critical care nursing resources

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Practice specialties, critical care nursing.

Critical care nursing, or intensive care unit (ICU) nursing, is a specialty focused on the care of unstable, chronically ill or post-surgical patients and those at risk from life-threatening diseases and injuries.

What do critical care nurses do?

What do critical care nurses need to know.

• an understanding of human anatomy and physiology.
• sharp clinical assessment skills.
• vast knowledge about diseases and conditions.
• ongoing education related to recommended ICU treatment options.

More critical care nursing resources

• Nursing Pocket Cards, including arterial blood gas analysis and mechanical ventilation
• Guideline Summaries, including ARDS and sepsis
• Blog posts, with infographics, mnemonics, tips, and more
• Critical Care Nursing Quarterly
• Dimensions of Critical Care Nursing
• Articles and nursing continuing professional development (NCPD) activities
• Headlines and news stories
• Society partners

Critical Care Nursing Certification Review Course

Use this Critical Care Nursing Certification Review Course to study for the critical care nursing specialty certification from the American Association of Critical-Care Nurses (AACN), which grants the credential CCRN ® (Adult).

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Guideline Summaries

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Part I: The Essentials presents core information that clinicians must understand to provide safe, competent nursing care to all critically ill patients, regardless of the setting or diagnoses. This part includes content on assessment, diagnosis, planning, and interventions common to critically ill patients and their families; interpretation and management of cardiac rhythms; hemodynamic monitoring; airway and ventilatory management; pain, sedation, and neuromuscular blockade management; pharmacology; and ethical and legal considerations. Chapters in Part I provide the critical care clinician with information to develop foundational competence.

Part II: Pathologic Conditions covers pathologic conditions and management strategies commonly encountered in critical care units, closely paralleling the blueprint for the CCRN certification examination. Chapters in this part are organized by body systems and selected critical care conditions, such as cardiovascular, respiratory, multisystem, neurologic, hematologic and immune, gastrointestinal, renal, endocrine, and trauma.

Part III: Advanced Concepts in Caring for the Critically Ill Patient presents advanced critical care concepts or pathologic conditions that are more complex and represent expert level information. Specific advanced chapter content includes ECG concepts, cardiovascular concepts, modes of ventilation, and neurologic concepts.

Part IV: Key Reference Information contains selected reference information including laboratory and diagnostic values that apply to the content cases in the text; cardiac rhythms, ECG characteristics and treatment guide and hemodynamic troubleshooting. New in this edition is a table that demonstrates how conventional, contingency, and crisis standards of care are implemented. Content in part IV is presented primarily in table format for quick reference.

Sarah A. Delgado, MSN, RN, ACNP

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Critical Care Nursing

Latest news view all.

Perspective View All

Journal Articles View All

• Administration of Iloprost and Eptifibatide in Septic Shock Critical Care October 28, 2019  
• Delirium and Benzodiazepines Linked to Prolonged ICU Stay Critical Care Medicine November 1, 2017  
• Lung Ultrasound to Monitor VAP in Critically Ill Patients Critical Care December 5, 2016  
• Involving the Family in Developmental Care of the NICU Baby Journal of Perinatology : Official Journal of the California Perinatal Association February 4, 2016  
• Differential Outcome of an Antimicrobial Stewardship Audit and Feedback Program in Two Intensive Care Units BMC Infectious Diseases December 15, 2015  
• Risk Factors for Delirium After On-Pump Cardiac Surgery Critical Care December 2, 2015  

Additional Resources

• CME Learning Center: Critical Care Nursing

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How to Become a Critical Care Nurse

What is a critical care nurse.

• How to Become
• Career Outlook

Critical care nurses work with patients who are facing life-threatening or potentially life-threatening issues. These vulnerable patients are generally found in hospital intensive care units and step-down units, trauma units and emergency rooms, and surgery centers and recovery rooms, though critical care nurses may also work in other settings. No matter where they work, critical care nurses rely upon their knowledge and training to help acutely ill patients.

A career as a critical care nurse offers the ability to work with either a wide range of patients or with patients suffering a specific type of condition such as those found in cardiac care units or neonatal intensive care. If you are considering becoming a critical care nurse, this guide will answer many of your preliminary questions about this rewarding career.

Popular Online Master of Science in Nursing (MSN) Programs

Enrollment: Nationwide, excluding NY, RI and CT. Certain programs have additional state restrictions. Check with Walden for details.

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GCU's College of Nursing and Health Care Professions has a nearly 35-year tradition of preparing students to fill evolving healthcare roles as highly qualified professionals. GCU offers a full spectrum of nursing degrees, from a pre-licensure BSN degree to a Doctor of Nursing Practice (DNP) program.

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Critical care nurses provide care for patients ranging from newborns to geriatric who have one thing in common: they are in dire physical condition or suffering from life-threatening medical conditions or injuries. In their role, these professionals apply highly specialized technical skills, assessing and monitoring their patients’ conditions to help restore them to health. In addition to providing hands-on bedside care, critical care nurses are also their patients’ advocates -- speaking for or representing them when necessary.

Because the patients they care for have such acute needs, most critical care nurses work with only one or two patients at a time and generally collaborate with a team of healthcare professionals that includes physicians, other nurses, and allied healthcare professionals.

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What Do Critical Care Nurses Do?

During their daily job responsibilities, critical care nurses provide one-on-one care to patients who have suffered serious illness or injury. They provide all typical bedside care with the enhanced responsibilities that are inherent in vulnerable patients who are suffering from extremely acute conditions. Their responsibilities include problem-solving and making quick decisions, as well as tasks such as:

• Assessing patients as they are admitted to the critical care unit to identify their needs and create an appropriate care plan
• Diagnosing patient illnesses and injuries
• Monitoring, recording, and evaluating vital signs, including heart rate, respiratory rate, and body temperature
• Tracking the operation and output of life support equipment, including heart monitors
• Cleaning and bandaging wounds
• Administering medications orally, through injection, via an intravenous or gastric tube, or through other methods depending on the patient’s needs and condition
• Infusing blood products
• Monitoring patients for reactions to medication
• Responding to changes in the patient’s condition
• Collaborating and communicating with other members of the care team
• Providing education and guidance about the patient’s condition and care needs to both the patient and their family and caregivers
• Acting as an advocate for the patient
• Assisting families as they make important decisions regarding life support and end-of-life issues
• Addressing the patient’s body after death, including making arrangements for transport to the morgue, hospital, or burial facility

Patients who are in critical care settings are experiencing physical and emotional stress, and so are their family members. Critical care nurses require understanding, patience, and empathy in the face of heightened emotions and are frequently called on to act with compassion when family members and loved ones are grieving. They also must face their own emotions in the face of patients who die or end up in debilitating conditions.

What is the Average Salary of a Critical Care Nurse?

Salary.com estimates that critical care nurses earn an average of  $85,500 annually or $41 per hour, but their earnings depend on geographic location, experience, education, and more. These reports are comparable to the average RN salary, which is $86,070 annually or $41.38 per hour, according to the Bureau of Labor Statistics (BLS).

Critical care nurses who work in major metropolitan areas such as Los Angeles, California, can earn more than $100,000 per year, and significant increases in compensation come with additional professional experience. 

Beyond their salary, critical care nurses are generally offered attractive benefits and perks, including paid vacation time and sick leave, personal ties, and coverage for health, dental, vision, and prescription insurance. Facilities in competitive markets may also offer childcare and tuition reimbursement as well as the opportunity to earn additional income by working overtime hours or shift differentials. 

How Do You Become a Critical Care Nurse?

Critical care nurses possess a combination of knowledge, skills, experience, and compassion. They must be able to make decisions on behalf of their patients quickly and with confidence, and this level of competence begins with their education. 

The total timeline expected for becoming a critical care nurse is:

• 2-5 years to earn an ADN, BSN, or MSN degree
• Pass NCLEX-RN exam
• 2 years working in clinical patient care

Step 1: Become a Registered Nurse

Begin by becoming a Registered Nurse, and though this can be achieved by earning an Associate Degree in Nursing, most facilities today require a minimum of a Bachelor of Science in Nursing and prefer that candidates have their Master of Science in Nursing . After earning this degree, they will be required to pass the NCLEX-RN in order to receive licensure and work in the United States.

Step 2: Gain Experience

Then, you’ll need to work for at least two years, preferably with a wide range of patients, in order to ensure their comfort with a diverse range of conditions as well as their competence with critical thinking, problem-solving, and communication.

Step 3: Get Certified

Nurses who wish to establish themselves as specialists in critical care can demonstrate their knowledge by working in and demonstrating knowledge within several areas and pursuing certifications offered by the American Association of Critical Care Nurses . These include:

• CCRN (Adult, Pediatric or Neonatal), providing direct care to critically ill patients
• CCRN-K (Adult, Pediatric or Neonatal), influencing but not providing direct care to critically ill patients
• CCRN-E (Adult), providing care for ill patients from a remote location
• PCCN-K (Adult), influencing but not providing direct care to critically ill patients
• CMC (Adult), providing care to critically ill cardiac patients
• CSC (Adult), providing care to critically ill cardiac surgery patients
• ACNPC-AG (Adult-Gerontology), providing care for very sick geriatric patients

These certifications will verify your qualifications and help you work as an  RRT nurse , ICU nurse, or another type of critical care nurse.

What are the Continuing Education Requirements for Critical Care Nurses?

Critical care nurses who have earned specialty certifications can demonstrate their dedication to excellence in their fields through the renewal of those certifications. These certification renewals are offered by the American Association of Critical-Care Nurses , and each has its own specific requirements. All encompass a broad range of learning topics and activities and require completion of Continuing Education Recognition Points in different categories of study and clinical practice hours spent working with acutely critical patients. Read more about continuing education requirements for nurses here . 

What is the Career Outlook for Critical Care Nurses?

In light of the national nursing shortage , nearly every type of nursing position is seeing tremendous demand, and critical care nursing is no exception. In fact, critical and acute care nursing sees a significant share of those currently in the workplace leaving the specialty area for various reasons , making the need for these professionals even greater. 

According to statistics provided by the Bureau of Labor Statistics , employment of registered nurses will grow by 6% between 2022 and 2032, and that growth is attributed to an increased emphasis on preventative care, increasing rates of chronic conditions, and the aging of the population. When you add to that the specific stressors driving critical care nurses to retire early, hospitals and other facilities are working hard to recruit additional staff.

Where Can I Learn More About Becoming a Critical Care Nurse?

Critical care nursing is both a demanding career and a rewarding one. Nurses who are interested in learning more about the profession are advised to start by investigating the resources available through the American Association of Critical-Care Nurses’ website , where they can find information on clinical resources, continuing education, and the benefits of membership. Other organizations that support critical care nurses include the World Federation of Critical Care Nurses and the Society of Critical Care Medicine . 

You can also find articles of interest on the Nurse.org website, including:

• Life in the Intensive Care Unit
• Acute Care Nurse Salary and Career Opportunities
• How to Become an Intensive Care Nurse

From the first assessment of a newly arrived patient to providing end-of-life care, critical care nurses are an integral part of life-saving treatments and actions. They combine their education, empathy, experience, and skill to provide hands-on care for their patients’ physical needs and support and comfort for their emotional needs. The high stress of the specialty provides even higher levels of reward.

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Critical care nurse faqs.

• A critical care nurse provides care for patients who are either recovering from a serious medical condition or procedure or who are in critical condition.

What does a Critical Care Nurse do?

• Critical care nurses assess, monitor, and provide care for patients in extremely vulnerable conditions. They make essential decisions, administer medication, and operate life-support systems, as well as explain medical procedures and treatment to patients and their loved ones.

How much money does a Critical Care Nurse make?

• Critical care nurse salaries vary greatly depending on geographic location, experience, education, etc. However, the national average salary for the position is $85,500 , with a range of between $69,345 and $69,345 .

What units are considered critical care?

• Critical care settings within a hospital include the intensive care units, cardiac care, pediatric and neonatal intensive care units, step-down units following surgery, trauma, and burn units as well as emergency rooms. 

 How do I become a Critical Care Nurse?

• Becoming a critical care nurse begins with earning an Associate's or a Bachelor's Degree in Nursing and passing the NCLEX to earn your registered nurse license. Then, you'll need at least two years of experience working as an RN. Earning a Master of Science in Nursing and certifications will make you a more competitive candidate for open positions.

Plus, get exclusive access to discounts for nurses, stay informed on the latest nurse news, and learn how to take the next steps in your career.

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Core Critical Care Nursing

A series of short, impactful lectures on essential critical care nursing topics delivered by leading educators from australia and around the world.

The course duration is 1hr 57min.

2 CPD Points, 2 CEUs. Accredited by CPDUK and CBRN .

ACCCN Lecturers

A selection of critical care nursing educators from australia and around the world.

• About Course
• Also By ACCCN Lecturers

Module 1: Basics of Nursing Care

• Lecture: Nursing Care of the Mechanically Ventilated Patient
• Lecture: Top 10 Tips to Recognise and Respond to Patient Deterioration
• Lecture: Nursing Management of Critically Ill Patients with a Central Venous Catheter

Module 2: Mechanical Ventilation

• Lecture: Assisting with intubation of the suspected, or COVID-positive, patient
• Lecture: Mechanical Ventilation
• Lecture: CPAP & PEEP
• Lecture: Proning
• Lecture: Common Drugs Used in Sedation Protocols in Mechanically Ventilated Patients

Module 3: Cardiovascular

• Lecture: Introduction to ECG Rhythm Interpretation
• Lecture: The Basics of Arterial Lines

Course Summary

Get the core knowledge of Critical Care Nursing and feel empowered to take on new critical care tasks in the coming months. This course will cover the basic essentials to get you started and give you the confidence to work outside your normal environment. Each short impactful lecture is delivered by a leading critical care nursing educator with an emphasis on the core topics to get you where you need to be.

Target Audience

All health professionals interested in the basics of Critical Care Nursing

Learning Objectives:

Upon completion of this activity, you should be able to:

• Deliver basic critical care nursing tasks
• Describe the core features of respiratory failure
• Describe the core functions of mechanical ventilation and proning
• Understand the core essentials of ECG recognition and blood-gas analysis

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Critical Care Resource Nurse Team

A patient safety and quality outcomes model.

Christopher-Dwyer, Katherine BSN, RN; Scanlon, Katherine G. MSN, RN, APRN-BC, CCNS, CCRN; Crimlisk, Janet T. DNP, RNCS, NP

Katherine Christopher-Dwyer, BSN, RN, is a resource nurse at Boston Medical Center, Boston, MA.

Katherine G. Scanlon, MSN, RN, APRN-BC, CCNS, CCRN, is a clinical nurse educator at Boston Medical Center, Boston, MA.

Janet T. Crimlisk, DNP, RNCS, NP, is a clinical nurse educator at Boston Medical Center, Boston, MA.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Address correspondence and reprint requests to: Janet T. Crimlisk, DNP, RNCS, NP ( [email protected] ).

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site ( www.dccnjournal.com ).

The Critical Care Resource Nurse Team (CCRNT) evolved from our traditional Rapid Response Team (RRT). The CCRNT is a unique paradigm created using the conceptual framework of the American Association of Critical Care Nursing Synergy Model for Patient Care. The goal of the CCRNT is to help align nurse competencies with patient needs. This team was seen as a much-needed strong clinical support by nursing leadership as large numbers of inexperienced new graduate registered nurses were hired and senior experienced nurses were leaving the workforce. The CCRNT supports 24/7 RRT, Code Blue, Code Stroke, Emergency Airway Response Team, Early Warning System, Medical Emergency Team, simulation team training, and bedside nurse support and mentoring. Coverage expanded from inpatient medical/surgical areas to all areas of the medical center and included hospital-wide initiatives. The focus for the CCRNT changed to a system-wide nursing and patient safety model to improve practice and intervene in near-miss events. This model improved communication between disciplines, provided critical surveillance of at-risk patients, supported patient safety with a significant decrease in patient mortality, and offered a 24/7 expert critical care nurse resource team for staff.

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Nursing Resources

Nurses are encouraged to review up to date resources from the Neurocritical Care Society to provide the best evidence based bedside nursing care to patients.

The Neurocritical Care Society offers educational resources, orientations, podcasts and courses specific to neurocritical care nurses to keep you on the cutting edge of neurocritical care for your patients.

Browse the NCS Learning Center

Other Resources for Neurocritical Care Nurses

This comprehensive series of podcasts consists of interviews with authors of impactful articles from Neurocritical Care . The podcasts will be released around the time of the NCS Twitter Journal Club. Together, the NCS Twitter Journal Club and the NCS Podcast Series will provide the listener with an in-depth exploration of hot topics in neurocritical care.

External Resources

ARTICLE:  Challenges Faced by Black Nurses in the Profession: Q&A With an Advocate World Federation of Critical Care Nurses (WFCCN) -  International Best Practices in Critical Care Nursing  (2nd Ed.) This online resource text provides foundational best practices in critical care nursing within the international context. Each of the chapters were written by experienced critical care nurses for nurses and covers essential topics in critical care nursing such as: patient safety, arrhythmia interpretation and emergency cardiac care, shock, recognition and management of the deteriorating patient, family centered care and much more.

Intensive Nurse

Critical care and intensive care nurse blog, icu & critical care nursing revision.

Introduction:  Welcome to this part of the blog which has been designed and structured to assist revision and learning when new to ICU & Critical Care, participating in an ICU/Critical Care nursing program, redeployed or kindly returning to ICU due to COVID-19.

Focus:  The aim is to provide education resources for nurses to access, share and discuss when commencing their critical care journey.

Resources : Click on each of the links below and they will take you to the learning resources.

• Shift Organiser (Time Management)
• Cubicle Safety Checks
• Assessment- Systematic FASTHUGS
• Deteriorating Patient Management
• DRSABCDE Systematic Assessment
• Arterial Line & CVC Waveforms
• How to Set Up an Arterial Line Transducer, Zero & Levelling
• Arterial Line Blood Sampling
• Order of Blood Draw
• Central line (CVAD) Management
• Central Line (CVAD) Fluid & Drug Infusion Administration
• Overview of Vasopressors
• Understanding Orotracheal Intubation & Airway Grading
• Direct laryngoscopy
• Intubation (with checklist)
• Cricoid: The Debate
• Cuff Pressure Monitoring
• Suctioning Via the Endotracheal Tube (ETT)
• CICO [on the to do list]
• Extubation (with checklist) [on the to do list]
• Airway & Resp Assessment
• ETT Intubation
• Anaesthetic Triad
• Mechanism of Breathing
• Breath Sounds (Auscultation Skills)
• Understanding Pulse Oximetry
• Understanding Capnography
• Arterial Blood Gas Interpretation
• Understanding Chest Drains
• X-Ray Interpretation (Video Series)
• X-Ray Interpretation Top Tips
• Care of the Ventilated Patient
• Basics of Breathing & Ventilation by Drager
• Overview of Mechanical Ventilation in ICU (article)
• Overview of Ventilation Modes
• Ventilation Tip Sheet
• Acute Respiratory Distress Syndrome (ARDS) [on the to do list]
• PEEP: Lung Recruitment
• Peak & Plateau Pressure
• Airway Pressure Release Ventilation (APRV)
• Basics of Breathing
• CXR Interpretation
• Chest Drains
• Respiratory Failure [coming soon]
• Compliance & Resistance in Breathing
• Ventilator Modes & Settings 101
• Mechanical Ventilation Modes
• Mechanical Ventilation Settings & Parameters
• Mechanical Ventilation Waveform
• Ventilation Management Strategies
• ARDS Pathophysiology
• Tracheostomy Emergency Management
• Cardiac Reference Sheet
• Cardiac Anatomy
• Electrical System of the Heart
• ECG Skills: Leads & Direction
• ECG Skills (Lead II)
• Basic ECG Rhythms [coming soon]
• ECG Practice Resources
• How To Take a 12 Lead ECG
• 12 Lead ECG Systematic Approach
• Heart Blocks
• Heart Sounds (Auscultation Skills)
• Factors Affecting Mean Arterial Pressure (MAP)
• Learning The Cardiac Cycle (Step 1)
• Learning The Cardiac Cycle (Step 2)
• Cardiac Output [on the to do list]
• Continuous ST-segment monitoring
• Layers of the Heart
• Flow of Blood Through the Heart
• The Heart & The Heart & Cardiac Blood Flow
• Coronary Blood Flow
• Coronary Arteries
• Cardiac Action Potential
• Cardiac Assessment (Inc Arterial & CVP waveforms)
• Comprehensive Cardiac Assessment
• Cardiac Hemodynamics
• 12 Lead ECG Groupings
• Pulmonary Hypertension
• Extracorporeal Membrane Oxygenation (ECMO)
• ECMO Triple Cannulation (VV-A & VA-V)
• Managing All Things ECMO
• Renal Function and Acute Renal Failure
• Acute Kidney Injury [coming soon]
• Renin–angiotensin-aldosterone system (RAAS)
• Renal Function Key Concepts
• Acute Renal and Acute Kidney Injury
• Acute Renal Failure
• The Vas Cath for CRRT
• The Liver Blood Supply
• Liver Function Tests
• Severe Sepsis Mind Map
• Consequences of Sepsis [coming soon]
• Vitamin C & Sepsis (Parts 1 , 2 , & 3 )
• Everything neuro: Brain Trauma Foundation: Guideline For Management of Severe TBI
• Pupil Checks
• Glasgow Coma Scale
• EVD & Codman [on the to do list]
• Osmotherapy [on the to do list]
• Subarachnoid Haemorrhage (SaH)
• Introduction to TBI Injury
• Neurological Assessment & Monitoring
• Neuro A & P
• Everything trauma: Anaesthesia Trauma & Critical Care (ATACC) [follow link and download the ATACC manual]
• Flail Chest
• Tension Pneumothorax
• Management of Alcohol & Drug Withdrawal
• Addiction, Genetics and the Brain
• Types of Transfusions
• Haematology Tests and Procedures
• Blood Safety Training Packages
• Blood Typing Game
• Immune Responses Game
• Cancer Overview
• Types of Blood Cancers
• Haematology & BMT
• Cancer A-Z, Chemotherapy & Venous Access Devices
• Blood Cancer Drugs & Protocols
• Drugs and Managing Side Effects
• Safe Handling of Cytotoxic Meds: Guideline Recommendations
• Oncology Nursing Resources
• Cancer Nurse Learning Resources
• Everything burns on the assessment and management from Victoria Burns Service (Australia).
• Initial Management of Burns
• Fluid Resus in Burns Calculation (coming soon)
• Moral Distress

Additional Learning Resource s: Books, blogs, journal articles and training websites [ link here ].

I ntensive Nurse Clinical Playlist

Study Tips: Some quick study revision tips (remember to try to keep a healthy work-shift-study-life balance).

Extra Disclaimer:  This is not an ICU qualification (just in case someone, somewhere gets upset). It’s just a free learning resource, which is more a organised repository to all the amazing resources available online. [ see site disclaimer ]

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Critical appraisal tools help you to systematically evaluate healthcare research and assess the validity, results and relevance of published papers. Critical appraisal is a key part of evidence based practice.

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Lots of lodging has just come available in sochi - Sochi Forum

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Lots of lodging has just come available in sochi

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If anyone is still struggling to find Sochi Olympics lodging, a boatload has come available on the web, some (not all) of it reasonably priced.

Russian speakers start here: http://www.snimu-v-sochi.ru . This has by far the best selection and the listings are up to date, most posted in the last 72 hours. Almost every listing has a phone number and you are usually talking direct to the landlord, not to middlemen. I selected a hotel room for 4 with fridge, TV and wifi for $180 per night near the beach in Adler, halfway between the Coastal Cluster and the Adler train station where you catch the express train to the Alpine Cluster.

The second site is in English. The selection is smaller but it has a few good ones, and you can do direct bookings via web: www.iha.com. Select “Map search”, then “Russia”, “Southern Federal District”, “Krasnodar Krai” and then “Sochi”.

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