Acute Care Nurses: Career Overview
Provide advanced nursing care for patients with acute conditions such as heart attacks, respiratory distress syndrome, or shock. May care for pre- and post-operative patients or perform advanced, invasive diagnostic or therapeutic procedures.
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What Do Acute Care Nurses Perform?
Typical responsibilities of acute care nurses cover:
- Discuss illnesses and treatments with patients and family members.
- Diagnose acute or chronic conditions that could result in rapid physiological deterioration or life-threatening instability.
- Perform emergency medical procedures, such as basic cardiac life support (BLS), advanced cardiac life support (ACLS), and other condition-stabilizing interventions.
- Assess urgent and emergent health conditions, using both physiologically and technologically derived data.
- Set up, operate, or monitor invasive equipment and devices, such as colostomy or tracheotomy equipment, mechanical ventilators, catheters, gastrointestinal tubes, and central lines.
- Document data related to patients' care, including assessment results, interventions, medications, patient responses, or treatment changes.
- Administer blood and blood product transfusions or intravenous infusions, monitoring patients for adverse reactions.
- Interpret information obtained from electrocardiograms (EKGs) or radiographs (x-rays).
Skills and Knowledge
Successful acute care nurses draw on a mix of skills and domain knowledge.
Key Skills
The competencies that matter most in this role, rated on an importance scale of 0 to 5:
Core Knowledge
Types of Acute Care Nurses Jobs
People in this occupation may also be known by titles such as:
- Acute Care Nurse
- Admission Nurse
- Admission Nurse Coordinator
- Cardiac Interventional Care Nurse
- Cardiovascular ICU Nurse (Cardiovascular Intense Care Unit Nurse)
- Cardiovascular Surgery Acute Care Nurse Practitioner (Cardiovascular Surgery ACNP)
- Care Transitions Manager
- Care Transitions Nurse
How Many Acute Care Nurses Are There?
There are roughly 183,918 acute care nurses working in the United States today. Demand is forecast to grow by +4.1% over the projection horizon.
Acute Care Nurses Pay
| Statistic | Value |
|---|---|
| Annual median | $56,247 |
| Hourly median | $27.04 |
| 10th percentile | $40,261 |
| 25th percentile | $48,254 |
| 75th percentile | $64,241 |
| 90th percentile | $72,234 |
Compensation varies based on experience, location, and industry.
Acute Care Nurses Salary by State
| State | Annual median salary |
|---|---|
| California | $140,330 |
| Hawaii | $136,320 |
| Oregon | $123,990 |
| Washington | $112,180 |
| Alaska | $110,690 |
| New York | $105,600 |
| District of Columbia | $104,550 |
| New Jersey | $102,730 |
| Nevada | $101,990 |
| Massachusetts | $101,970 |
| Connecticut | $101,590 |
| Minnesota | $100,870 |
| Rhode Island | $99,960 |
| Arizona | $96,890 |
| Maryland | $96,830 |
| New Hampshire | $96,830 |
| Colorado | $96,520 |
| Delaware | $92,610 |
| Texas | $90,010 |
| Virginia | $88,820 |
| New Mexico | $88,260 |
| Pennsylvania | $87,610 |
| Georgia | $86,560 |
| Illinois | $86,410 |
| Idaho | $86,100 |
| Wisconsin | $86,070 |
| Michigan | $85,670 |
| Vermont | $85,150 |
| Maine | $82,860 |
| Florida | $82,850 |
| Utah | $82,270 |
| North Carolina | $81,860 |
| Wyoming | $81,790 |
| Montana | $81,560 |
| Ohio | $81,250 |
| Oklahoma | $81,160 |
| Nebraska | $81,020 |
| Indiana | $80,740 |
| West Virginia | $79,990 |
| Kentucky | $79,910 |
| South Carolina | $79,900 |
| Missouri | $79,770 |
| Tennessee | $79,030 |
| Louisiana | $78,880 |
| North Dakota | $78,260 |
| Kansas | $78,060 |
| Arkansas | $77,130 |
| Iowa | $76,960 |
| Mississippi | $74,470 |
| Virgin Islands | $73,890 |
| Alabama | $71,040 |
| South Dakota | $69,510 |
| Puerto Rico | $37,780 |
Where Acute Care Nurses Earn the Most
Pay for acute care nurses shift depending on where you work. Top regions by median wage:
| Region | Median annual wage | Share of U.S. jobs | Location quotient |
|---|---|---|---|
| Far Western US | $132,415 | 14.5% | 0.87 |
| New England | $98,890 | 5.4% | 1.14 |
| Middle Atlantic | $98,793 | 15.7% | 1.04 |
| Southwest | $90,333 | 11.4% | 0.91 |
| Rocky Mountains | $89,709 | 3.3% | 0.84 |
| Great Lakes | $84,078 | 15.6% | 1.10 |
| Plains States | $84,012 | 7.7% | 1.13 |
| Southeast | $81,528 | 25.6% | 1.05 |
Highest-Paying Metro Areas for Acute Care Nurses
| Metro area | State | Median annual wage | Employment |
|---|---|---|---|
| San Jose-Sunnyvale-Santa Clara, CA | CA | $208,940 | 21,460 |
| Vallejo, CA | CA | $192,470 | 4,410 |
| San Francisco-Oakland-Fremont, CA | CA | $188,020 | 40,750 |
| Santa Cruz-Watsonville, CA | CA | $178,900 | 1,610 |
| Santa Rosa-Petaluma, CA | CA | $172,390 | 3,770 |
| Modesto, CA | CA | $169,460 | 5,260 |
| Sacramento-Roseville-Folsom, CA | CA | $169,210 | 23,400 |
| Yuba City, CA | CA | $144,220 | 1,070 |
Which Industries Hire Acute Care Nurses
Most acute care nurses work in these industries:
| Industry | Employment | Median annual wage |
|---|---|---|
| Health Care and Social Assistance | 2,790,380 | $93,170 |
| Administrative and Support and Waste Management and Remediation Services | 134,180 | $95,870 |
| Educational Services | 89,070 | $74,360 |
| Finance and Insurance | 48,100 | $89,650 |
| Management of Companies and Enterprises | 21,530 | $95,070 |
| Professional, Scientific, and Technical Services | 14,310 | $96,360 |
| Other Services (except Public Administration) | 4,750 | $80,060 |
| Retail Trade | 4,500 | $94,880 |
The table below shows some of the most common industries where those employed in this career field work.
Software Acute Care Nurses Use
- Medical software: eClinicalWorks EHR software (hot technology)
- Data base user interface and query software: Microsoft Access (hot technology)
- Spreadsheet software: Microsoft Excel (hot technology)
- Office suite software: Microsoft Office software (hot technology)
- Electronic mail software: Microsoft Outlook (hot technology)
- Presentation software: Microsoft PowerPoint (hot technology)
- Project management software: Microsoft Teams (hot technology)
- Word processing software: Microsoft Word (hot technology)
- Enterprise resource planning ERP software: SAP software (hot technology)
What the Workplace Is Like
The on-the-job environment of acute care nurses reflects the following characteristics:
- Exposed to Disease or Infections
- Face-to-Face Discussions with Individuals and Within Teams
- Telephone Conversations
- Work With or Contribute to a Work Group or Team
- Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets
Education and Training
Entry-level acute care nurses positions require a bachelor’s degree as the typical entry-level education. This career aligns with Considerable Preparation Needed (Job Zone 4), reflecting the level of preparation typically expected.
Other Careers to Consider
Similar Occupations
- Respiratory Therapists (Primary-Long)
- Registered Nurses (Primary-Short)
- Advanced Practice Psychiatric Nurses (Primary-Short)
- Critical Care Nurses (Primary-Short)
- Clinical Nurse Specialists (Primary-Short)
- Nurse Anesthetists (Supplemental)
- Nurse Midwives (Primary-Long)
- Nurse Practitioners (Supplemental)
Where to Study
Students preparing for acute care nurses commonly pursue programs in:
Health Professions and Related Programs
21 programs across 1 majors
Sources
Statistics shown above are sourced from the following authoritative sources:
- U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OEWS) for employment and wage data by state and industry.
- BLS Employment Projections for total employment and growth forecasts.
- O*NET (Occupational Information Network) for skills, knowledge, tasks, work activities, work context, technology, and education-zone data.
SOC code: 29-1141.01 (Registered Nurses).
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