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Career overview · SOC 29-1141

Acute Care Nurses

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.

Also called: Acute Care Nurse · Cardiac Interventional Care Nurse · Cardiovascular ICU Nurse (Cardiovascular Intense Care Unit Nurse) · Cardiovascular Surgery Acute Care Nurse Practitioner (Cardiovascular Surgery ACNP) · Charge Nurse · DSU Nurse (Day Surgery Unit Nurse)

Median pay (national)
$93,600
$66,030–$135,320 (10th–90th)
Employed (US)
3,282,010
BLS OEWS, May 2024
Outlook 2024–34
+4.9%
~189,100 openings/yr
Typical entry
Bachelor's degree

What the numbers say

Refit analysis ·Pay for acute care nurses shows a broad range: the top 10% earn $135,320 versus $66,030 at the bottom 10% — 2.0x. The median of $93,600 leaves roughly 45% of headroom to the 90th percentile, which is where seniority, specialization, and the skills below tend to pay off.
Refit analysis ·Employment is projected to change +4.9% from 2024 to 2034 — faster than the 3% all-occupation average. Even so, BLS projects about 189,100 openings a year, mostly to replace workers who retire or change careers.
Refit analysis ·Where you work moves the number a lot. Across the 53 states with released data, California pays the most for this role (median $140,330, +50% vs the national median), while Puerto Rico sits lowest at $37,780 — a 271% spread for the same job title.
Refit analysis ·O*NET rates Reading Comprehension, Speaking, Critical Thinking as the highest-importance skills here — so a resume aimed at this role should lead with evidence of those, not a generic skills list.

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Top skills employers ask for

Ranked by O*NET importance for this occupation.

  • Reading Comprehension
  • Speaking
  • Critical Thinking
  • Active Listening
  • Writing
  • Active Learning
  • Monitoring
  • Learning Strategies
  • Mathematics
  • Science

What they actually do

Core O*NET tasks for this role.

  • Discuss illnesses and treatments with patients and family members.
  • Document data related to patients' care, including assessment results, interventions, medications, patient responses, or treatment changes.
  • Interpret information obtained from electrocardiograms (EKGs) or radiographs (x-rays).
  • Obtain specimens or samples for laboratory work.
  • Manage patients' pain relief and sedation by providing pharmacologic and non-pharmacologic interventions, monitoring patients' responses, and changing care plans accordingly.
  • Collaborate with members of multidisciplinary health care teams to plan, manage, or assess patient treatments.
  • Assess the needs of patients' family members or caregivers.
  • Participate in patients' care meetings and conferences.
  • Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in acute care.
  • Analyze the indications, contraindications, risk complications, and cost-benefit tradeoffs of therapeutic interventions.

Tools & technology

  • eClinicalWorks EHR software
  • Microsoft Teams
  • SAP software
  • Allscripts Professional EHR
  • Amkai AmkaiCharts
  • Bizmatics PrognoCIS EMR
  • Cerner Millennium
  • ChartWare EMR
  • e-MDs software
  • GE Healthcare Centricity EMR
  • IBM Lotus Notes
  • Medscribbler Enterprise
  • MicroFour PracticeStudio.NET EMR
  • NextGen Healthcare Information Systems EMR
  • SOAPware EMR
  • StatCom Patient Flow Logistics Enterprise Suite

Knowledge areas

  • Medicine and Dentistry
  • Customer and Personal Service
  • Education and Training
  • English Language
  • Psychology
  • Therapy and Counseling
  • Administration and Management
  • Public Safety and Security