{"schemaVersion":"1.0","exportedAt":"2026-05-15T12:39:12.005Z","occupation":{"soc":"29-1141.00","title":"Registered Nurses","group":"Healthcare Practitioners & Technical","sector":"62","jobZone":4,"jobZoneInferred":false},"framework":{"version":null,"description":"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.","contextCovered":"Acute, ambulatory, peri-operative, emergency, oncology, psychiatric, and school settings; charge and staff roles; care planning, medication administration, patient education.","levels":{"emerging":{"label":"Emerging","statements":["Vital signs and standard assessments — collect and document on stable patients on a med-surg unit.","Hand hygiene and isolation precautions — apply consistently across patient encounters in acute care.","Routine medications by established protocol — administer with preceptor verification on a staffed unit.","Patient identifiers and safety checks — perform reliably before any procedure or administration.","Charting in the electronic health record — enter assessments and intake/output accurately under review.","Basic patient education materials — deliver on discharge topics with a senior nurse present.","Specimen collection (blood, urine, culture) — obtain to protocol on a general medical floor.","Pain scales and reassessment intervals — document according to unit standards on stable patients.","Code blue and rapid response roles — recognize triggers and call for help in inpatient settings.","Equipment (IV pumps, telemetry leads, pulse oximetry) — set up and verify with preceptor oversight."]},"developing":{"label":"Developing","statements":["Multi-patient assignments — organize and prioritize on a routine med-surg shift with reduced oversight.","Care plans for common diagnoses — draft and update from admission through discharge on a med-surg unit.","IV access and infusion management — initiate and maintain on stable adult inpatients.","High-alert medications — administer with double-checks in established acute-care protocols.","Patient and family teaching — deliver on common conditions in inpatient and outpatient settings.","Subtle changes in patient status — recognize and escalate appropriately on a familiar patient population.","Interdisciplinary rounds — contribute patient updates and concerns on a general inpatient unit.","Common procedures (Foley, NG tube, wound care) — perform independently on routine cases.","Documentation for regulatory and billing requirements — complete accurately across a routine shift.","New nursing students and orientees — guide on basic skills during clinical rotations."]},"proficient":{"label":"Proficient","statements":["Complex, multi-system patients — assess, plan, and coordinate across an acute-care assignment.","Deteriorating patients — anticipate, intervene, and lead initial response in inpatient settings.","Specialty-area protocols (ED, OR, oncology, psych) — apply autonomously within scope of practice.","Charge-nurse responsibilities — assign, flex, and support staff across a unit during a shift.","Difficult conversations with patients and families — conduct on prognosis, goals of care, and consent.","Conflict and resource issues during a shift — resolve in real time across the care team.","Quality and safety concerns — identify, report, and follow through using unit and facility processes.","New protocols and evidence-based practice changes — implement and coach on at the unit level.","Preceptorship of new graduates — structure, evaluate, and progress over an orientation period.","Cross-unit transfers and complex discharges — coordinate with case management and accepting teams."]},"advanced":{"label":"Advanced","statements":["Clinical practice on a unit or service line — set, audit, and improve against national benchmarks.","Unit-level quality and safety initiatives — design, lead, and evaluate across multidisciplinary teams.","High-acuity, ambiguous cases — guide care decisions and frame ethical considerations across teams.","Staffing models and skill mix — shape and defend at unit or service-line level with leadership.","Mentorship and career development — provide for charge nurses, preceptors, and emerging leaders.","Policy, protocol, and order-set development — author and revise in collaboration with medical staff.","Regulatory readiness (Joint Commission, CMS) — prepare, lead, and represent the unit during surveys.","Patient-experience and outcomes data — interpret and translate into practice changes at the unit level.","Crisis events (code, mass casualty, behavioral emergencies) — direct response and debrief teams afterward.","Strategic nursing practice across the service line — represent in committees and shape institutional direction."]}}},"sources":{"onet":"v30.2 (CC BY 4.0)","crosswalk":"https://skillscrosswalk.com","generator":"LER.me"},"attribution":"© EBSCOed"}