How to Become an ICU Nurse - Salary || RegisteredNursing.org (2022)

How to Become an ICU Nurse - Salary || RegisteredNursing.org (1)

What Is an ICU Nurse?

Complex and challenging, Intensive Care (ICU) or critical care nursing requires an advanced technical skill set, a calm manner, and a postive life philosophy. ICU nurses provide care for life-threatening medical conditions and injuries and may work with patients from the neonatal ward to seniors. These patients have often experienced traumatic illnesses or accidents. The role is complex, as ICU nurses work to maintain and restore health to patients through careful management of their various bodily systems. Many nurses choose to specialize in working with a particular segment of the population. ICU nurses require excellent communication and leadership abilities, as well as the capacity to carry out complex directions.

What's the Difference Between an ICU Nurse and Floor Nurse?

A patient admitted to the floor, meaning medical-surgical, orthopedics, or other specialty, is considered to have a stable condition or disease process, which may or may not deteriorate to unstable.

If the floor patient's condition deteriorates, the ICU team responds rapidly and appropriately to stabilize the patient's condition; the patient may be transferred to the ICU for closer monitoring.

ICU nurses care for patients who are considered unstable. This means either they have an unstable respiratory system or cardiovascular system, or have a high likelihood of one or both of these systems becoming unstable and require closer monitoring.

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ICU interventions such as intubation, starting vasopressors, or pacing a patient's heart (among other interventions, which are highly situation-dependent) may be initialized quickly and efficiently due to the higher level of care in the ICU.

What Are Common ICU Standards of Care

ICU standards of care are guided by the hospital's policies and procedures and by the American Association of Critical Care Nurses (AACN). Generally accepted standards of practice include:

  • Check and record vital signs every hour
  • Head-to-toe assessment and documentation every 4 hours
  • Lab draws usually at least daily
  • Repositioning and skin integrity check every 2 hours
  • Wound care every shift
  • Frequent evaluation of continuous telemetry monitoring
  • Constant critical thinking to determine worst case scenarios for each bodily system and systematic preparation for each scenario

There are some interventions that are practiced much more often by ICU nurses, and may include administering vasoactive drugs for hemodynamic instability, hypothermia protocol after a cardiac arrest, intubation for respiratory failure, CPR, performing Advanced Cardiac Life Support (ACLS), and others.

Becoming an ICU Nurse

Nurses with a love for data and management of a single patient's condition and outcomes generally do well as ICU nurses. An inquisitive mind and attention to processes is equally important. ICU nurses are deeply compassionate and are unafraid to advocate on behalf of their patient to family members who are distraught.

What Are the Education Requirements for an ICU Nurse?

With good undergraduate marks and nursing licensure, any nursing student who is interested in ICU nursing should seek a Nursing Student Externship. Usually available to senior nursing students in the final year of their program, the externship allows students to assist RNs in the ICU, benefiting greatly from the nurses' experience and mentorship. Formal externship programs are often posted online by hospitals; your college or university will often have these opportunities posted for nursing students as well. Many Nurse Externs transition into an RN New Graduate Internship program once they pass the NCLEX.

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For experienced RNs, making the transition into the ICU requires applying to an ICU position and usually engaging in a training program either before applying or concurrently with the application. These positions and criteria are hospital-specific but often include a didactic and mentorship portion, working under the guidance of a senior ICU nurse until success criteria and leadership in the role have been achieved.

Any Certifications or Credentials Needed?

At present, RN licensure requires either an ADN or a BSN degree; many hospitals prefer to hire BSN candidates, or those who finish their degree concurrently with employment.

The American Association of Critical Care Nurses (AACN) offers many certifications. For adult ICU nurses, the CCRN is a certification for acute/critical care nurses. Additional modules focused on pediatrics and neo-natals are offered too.

Contact hours are required to renew the CCRN. Options are to renew by retaking the exam or by completing Synergy CERPs in the required areas, paying the fee of up to $200, and maintaining an unencumbered RN license.

Where Do ICU Nurses Work?

Due to the nature of the work that they do, and that they need specialized equipment and resources to care for their patients, it's common for hospital networks to share resources, locating an ICU unit (and its nurses) at larger hospitals, centralized hospitals, and teaching facilities in order to maximize the resources that patients might require. Hospitals without critical care facilities have transfer agreements with the nearest intensive care unit. ICU nurses work almost exclusively within their unit; not much work is done by way of policy or outreach due to the nature of the role.

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What Does an ICU Nurse Do?

A critical care nurse works in the intensive care unit of a hospital with either pediatric, neonatal, or adult populations. They may specialize, depending on the needs of the patient demographic and the size of the hospital in which they work.

ICU nurses work at high ratios with patients who already have, or have a high likelihood of developing, a life threatening complication, and trauma or disease process as ICU patients require intensive and frequent nursing care, assessments and monitoring."

What Are the Roles & Duties of an ICU Nurse?

  • Work with the interdisciplinary team to develop a plan of care to stabilize patients
  • Adept at communicating, critical thinking, leadership and patient advocacy - both on behalf of the patient and the medical team
  • Utilize highly developed physical assessment skills
  • Make quick decisions while multitasking
  • Administer a variety of lifesaving treatments efficiently and effectively
  • Closely monitor one or several patients
  • Prioritizes patient care plan based on patient needs and care resources
  • Identifies patient and family learning needs; educates appropriately
  • Closely documents patient care, protocols and unit procedures
  • Is culturally aware
  • Demonstrates understanding and ethics surrounding patient confidentiality and risk management
  • Move patients to comfort care for end of life

What Specialties Exist for ICU Nurses?

Neurological ICU Nurse

Neurological ICU nurses work with patients that have experienced a traumatic brain injury and/or spinal cord injury of some type. The work includes:

  • Frequent neurological assessments
  • Intracranial devices are common
  • Extensive knowledge of spinal cord and brain injuries
  • Use of medications to lower intracranial pressure and control blood pressure are common

Cardiac ICU Nurse

Cardiac ICU nurses are involved with patients who have had or who need cardiac surgery or a cardiac catheterization procedure, are experiencing a non-ST elevated myocardial infarction (NSTEMI) and need medical management. Cardiac ICU nurses regularly perform the following duties:

  • Frequent hemodynamic and telemetry monitoring
  • Use of intracardiac devices including Swan-Ganz (pulmonary artery) catheters and intra-aortic balloon pumps (IABP)
  • Use of medications to control heart rate, rhythm, cardiac output, and blood pressure are common

Medical ICU Nurse

Medical ICU care for patients with sepsis, pneumonia, withdrawal from a substance such as alcohol or drugs, stroke, myocardial infarction, active gastrointestinal bleeding, or other complications. Medical ICU nursing procedures can include:

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  • Frequent hemodynamic monitoring
  • Use of ventilators and hypothermia equipment common
  • Use of medications and fluids for fluid resuscitation, hemodynamic instability, and infections are common

Trauma ICU Nurse

Trauma ICU nurses work with patients who have sustained injuries due to a motor vehicle crash, fall, attempted homicide, attempted suicide, drowning, or similar events. Trauma ICU nursing may include:

  • Rapid assessment and detection of complications from trauma
  • Broad knowledge of brain, spine, chest, orthopaedic, and abdominal injuries
  • Close monitoring for small changes which may require emergent interventions

Burn ICU Nurse

Burn ICU nurses care for patients with a large surface area of burn injury. Procedures can include:

  • Assess, treat, and manage wounds
  • Treating sepsis
  • Maintain airways and ensure adequate perfusion
  • Pain management

Transplant ICU Nurse

Transplant ICU admits patients who have received or are about to receive an organ transplant such as cornea, heart, liver, or kidney. Transplant ICU nurses are responsible for the following:

  • Monitor closely for organ rejection
  • Maintain hemodynamic stability
  • Equipment such as chest tubes and ventilators are common depending on the type of organ transplanted

Pediatric ICU Nurse

The PICU nurse sees miraculous recoveries as well as heartbreaking losses; some nurses find this especially difficult when children are the patients. Pediatric ICU nursing care includes:

  • Close monitoring of hemodynamics and respiratory status
  • Treatment of congenital diseases

Neonatal ICU Nurse

Neonatal ICU or NICU nursing is for infants with life-threatening injuries or diseases. NICU nurses perform the following practices as part of their role:

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  • Extensive knowledge of congenital illnesses and diseases affecting newborns
  • Trauma and accidental injuries are common

ICU Nurse Salary & Employment

Projected by the BLS to experience steady, higher-than-average growth over the next decade, there will be plenty of industry wide growth for nurses who want to enter the ICU. With advanced certifications and the option to specialize, nursing for critical care patients will always be in demand.

The average salary of an ICU nurse is $64,764, though data tends to lean toward the upper end of the scale, topping out at $93,717. Just as with other jobs and industries, salary is affected by a nurse's location, experience, education and any certifications he or she may have or be pursuing.

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FAQs

What state pays ICU nurses the most? ›

The best city in America for critical care nurses with the highest pay is Palo Alto, CA.
...
1. Maine.
Total Critical Care Nurse Jobs:1,319
Lowest 10 Percent Earn:$54,000
Highest 10 Percent Earn:$168,000
2 more rows
6 Apr 2021

Why do you want to be an ICU nurse? ›

Why Become a Critical Care Nurse? Critical care nurses bear high-risk, high-reward careers because of the incredible amount of responsibility they carry when caring for patients in life-threatening situations.

How do I become an ICU nurse in USA? ›

Consider the following steps to learn how to become an ICU nurse:
  1. Get a nursing degree. The first step to becoming an ICU nurse is to get a bachelor's or associate degree in nursing. ...
  2. Pass the NCLEX-RN. ...
  3. Receive state licensure. ...
  4. Gain nursing experience. ...
  5. Get an ICU nurse certification. ...
  6. Apply for ICU nursing jobs.
11 May 2021

How many hours do ICU nurses work? ›

The majority of units revolve around 12-hour work shifts, either 7 AM to 7 PM or 7 PM to 7 AM. Many units offer a 36-hour workweek consisting of three 12-hour shifts while others maintain coverage with two 12-hour shifts and two 8-hour shifts for a 40-hour workweek.

Do ICU nurses make more than floor nurses? ›

ICU nurses save lives on a regular basis. For this reason, ICU nurses are paid on average more than regular nurses.

How do I prepare for an ICU nursing interview? ›

Best ICU Nurse Questions to Ask:
  1. How do you handle extreme pressure when performing your duties as an ICU nurse? ...
  2. What's your greatest strength as an ICU nurse? ...
  3. Why are you leaving your current position? ...
  4. What did you not like about your last facility/organization? ...
  5. Can you describe your ideal work week?

Why is ICU nursing so hard? ›

The life of a critical care nurse, or intensive care unit (ICU) nurse, can be incredibly challenging. ICU nursing jobs require both emotional and physical stamina, and the ability to juggle different variables as they relate to the condition of critically ill patients.

How can I be the best ICU nurse? ›

Essential ICU Nursing Skills:
  1. Technical Skills. ...
  2. Passion for the Job. ...
  3. Ability to Work on a Team. ...
  4. Fantastic Organizational Skills. ...
  5. Tenacity in the Face of Difficult Situations. ...
  6. Ability to Evaluate Ever-Changing Situations. ...
  7. Plan for Self-Care.
17 Oct 2014

Is ICU nursing stressful? ›

Results: The overall prevalence of stress among ICU staff (doctors and nurses) was 52.43%. Prevalence of stress among ICU doctors was 36.58% and nurses was 68.29%. According to the DASS (for stress only), 19.51% doctors were mildly stressed, 14.63% were moderately stressed, and 2.44% were severely stressed.

How many patients do ICU nurses have? ›

Because ICU patients require such constant attention, critical-care nurses are typically only caring for one or two patients at a time. Sherman notes that caring for just two patients is enough to occupy your mind and your time for an entire shift.

Are there different types of ICU nurses? ›

Pediatric ICU nurses – These nurses work in pediatric intensive care units and provide care to critically ill or injured children. Surgical/Trauma ICU – Surgical/trauma ICU RNs mostly care for patients that are critically ill and unstable as they are in emergent need of surgery.

What drugs are used in ICU? ›

Pharmacological management
Class of drugExamples
Neuroleptic agentsHaloperidol; chlorpromazine
BenzodiazepinesMidazolam; lorazepam; diazepam
OpioidsMorphine; fentanyl; alfentanil; remifentanil
Alpha agonistsClonidine
1 more row
1 Apr 2008

What are ICU nurses responsibilities? ›

ICU Nurse responsibilities include evaluating a patient's condition and administering treatment, as well providing constant support throughout recovery time. Ultimately, you will work directly with patients to ensure they receive the attention and medical care needed based on their condition.

How long does it take to be a confident ICU nurse? ›

Critical Care Nurse Education Requirements

Registered nurses can advance to the critical care nursing profession after earning a critical care certification and state license and gaining one to five years of on-the-job experience caring for acutely or critically ill patients.

Is it hard to get an ICU job? ›

Please understand, becoming an ICU nurse is a very selective process. This job requires so much mentally from nurses that the entire hiring process is rigid and difficult to pass, especially for new grads. In fact, to get a job in the ICU right after graduating from nursing school is the exception and not the rule.

How many days off do nurses get? ›

Nurses receive an average of 26 vacation days, while all workers get an average of 23 vacation days.
...
Registered Nurses Enjoy an Above Average Number of Paid Vacation Days.
Length of EmploymentRegistered NursesAll Workers
After 1 Year1714
After 5 Years2118
2 more rows

How many breaks do nurses get? ›

Under California wage and hour law, every employee is due a 30-minute meal break after five hours of work. While other professionals are exempted from these requirements, nurses are not. California nurses and other employees are also entitled to a 10-minute rest break for every four hours they work.

Who makes more money ICU nurse or ER nurse? ›

ER nurses get paid more than ICU nurses.

ER nurses can stand to make slightly over $100,000 a year, on average. This is about $5,000 more than the average yearly salary for ICU nurses. It goes without saying that ER nurses also make more than non-specialized RNs for the same reason that ICU nurses do.

Do ICU nurses need more training? ›

ICU nurses have the same continuing education requirements as other RNs. This will vary on a state by state basis. There are no specific CEU requirements for ICU unless they have obtained advanced certification such as the CCRN.

How do you answer why do you want to work in ICU? ›

Exude Passion. Passionately explain the reason you want to be a critical care nurse. Start by discussing why you went into nursing and continue by elaborating on what drew you to critical care nursing. A hiring agent will be interested in learning about your professional goals related to critical care nursing.

What are the weakness of a nurse? ›

When brainstorming your weaknesses, consider using this list of common nursing weaknesses to get started:
  • Spending too much time on paperwork.
  • Paying too much attention to detail.
  • Attempting to complete too many tasks at once.
  • A lack of clinical experience, which may apply to recent graduates or new nurses.

What should I say in a nursing interview? ›

If you're leaving your current position because of salary, say it. If you want more leadership opportunities, express your aspirations and goals. Be sure to share your passion for nursing, your enthusiasm to help patients, and your eagerness to excel at the career you've worked so hard for.

Are ICU nurses smart? ›

Although ICU and ER nurses alike are superheroes. They are incredibly smart, quick-thinking, and save lives every single day.

Is ICU better than floor nursing? ›

It's true that any licensed nursing professional can assist during an emergency situation, but ICU (sometimes called critical care) nurses and floors are utilized because they offer the highest level of complexity of care. The patient's life cannot be sustained without interventions from the staff on that floor.

Where can I go after ICU nursing? ›

After the ICU, patients usually will stay at least a few more days in the hospital before they can be discharged. Most patients are transferred to what is called a step-down unit, where they are still very closely monitored before being transferred to a regular hospital floor and then hopefully home.

How do I get faster in ICU? ›

It's faster if you spend more time in a room and completing multiple tasks at once than one task at a time for each patient. It's better to complete tasks slightly early or slightly late than to let everything end up being late.

Is ICU harder than Med Surg? ›

Medical-surgical nurses must rely heavily on their critical thinking skills, collating and comparing numerous data sets, and past knowledge to determine and anticipate clinical scenarios. Medical-surgical nursing she summarized, is so much harder than critical care nursing.

Is ICU hard as a new grad? ›

It's a challenging role for new grads who are just beginning to apply their nursing skills. The complicated life-saving equipment and specialized knowledge required by critical care can be overwhelming, and the fear of making a mistake can put extra pressure on a new grad ICU nurse.

What's the hardest nursing specialty? ›

Here are just a few of the specialties our readers mentioned — along with a little insight into what makes these nursing jobs so difficult.
  • Oncology. There's no surprise that this specialty is near the top of the list. ...
  • Hospice. ...
  • Medical-Surgical. ...
  • Geriatric Care. ...
  • Emergency Room. ...
  • Psychiatry. ...
  • Correctional Nursing.

Do ICU nurses get PTSD? ›

ICU nurses are exposed to stressors for a long time and bear mental stress [2]. It has been reported that the prevalence of PTSD is about 29% among ICU nurses [3]. PTSD is harmful, which limits patients' functional ability and is detrimental to the ICU's role in end-of-life care.

What's it like working in ICU? ›

Working in a hospital ICU is serious business; it takes an understanding mind, quick thinking, and time and dedication to achieve the advanced skills necessary for the job. The ICU can be difficult for many nurses to handle, a situation that can lead to high turnover.

What is ICU full form? ›

ICU (Intensive Care Unit) is a special room for critical patients who needs intensive treatment and continuous observation. HCU (High Care Unit) is a patient care room from ICU who considered showing an improvement but still under a strict surveillance.

Are nurses leaving the profession? ›

Nearly 30 percent of nurses were considering leaving the profession altogether, increasing from 11 percent in 2020. Around one-third of male RNs, female LPN/LVNs, Baby Boomers, and White nurses reported that they are considering leaving the profession.

What is the nurse ratio in ICU? ›

The right nurse-to-patient staffing ratio

For example, the nurse-to-patient ratio in a critical care unit must be 1:2 or fewer at all times, and the nurse-to-patient ratio in an emergency department must be 1:4 or fewer at all times that patients are receiving treatment, the law states.

What are ICU workers called? ›

The critical care team is a group of specially trained caregivers who work in a special area of the hospital known as the intensive care unit, or ICU.

Who is the head of ICU? ›

Each ICU is managed by a Physician Director and a Nurse Manager.

Who runs an ICU? ›

An intensivist is a board-certified physician who provides special care for critically ill patients. Also known as a critical care physician, the intensivist has advanced training and experience in treating this complex type of patient.

What are 5 emergency drugs? ›

Drugs
  • Atropine.
  • Amiodarone.
  • Dopamine.
  • Epinephrine / Adrenaline.
  • Magnesium sulfate.
  • Hydralazine.

What drug raises your blood pressure? ›

Chemical substances and medicines that can cause high blood pressure include:
  • Acetaminophen.
  • Alcohol, amphetamines, ecstasy (MDMA and derivatives), and cocaine.
  • Angiogenesis inhibitors (including tyrosine kinase inhibitors and monoclonal antibodies)
  • Antidepressants (including venlafaxine, bupropion, and desipramine)
2 Oct 2020

What IV drug raises blood pressure? ›

Norepinephrine injection is used to raise blood pressure in patients with severe, acute hypotension (short-term low blood pressure). This medicine is to be given only by or under the direct supervision of your doctor. This product is available in the following dosage forms: Solution.

Why do I want to be an ICU nurse? ›

When asked why work in ICU, intensive care staff say they appreciate being part of a team. They also like the fact that they are always learning because each patient experience is different and the skills they learn while working in the ICU are transferable to many other departments.

Why should I be an ICU nurse? ›

Why Become a Critical Care Nurse? Critical care nurses bear high-risk, high-reward careers because of the incredible amount of responsibility they carry when caring for patients in life-threatening situations.

What are the common cases in ICU? ›

  • Acute Respiratory Distress Syndrome (ARDS)
  • Chemical Worker's Lung.
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Coal Workers' Pneumoconiosis (Black Lung Disease)
  • Community-Acquired Pneumonia (CAP)
  • Hospital-Acquired Pneumonia (Nosocomial Pneumonia) and Ventilator-Associated Pneumonia.
  • Tobacco Worker's Lung.

How much experience do you need to work in the ICU? ›

To work as an ICU nurse, you must first become an RN by graduating with an ADN or BSN from an accredited nursing program. You'll then get your licensure by passing the NCLEX-RN exam. Next, you'll need to gain at least two years of nursing experience in a position that specializes in intensive care nursing.

How long does it take to get used to the ICU? ›

Many experienced nurses that I work with have stated to me that it can take at least 1 year to begin to feel comfortable in the unit.

How long is ICU orientation? ›

Pre-intervention, a typical orientation time for a new graduate nurse to the ICU would be 12 weeks.

Which ICU Nurse makes the most money? ›

Certified Registered Nurse Anesthetist Salary. Certified Registered Nurse Anesthetists earn a median salary of $195,610 per year according to the U.S. Bureau of Labor Statistics, making it the top paying nursing specialty.

How much do ICU RNs make in Florida? ›

The average Staff Nurse - RN - Intensive Care Unit salary in Florida is $75,656 as of August 29, 2022, but the range typically falls between $68,168 and $82,206.

How much do ICU RNs make in California? ›

The average Staff Nurse - RN - Intensive Care Unit salary in California is $88,956 as of August 29, 2022, but the range typically falls between $80,151 and $96,657.

How much does an ICU RN make in NYC? ›

The average Staff Nurse - RN - Intensive Care Unit salary in New York, NY is $95,805 as of August 29, 2022, but the range typically falls between $86,322 and $104,099.

What jobs are nurses the happiest? ›

Happiest Nursing Jobs
  • School Nurse. Nurses in schools are available to help care for students who are presenting with an illness or who require assistance with medication administration for a previously diagnosed condition. ...
  • Labor and Delivery Nurse. ...
  • Case Management Nurse. ...
  • Nurse Educator. ...
  • Parish Nurse. ...
  • Travel Nurse.
26 Aug 2022

What are ICU nurses responsibilities? ›

ICU Nurse responsibilities include evaluating a patient's condition and administering treatment, as well providing constant support throughout recovery time. Ultimately, you will work directly with patients to ensure they receive the attention and medical care needed based on their condition.

How much do rn make an hour? ›

The average hourly pay for nurses in the U.S. is $38.74 for registered nurses and $55.05 for nurse practitioners, according to the U.S. Bureau of Labor Statistics' occupational employment statistics survey released March 31.

What city in Florida pays nurses the most? ›

Highest paying cities in Florida for registered nurses

The area where registered nurses are paid the highest is Fort Lauderdale, where the average RNs salary is $74,220 and 53,110 registered nurses are currently employed.

How much does a nurse make a month? ›

On average, RNs in the US earn a monthly salary of about $6,900. Annual: Finally, the average annual salary for an RN in the United States is $82,750, which is well above the national average salary for all occupations.

Do nurses make good money? ›

Registered nurses (RNs) in the U.S. earned a median annual wage of $77,600 as of May 2021, the most-recent data available from the Bureau of Labor Statistics. And the highest earning RNs earn more than $120,000 each year. But some nurses are pulling in significantly more.

Why do nurses make so much in California? ›

High demand, the high cost of living and union power underlie the higher salaries of California's registered nurses. Burger said the nurse's union has also played a role in assuring that nurses have access to pension plans and that they retire with health benefits.

How much do ICU nurses make in Manhattan? ›

How much does an ICU Nurse make in New York City, New York? As of Sep 19, 2022, the average annual pay for an ICU Nurse in New York City is $121,698 a year.

How much do nurses make? ›

Nursing Career2019 Mean Salary
Licensed Practical and Licensed Vocational Nurse (LPN/LVN)$48,500
Registered Nurse (RN)$77,460
Nurse Practitioners (NP)$111,840
Nurse Midwife (CNM)$108,810
3 more rows

How much do nurses make in NYC an hour? ›

Salaries by years of experience in New York, NY
Years of experiencePer hour
1 to 2 years$48.43
3 to 5 years$50.83
6 to 9 years$52.67
More than 10 years$58.89
1 more row

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