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RN as a vacancy in the US Health Care System Non physicians in health care system of the USA - Paramedics Physical therapists LPN RN Physician assistants Registered Nurses Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required. Includes advance practice nurses such as: nurse practitioners, clinical nurse specialists, certified nurse midwives, and certified registered nurse anesthetists. Advanced practice nursing is practiced by RNs who have specialized formal, post-basic education and who function in highly autonomous and specialized roles. Sample of reported job titles -Registered Nurse (RN), -Staff Nurse, -Staff RN (Staff Registered Nurse), -Charge Nurse, -Operating Room Registered Nurse (OR RN), -Clinical Nurse, -Oncology RN (Oncology Registered Nurse), -Relief Charge Nurse, -Cardiac Care Unit Nurse (CCU Nurse), -Coronary Care Unit Nurse (CCU Nurse) Tasks • Maintain accurate, detailed reports and records. • Monitor, record and report symptoms and changes in patients' conditions. • Record patients' medical information and vital signs. • Modify patient treatment plans as indicated by patients' responses and conditions. • Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans. • Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition. • Monitor all aspects of patient care, including diet and physical activity. • Direct and supervise less skilled nursing or health care personnel or supervise a particular unit. • Prepare patients for, and assist with, examinations and treatments. • Observe nurses and visit patients to ensure proper nursing care. Tools used in this occupation Acute care fetal or maternal monitoring units or accessories — Bilimeters; Fetal monitors; Fetal scalp electrodes Electrosurgical or electrocautery equipment or accessories or related products — Electrosurgical devices; Grounding pads; Loop electrosurgical excision procedure LEEP equipment Lancets — Heelstick blood sampling equipment; Lancets Leg traction supplies — Balanced suspension traction equipment; Russell's traction equipment Medical oxygen masks or parts — Non-rebreather masks; Partial masks; Ventimasks Technology used in this occupation Calendar and scheduling software — Per-Se Technologies ORSOS One-Call Data base management system software — Electronic medical record EMR software; Epic software; Misys HomeCare; Siemens SIENET Sky Office suite software — Microsoft Office Spreadsheet software — Microsoft Excel Time accounting software — Kronos Workforce Timekeeper Knowledge Medicine and Dentistry — Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures. Psychology — Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders. Customer and Personal Service — Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. English Language — Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. Knowledge (proceeding) Biology — Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment. Therapy and Counseling — Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance. Mathematics — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications. Education and Training — Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects. Sociology and Anthropology — Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins. Skills Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Reading Comprehension — Understanding written sentences and paragraphs in work related documents. Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Instructing — Teaching others how to do something. Speaking — Talking to others to convey information effectively. Skills (proceeding) Time Management — Managing one's own time and the time of others. Service Orientation — Actively looking for ways to help people. Monitoring — Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action. Social Perceptiveness — Being aware of others' reactions and understanding why they react as they do. Writing — Communicating effectively in writing as appropriate for the needs of the audience. Abilities Problem Sensitivity — The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem. Oral Expression — The ability to communicate information and ideas in speaking so others will understand. Inductive Reasoning — The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events). Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences. Deductive Reasoning — The ability to apply general rules to specific problems to produce answers that make sense. Abilities (proceeding) Speech Clarity — The ability to speak clearly so others can understand you. Speech Recognition — The ability to identify and understand the speech of another person. Written Expression — The ability to communicate information and ideas in writing so others will understand. Written Comprehension — The ability to read and understand information and ideas presented in writing. Near Vision — The ability to see details at close range (within a few feet of the observer). Work Activities Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems. Performing for or Working Directly with the Public — Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests. Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. Establishing and Maintaining Interpersonal Relationships — Developing constructive and cooperative working relationships with others, and maintaining them over time. Work Activities (proceeding) Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients. Documenting/Recording Information — Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form. Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources. Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job. Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work. Identifying Objects, Actions, and Events — Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events. Work Context Telephone — How often do you have telephone conversations in this job? Contact With Others — How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it? Face-to-Face Discussions — How often do you have to have face-to-face discussions with individuals or teams in this job? Exposed to Disease or Infections — How often does this job require exposure to disease/infections? Physical Proximity — To what extent does this job require the worker to perform job tasks in close physical proximity to other people? Work With Work Group or Team — How important is it to work with others in a group or team in this job? Work Context (proceeding) Frequency of Decision Making — How frequently is the worker required to make decisions that affect other people, the financial resources, and/or the image and reputation of the organization? Importance of Being Exact or Accurate — How important is being very exact or highly accurate in performing this job? Indoors, Environmentally Controlled — How often does this job require working indoors in environmentally controlled conditions? Impact of Decisions on Co-workers or Company Results — How do the decisions an employee makes impact the results of co-workers, clients or the company? Job Zone TitleJob Zone Three: Medium Preparation Needed Overall ExperiencePrevious work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job. Job TrainingEmployees in these occupations usually need one or two years of training involving both on-the-job experience and informal training with experienced workers. Job Zone ExamplesThese occupations usually involve using communication and organizational skills to coordinate, supervise, manage, or train others to accomplish goals. Examples include funeral directors, electricians, forest and conservation technicians, legal secretaries, interviewers, and insurance sales agents. EducationMost occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree. Some may require a bachelor's degree. Interests Social — Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others. Investigative — Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally. Realistic — Realistic occupations frequently involve work activities that include practical, hands-on problems and solutions. They often deal with plants, animals, and realworld materials like wood, tools, and machinery. Many of the occupations require working outside, and do not involve a lot of paperwork or working closely with others. Work Styles Attention to Detail — Job requires being careful about detail and thorough in completing work tasks. Cooperation — Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude. Stress Tolerance — Job requires accepting criticism and dealing calmly and effectively with high stress situations. Initiative — Job requires a willingness to take on responsibilities and challenges. Independence — Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done. Work Styles (proceeding) Dependability — Job requires being reliable, responsible, and dependable, and fulfilling obligations. Integrity — Job requires being honest and ethical. Self Control — Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations. Concern for Others — Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job. Adaptability/Flexibility — Job requires being open to change (positive or negative) and to considerable variety in the workplace. Work Values Achievement — Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement. Relationships — Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service. Wages & Employment Trends National • Median wages (2004)$25.79 hourly, $53,640 annual • Employment (2004)2,394,000 employees • Projected growth (2004-2014)Faster than average (21-35%) • Projected need (2004-2014)1,203,000 additional employees Thank you for the attention!