The title of Registered Nurse is a single professional license, but the nursing profession includes multiple educational pathways, practice levels, and advanced roles that build upon the RN credential. While there is only one RN license granted by a state board of nursing, nurses may progress through various levels of education, specialization, and responsibility.
1. Educational Pathways to Become an RN
There are three primary educational routes to initial RN licensure:
- Diploma in Nursing, typically offered by hospital based programs
- Associate Degree in Nursing, usually completed in two to three years at a community college
- Bachelor of Science in Nursing, a four year degree from a college or university
All graduates must pass the NCLEX RN examination to obtain the same RN license, regardless of educational path.
2. Practice Levels After Licensure
Once licensed, RNs may work in entry level staff positions or advance through experience and additional training. Some institutions use clinical ladder programs that recognize RNs at levels such as novice, competent, proficient, and expert, often with corresponding pay increases.
3. Advanced Practice and Specialization
RNs may pursue advanced education to become:
- Certified Nursing Assistants or Licensed Practical Nurses are not RNs; they hold separate licenses
- Advanced Practice Registered Nurses, which include roles such as Nurse Practitioner, Clinical Nurse Specialist, Certified Nurse Midwife, and Certified Registered Nurse Anesthetist
- Nurse educators, administrators, or researchers with master’s or doctoral degrees
4. Certification Levels
RNs may also earn specialty certifications in areas such as critical care, pediatrics, oncology, or emergency nursing through organizations like the American Nurses Credentialing Center. These certifications demonstrate advanced knowledge but do not change the RN license itself.
In summary, while there is only one RN license, the profession encompasses multiple educational entry points, career progression levels, and advanced practice roles that allow nurses to grow professionally throughout their careers.