Nursing Careers
  • 1 1. Nurse Educator.
  • 2 2. School Nurse/Summer Camp Nurse.
  • 3 3. Nurse Administrator.
  • 4 4. Public Health Nurse.
  • 5 5. Nurse Researcher.
  • 6 6. Nurse Informaticist.
  • 7 7. Case Management Nurse.
  • 8 8. Home Health Nurse.
30 Sept 2020

What is the most chill nursing job? ›

9 Lower-stress nursing jobs
  1. Nurse educator. Nurse educators are medical professionals who train nurses and aspiring nurses. ...
  2. Long-term care nurse. ...
  3. Nurse administrator. ...
  4. Clinical research nurse. ...
  5. School or summer camp nurse. ...
  6. Clinic nurse. ...
  7. Nurse informatics. ...
  8. Lactation consultant nurse.
2 Dec 2019

What is a level 7 nurse? ›

Band 7 nursing roles include Ward Managers, Emergency Nurse Practitioners and clinical specialists. Band 7 roles start at £41,659 and rise to £47,672 for anyone with more than 5 years of experience.

What is a Grade 7 nurse? ›

Band 7 – Advanced Nurse / Nurse Practitioner

Within this level, the job responsibilities are a significant jump from Band 6. The most important responsibilities include their ability to conduct detailed assessments, make diagnoses and prescribe medicine to patients – responsibilities very similar to a doctor.

What is the difference between RN 1/2 and 3? ›

A RN I becomes an RN 2 after having demonstrated an acceptable level of competency after a year's experience. RN 3's typically are experienced and are involved in more on the unit. For example, when I first started in the NICU, I was an RN I and then after my 1- year evaluation I became an RN 2.

What is a male Sister nurse called? ›

No a male nurse in a the same role as Sister would generally be known as Charge Nurse.

What do u call a male nurse? ›

Males nurses are often dubbed 'murses', however nurses remain divided as to whether the term is derogatory or not, with some rejoicing in the fact that male nurses have a name specific to their gender and role, and others not seeing the necessity of such a term.

What does a red nurses uniform mean? ›

Senior Sister or Charge Nurse

Senior Sisters and senior Charge Nurses are the ward leaders and are now easily identified by their red uniform. They lead and co-ordinate the nursing team in their area and have continuous responsibility for the management and organisation of the ward/department.

Can you take the Nclex RN without school? ›

Candidates can take the NCLEX-PN exam without an undergraduate degree in nursing or a healthcare-related degree. For instance, if an individual holds a degree in Economics, they can still apply for the NCLEX-PN, provided they first complete a related diploma or certificate course required to sit for the exam.

Can I get a BSN without being an RN? ›

The typical BSN program takes about four years to complete. The good news is, you do not need a BSN degree to get started as a nurse. Most states, like Connecticut, just require nurses to have their associate degree in Nursing and to pass the NCLEX-RN exam, to qualify for an RN license.

What is the difference between a nurse and a registered nurse? ›

A registered nurse (RN) is a nurse who has completed all educational and examination requirements, and has been licensed to practice nursing in their state. You will also see 'registered nurse' as a job title or position.

How long does it take to go from an RN to a Nurse Practitioner? ›

You can complete most BSN-to-NP programs in two years, studying full time. If you have an associate degree, the RN-to-NP path takes 3-4 years. Part-time programs take longer, but if you want to keep working as a full-time or part-time nurse while studying, most schools offer part-time RN-to-NP programs.

Is NP school harder than nursing school? ›

Courses and content are more challenging. The level of knowledge you're required to have as a Nurse Practitioner is a huge step up from a RN. You'll take a lot of the same courses as you did with your BSN, but will go into each topic with a lot more depth because you'll be diagnosing and treating health problems soon.

What are registered nurses not allowed to do? ›

Nurses cannot make prescriptions of medications. Nurses cannot conduct surgeries and other invasive procedures. Nurses cannot certify death legally. Nurses cannot provide medical diagnosis.

What are the 5 stages of the nursing process? ›

  • The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care. Assessment. ...
  • Diagnosis. ...
  • Outcomes / Planning. ...
  • Implementation. ...
  • Evaluation.

Which comes first RN or BSN? ›

Either way is correct when writing out your name and credentials — Jane Doe, RN, BSN, or Jane Doe, BSN, RN. In the world of academia, the college degree is used first and then licensure and other credentials. But for the rest of us, both ways work.

What is a Level 3 nurse? ›

Registered Nurse Level 3 means a Registered Nurse who may be referred to as: Clinical Nurse Consultant or Nurse Manager or Staff Development Nurse. A registered Nurse Level 3 shall be appointed to Clinical, Management or Staff Development stream.

What are the levels of nursing from lowest to highest in South Africa? ›

South Africa has three categories of nurses: professional (registered) nurses with 4 years of training; enrolled nurses with 2 years of training; and nursing assistants or auxiliaries with 1 year of training.

What are the 7 Characteristics of nursing process? ›

These are assessment, diagnosis, planning, implementation, and evaluation. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective.

How do you remember the nursing process? ›

Steps in the Nursing Process ADPIE Nursing Mnemonics ... - YouTube

What are the 4 types of nursing assessments? ›

The four medical assessments regularly performed on patients are:
  • Initial assessment. ...
  • Focused assessment. ...
  • Time-lapsed assessment. ...
  • Emergency assessment.
3 May 2021

Is a BSN better than an RN? ›

A registered nurse is able to practice within their field with only an associates degree, but a BSN is the preferred level of education for many nurse specialties throughout the medical career landscape.

Can I get a BSN without being an RN? ›

The typical BSN program takes about four years to complete. The good news is, you do not need a BSN degree to get started as a nurse. Most states, like Connecticut, just require nurses to have their associate degree in Nursing and to pass the NCLEX-RN exam, to qualify for an RN license.

Can I become a nurse without a degree? ›

While nursing is a practical, hands-on profession, it also requires special technical competencies and clinical analysis skills that will potentially save people's lives. As such, you cannot become a Nurse without a degree in nursing. This is the most important out of the qualifications needed to be a Nurse.

What is a level 1 nurse? ›

For nursing, the NMC requires your qualification to be equivalent to a UK Level 1 nurse. In the UK, a Level 1 nurse is a nurse who has completed a three-year programme of education leading to a nursing qualification/academic qualification (a degree or diploma).

What is a Level 5 registered nurse? ›

(m) Registered Nurse - Level 5" shall mean a registered nurse who may be referred to as a director of nursing. The relevant grade between 1 to 6 inclusive for each post is set out in schedule B to this award.

What does RN Grade 2 mean? ›

"Clinical Nurse Specialist/Clinical Midwife Specialist Grade 2" means: a Registered Nurse/Midwife appointed to a position classified as such with relevant post-registration qualifications and at least 3 years' experience working in the clinical area of their specified post-graduate qualification.

What kind of nurses get paid the most in South Africa? ›

Note that the Certified Registered Nurse Anesthetist is the highest-paid nurse in South Africa, and this is due to the complexity of their job.

What is the easiest nursing job? ›

Easiest Nursing Jobs Availabile
  • Nurse Educator. Average Annual Salary: $62,000. ...
  • Nurse Blogger. Average Annual Salary: N/A. ...
  • Clinic Nurse. Average Annual Salary: $65,000. ...
  • Traveling Nurse. Average Annual Salary: $70,000. ...
  • School Nurse. Average Annual Salary: $50,000. ...
  • Summer Camp Nurse. ...
  • Nurse Administrator. ...
  • Public Health Nurse.
31 Aug 2022

Which hospital pays nurses the most in South Africa? ›

Top companies for Registered Nurses in South Africa
  • Tripod Partners. 4.7. R 48 541. per month. ...
  • Yeovil District Hospital NHS Foundation Trust. 3.9. R 38 107. per month. ...
  • Tembisa hospital. 3.4. R 28 867. per month. ...
  • Fresenius Medical Care. 3.4. R 26 061. per month. ...
  • Chris Hani Baragwanath Academic Hospital. 3.6. R 24 898. per month.
5 Sept 2022

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