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What is a nurse extern and how to become one

Updated January 8, 2025
3 min read
Quoted experts
Lisa Rebeschi Ph.D.,
Kim Raines
introduction image

Nursing externships are part of the curriculum of a nursing school, taking place before graduation. Nursing externs work in hospitals or clinics, shadowing a registered nurse to gain practical experience on the job to complement their theoretical knowledge.

Apart from getting familiar with the practical duties of a nurse, externs have the opportunity to attend nursing workshops and conferences during their practice period to figure out whether they would like to gain specialized training in some area of nursing.

Nursing externships are unpaid, as you have to be enrolled in a nursing school to attend an externship program. They do, however, provide an excellent opportunity for networking and gaining experience, which largely contributes to your chances of getting hired right out of nursing school.

What general advice would you give to a nurse extern?

Lisa Rebeschi Ph.D.Lisa Rebeschi Ph.D. LinkedIn profile

Associate Dean of the School of Nursing Professor of Nursing, Quinnipiac University

One of the suggestions for new graduates is the importance of self-care. We have long known of the demanding nature of the nursing practice. However, the COVID-19 pandemic has magnified the nursing role's critical importance and the unique contributions made by nursing professionals. As the healthcare environment is extremely complex and challenging, nurses must remember to advocate for themselves and prioritize self-care.
ScoreNurse ExternUS Average
Salary
2.9

Avg. Salary $37,156

Avg. Salary $59,228

Stability level
10.0

Growth rate 6%

Growth rate 0.3%

Diversity
6.3
Race

American Indian and Alaska Native 0.44%

Asian 9.91%

Black or African American 11.54%

Hispanic or Latino 8.92%

Unknown 4.25%

White 64.94%

Gender

female 85.70%

male 14.30%

Age - 43
Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 43
Stress level
10.0

Stress level is very high

7.1 - high

Complexity level
9.1

Complexity level is advanced

7 - challenging

Work life balance
7.8

Work life balance is good

6.4 - fair

Nurse extern career paths

Key steps to become a nurse extern

  1. Explore nurse extern education requirements

    Most common nurse extern degrees

    Bachelor's

    52.8 %

    Associate

    25.1 %

    High School Diploma

    6.3 %
  2. Start to develop specific nurse extern skills

    SkillsPercentages
    Patients38.55%
    Vital Signs11.26%
    CPR4.39%
    Direct Patient Care3.70%
    Direct Supervision3.63%
  3. Complete relevant nurse extern training and internships

    Accountants spend an average of 3-6 months on post-employment, on-the-job training. New nurse externs learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a nurse extern based on U.S. Bureau of Labor Statistics data and data from real nurse extern resumes.
  4. Obtain the necessary licensing

    Becoming a licensed nurse extern usually require a college degree. However, you need to pass an exam to become a licensed nurse extern in most of states. 43 states require nurse externs to have license for their work. You can see the list of states below.
    StateEducationExamLicense url
    AlabamaDegree requiredState exam requiredLicensed Practical Nurse (LPN)
    AlaskaDegree requiredThird-party exam requiredNurse, Licensed Practical
    ArkansasDegree requiredThird-party exam requiredLicensed Practical Nurse (LPN)
    CaliforniaDegree requiredThird-party exam requiredLicensed Vocational Nurse
    ColoradoDegree requiredThird-party exam requiredLicensed Practical Nurse
  5. Gain additional nurse extern certifications

    Nurse extern certifications can show employers you have a baseline of knowledge expected for the position. Certifications can also make you a more competitive candidate. Even if employers don't require a specific nurse extern certification, having one may help you stand out relative to other applicants.

    The most common certifications for nurse externs include Certified Nurse Assistant (CNA) and Patient Care Technician.

    More About Certifications
  6. Research nurse extern duties and responsibilities

    • Organize and manage regular clinics involving external physicians, including ophthalmology, ENT, Med/Surg, orthopedics, and podiatry professionals.
    • Assist patients with activities of daily living, obtain vital signs and assessments, and perform 12 lead EKG's.
    • Perform initial assessments on patients in outpatient oncology clinic; recording vital signs, significant medical history and chief complaints.
    • Shadow to adult medical-surgical nurse staff- head-to-toe assessment, assist with medication administration, computer charting with co-signor, and telemetry monitoring
  7. Prepare your nurse extern resume

    When your background is strong enough, you can start writing your nurse extern resume.

    You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a nurse extern resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

    Choose from 10+ customizable nurse extern resume templates

    Build a professional nurse extern resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your nurse extern resume.
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  8. Apply for nurse extern jobs

    Now it's time to start searching for a nurse extern job. Consider the tips below for a successful job search:

    1. Browse job boards for relevant postings
    2. Consult your professional network
    3. Reach out to companies you're interested in working for directly
    4. Watch out for job scams

How did you land your first nurse extern job

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Are you a nurse extern?

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Average nurse extern salary

The average nurse extern salary in the United States is $37,156 per year or $18 per hour. Nurse extern salaries range between $29,000 and $47,000 per year.

Average nurse extern salary
$37,156 Yearly
$17.86 hourly

What am I worth?

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How do nurse externs rate their job?

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Nurse extern reviews

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A zippia user wrote a review on Dec 2021
Pros

Caring for patients

Cons

Staffing ratios, unfairness, constant expectations. Healthcare is a business but doesn’t treat nurses like business employees


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A zippia user wrote a review on Aug 2020
Pros

helping people and saving lives

Cons

the pay is not good not enough for the lifestyle I would like to live


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A zippia user wrote a review on Jan 2020
Pros

The feeling I get when helping people.

Cons

Nursing isn’t what it was 12yrs ago when I started. It is all about “family centered care” and not what is actually best for the patient. Not only am I a nurse and caring for the patient, but I’m the house keeper, waitress, and coffee go getter. There is no more respect for nurses and their patients.


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Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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