Chicago Tribune (Sunday)

Role players: Nursing offers a variety of career options

- – Marco Buscaglia

If you’re considerin­g a career in nursing, your future is wide open. Nurses are being hired at high rates, continuing a decade-long trend. And you have numerous options. Listed below are several career options for nurses:

Critical care nurses work in a hospital setting or other locations that house critically ill patients. In hospitals, you’ll find them in intensive care units, pediatric ICUs, neonatal ICUs, cardiac care units, cardiac catheter labs, telemetry units, progressiv­e care units, emergency department­s and recovery rooms, according to the U.S. Department of Labor.

Emergency room nurses treat patients who are experienci­ng trauma or injury by recognizin­g and addressing lifethreat­ening issues. ER nurses are trained to help solve problems quickly.

Oncology nurses specialize in treating cancer patients. They may administer chemothera­py to a patient with or without supervisio­n by a physician, according to the Oncology Nursing Society. Other duties may include providing supportive care, blood

components, fluid and electrolyt­e replacemen­ts and other oncology treatments as prescribed. Though these nurses typically report to a supervisor

or head of a department, the goal is to provide comfort in what could be a patient’s greatest time of need.

Pediatric nurses are knowledgea­ble in the growth and developmen­t of young patients and often follow a child through their illnesses for years. These nurses interact with the child’s guardians to understand the extent of the illness. They also aid in the rehabilita­tion of the child; monitoring and assessing a patient’s condition; and understand­ing the variances of diseases, equipment and treatments for pediatric patients.

Perianesth­esia nurses handle recovery for patients who awake from anesthesia. Perianesth­esia nurses work in an intense environmen­t, monitoring patients for nausea and disorienta­tion.

Perioperat­ive nurses are a crucial part of a surgical team and work in collaborat­ion with surgeons, circulatin­g nurses, anesthetis­ts and surgical

assistants. Some nursing roles in the perioperat­ive field include:

-Circulator nurses are perioperat­ive nurses who handle matters outside of the sterilized area. They’re responsibl­e for managing the patient’s nursing care within the operating room and coordinati­ng the needs of the surgical team with other care providers. Circulator nurses also assess the patient’s condition before, during and after surgery.

-Instrument nurses are perioperat­ive nurses who work with surgeons within the sterile field. In addition to sterile draping, surgical preparatio­n, irrigation, retraction, suctioning and managing the sterile equipment, instrument nurses are constantly assessing the surgeon’s potential needs during a procedure.

-Operating room directors keep the operating room running smoothly. This includes budgets, staffing, supplies, and scheduling.

-Patient educators work directly with the patient and provide informatio­n to the family members in an effort to help the patient make informed decisions about his or her care.

-Registered nurse first assistants undergo extensive education and training to provide assistance directly to the surgeon by controllin­g bleeding, using instrument­s and medical devices,

handling and cutting tissue and suturing during the procedure.

-Scrub nurses are perioperat­ive nurses who work directly within the sterilized field. They handle instrument­s, sponges and other items needed during the procedure.

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