Occupation Summary

Nurse Practitioners

O*NET 29-1171.00

Description:

Diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. May order, perform, or interpret diagnostic tests such as lab work and x rays. May prescribe medication. Must be registered nurses who have specialized graduate education.

Annual Wages:
$111,059.00
Employment Rate:
Employment is expected to increase by 43.85%.
Education Level:
Master's Degree. According to O*Net, the majority of people employed in this occupation have this level of education.
Endorsement:
Public Service, Science Technology Engineering and Math (STEM)

  1. Educate patients about self-management of acute or chronic illnesses, tailoring instructions to patients' individual circumstances.
  2. Schedule follow-up visits to monitor patients or evaluate health or illness care.
  3. Counsel patients about drug regimens and possible side effects or interactions with other substances such as food supplements, over-the-counter (OTC) medications, or herbal remedies.
  4. Order, perform, or interpret the results of diagnostic tests, such as complete blood counts (CBCs), electrocardiograms (EKGs), and radiographs (x-rays).
  5. Analyze and interpret patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.
  6. Diagnose or treat acute health care problems such as illnesses, infections, or injuries.
  7. Diagnose or treat chronic health care problems such as high blood pressure and diabetes.
  8. Diagnose or treat complex, unstable, comorbid, episodic, or emergency conditions in collaboration with other health care providers as necessary.
  9. Treat or refer patients for primary care conditions, such as headaches, hypertension, urinary tract infections, upper respiratory infections, and dermatological conditions.
  10. Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
  11. Detect and respond to adverse drug reactions, with special attention to vulnerable populations such as infants, children, pregnant and lactating women, or older adults.
  12. Develop treatment plans based on scientific rationale, standards of care, and professional practice guidelines.
  13. Perform primary care procedures such as suturing, splinting, administering immunizations, taking cultures, and debriding wounds.
  14. Perform routine or annual physical examinations.
  15. Prescribe medications based on efficacy, safety, and cost as legally authorized.
  16. Provide patients with information needed to promote health, reduce risk factors, or prevent disease or disability.
  17. Recommend diagnostic or therapeutic interventions with attention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy.
  18. Recommend interventions to modify behavior associated with health risks.
  19. Prescribe medication dosages, routes, and frequencies based on patient characteristics such as age and gender.
  20. Advocate for accessible health care that minimizes environmental health risks.
  21. Provide patients or caregivers with assistance in locating health care resources.
  22. Maintain complete and detailed records of patients' health care plans and prognoses.
  23. Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing.
  24. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources.
  25. Maintain current knowledge of state legal regulations for nurse practitioner practice including reimbursement of services.
  26. Maintain departmental policies and procedures in areas such as safety and infection control.
  27. Supervise or coordinate patient care or support staff activities.

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National Industry Employment Patterns


Industry % of Nurse Practitioners employed Annual Growth Rate
Offices of physicians 44.2 3.69
Home health care services 2.6 4.05


Labor Market Information


2018 Statewide average hourly wage $53.39
2018 National average hourly wage $52.90
2016 National employment 155,500
2016 Texas employment 9,059
Texas projected employment by 2026 13,031
Texas projected annual employment and Turnover openings through 2026 927




TEXAS COUNTY MAP BY WORKFORCE DEVELOPMENT AREA
* Due to confidentiality rules, not all regions may have the data displayed. The sum of all the regions may not be equal to the state total.


Top 10 Relevant Knowledge Areas Relevant Importance Levels
Medicine and Dentistry
Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
98.00%
Psychology
Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
91.40%
Therapy and Counseling
Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
86.00%
English Language
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
86.00%
Customer and Personal Service
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
86.00%
Biology
Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
84.60%
Education and Training
Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
72.40%
Sociology and Anthropology
Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
72.00%
Mathematics
Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
70.00%
Computers and Electronics
Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
68.00%


Top 10 Relevant Skill Areas Relevant Importance Levels
Reading Comprehension
Understanding written sentences and paragraphs in work related documents.
82.40%
Active Listening
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
82.40%
Speaking
Talking to others to convey information effectively.
82.40%
Critical Thinking
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
82.40%
Active Learning
Understanding the implications of new information for both current and future problem-solving and decision-making.
82.40%
Social Perceptiveness
Being aware of others' reactions and understanding why they react as they do.
82.40%
Complex Problem Solving
Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
80.00%
Judgment and Decision Making
Considering the relative costs and benefits of potential actions to choose the most appropriate one.
80.00%
Service Orientation
Actively looking for ways to help people.
77.60%
Science
Using scientific rules and methods to solve problems.
77.60%


Top 10 Relevant Abilities Relevant Importance Levels
Oral Comprehension
The ability to listen to and understand information and ideas presented through spoken words and sentences.
85.00%
Written Comprehension
The ability to read and understand information and ideas presented in writing.
82.40%
Oral Expression
The ability to communicate information and ideas in speaking so others will understand.
82.40%
Problem Sensitivity
The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
82.40%
Deductive Reasoning
The ability to apply general rules to specific problems to produce answers that make sense.
82.40%
Inductive Reasoning
The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
82.40%
Written Expression
The ability to communicate information and ideas in writing so others will understand.
80.00%
Near Vision
The ability to see details at close range (within a few feet of the observer).
77.60%
Speech Recognition
The ability to identify and understand the speech of another person.
77.60%
Speech Clarity
The ability to speak clearly so others can understand you.
77.60%


  • Assisting and Caring for Others
    -- Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
  • Getting Information
    -- Observing, receiving, and otherwise obtaining information from all relevant sources.
  • Updating and Using Relevant Knowledge
    -- Keeping up-to-date technically and applying new knowledge to your job.
  • Documenting/Recording Information
    -- Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
  • Making Decisions and Solving Problems
    -- Analyzing information and evaluating results to choose the best solution and solve problems.
Other Activities


  • Administer anesthetics to patients
  • Administer enemas, irrigations, or douches to patients
  • Administer medical treatments
  • Administer medications
  • Administer rehabilitation interventions
  • Advise clients and customers on technical matters
  • Advise internal stakeholders on technical matters
  • Advise medical colleagues on health or disease-related issues
  • Apply traction to patients
  • Assist individuals with dressing, undressing, grooming, or bathing
  • Assist patients in performing breathing exercises
  • Assist patients in walking or exercising
  • Assist practitioners in examining, evaluating, or treating patients
  • Attend professional conferences and events
  • Attend to patient's personal care
  • Collect clinical data
  • Collect specimens from patients
  • Communicate health and safety information
  • Communicate technical or scientific information
  • Conduct behavior modification
  • Conduct clinical investigations
  • Conduct individual, group, or family interventions
  • Conduct informational presentations
  • Conduct laboratory research or experiments
  • Conduct medical tests
  • Conduct patient assessments
  • Confer with staff or professionals concerning treatment
  • Confer with users to identify operating procedure problems
  • Coordinate patient activities with rehabilitation team
  • Counsel individuals concerning diet
  • Counsel people regarding issues, problems, or grief situations
  • Deliver babies
  • Deliver prescribed medications and pharmaceuticals
  • Develop dietary-care plans
  • Develop treatment plans
  • Diagnose medical condition of patient
  • Document medical prognosis
  • Educate patients in use of supportive or health-related devices
  • Educate patients regarding diagnosis
  • Employ radiation safety procedures
  • Encourage patients to participate in activities
  • Enter analysis of medical tests or clinical results into computer for storage
  • Evaluate applicant, staff, or individual skill levels
  • Evaluate patient or client response to therapy or treatment
  • Evaluate patient's skills or capacities
  • Evaluate therapy needs of patient or client
  • Examine patients
  • Explain testing procedures to patient
  • Feed food to individuals
  • Gather information from doctor's prescription
  • Handle infectious materials safely according to procedures
  • Identify childhood or adolescent diseases
  • Identify patient's current and past drug history
  • Implement health or sanitation standards
  • Implement life support procedures
  • Implement sanitation practices in health care settings
  • Instruct patients in home programs or basic living skills
  • Instruct patients in methods to improve functional activities
  • Interpret medical laboratory test results
  • Inventory medical supplies or instruments
  • Lift ill, injured, incapacitated, or disabled individuals
  • Maintain confidentiality of data
  • Maintain dental or medical records
  • Maintain record of medication or equipment dispensed to patient
  • Massage patient or client
  • Monitor atmospheric or meteorological conditions
  • Monitor body response variations
  • Monitor children to detect signs of ill health or emotional disturbance
  • Monitor inmate activity
  • Monitor medical oxygen equipment
  • Monitor operating conditions
  • Monitor operating procedures of radiation producing equipment
  • Monitor patient condition and health
  • Motivate employee behavior and performance
  • Motivate patients to practice exercises
  • Observe patient or client condition
  • Obtain information from clients, customers, or patients
  • Order medical laboratory tests
  • Perform continuing education to maintain licenses, certifications, qualifications, and knowledge currency
  • Perform emergency medical procedures
  • Perform minor surgery
  • Perform safety inspection
  • Perform scientific research
  • Practice preventive procedures in medical therapy setting
  • Prepare medical reports
  • Prepare medical treatment room
  • Prepare medications for dispensing or use
  • Prepare patients for tests, therapy, or treatments
  • Prepare surgical supplies or equipment
  • Prepare technical or scientific reports
  • Provide care for mentally ill or special needs individuals
  • Provide health education and disease prevention instruction
  • Provide in home patient care
  • Provide nutritional instruction to individuals or families
  • Provide physical therapy to patients or clients
  • Read technical, operating, service, or repair manuals or publications
  • Record medical history
  • Research health improvement issues
  • Set-up incubators in hospitals
  • Set-up medical oxygen equipment
  • Set-up patient care equipment
  • Solve clinical problems
  • Sterilize laboratory, medical, or veterinary equipment or instruments
  • Take vital signs
  • Teach family members to provide bedside care
  • Teach medical laboratory procedures
  • Teach medical self care
  • Teach principles of medicine
  • Transport ill, injured, incapacitated, or disabled individuals
  • Treat medical condition of patient
  • Weigh patients to update records
  • Write technical health or medical documents


  • Relationships
    - Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
  • Support
    - Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.



Tools

Apnea monitors or accessories: Apnea monitors;

Arm orthopedic softgoods: Upper extremity braces;

Arterial blood gas monitors or accessories: Arterial blood gas monitoring equipment;

Arterial line catheters: Arterial line catheters;

Automated external defibrillators AED or hard paddles: Automated external defibrillators AED;

Back or lumbar or sacral orthopedic softgoods: Back braces;

Binocular light compound microscopes: Binocular light compound microscopes;

Blood collection syringes: Blood drawing syringes;

Cardiac output CO monitoring units or accessories: Hemodynamic monitors; Cardiac monitors;

Cardiac pacemaker generator or cardiac resynchronization therapy pacemaker CRT-P: Transcutaneous pacemakers; Pacemaker analyzers;

Cardiac ultrasound or doppler or echo units or cardioscopes: Doppler ultrasound equipment;

Cardiopulmonary resuscitation CPR protective shields or masks: Cardiopulmonary resuscitation CPR face shields;

Central venous catheters: Multiple lumen central line catheters;

Cervical collars or neck braces: Neck braces;

Chemistry analyzers: Hemoglobin analyzers;

Chest tube: Chest tubes;

Crutches or crutch accessories: Crutches;

Diagnostic or interventional vascular catheters or sets: Angiocaths; Pulmonary artery catheters;

Electrocardiography EKG units: Electrocardiography EKG machines; Portable electrocardiography EKG machines;

Electronic blood pressure units: Electronic blood pressure monitors; Pediatric blood pressure cuffs;

Electronic medical thermometers: Digital medical thermometers;

Electrosurgical or electrocautery equipment: Electrosurgical cauterization machines;

Emergency medical services head immobilizers: Head immobilization devices;

Emergency or resuscitation carts: Crash carts;

Endotracheal or tracheotomy sets: Tracheotomy sets;

Endotracheal tubes: Endotracheal ET tubes;

Epidural anesthesia kit or tray: Epidural catheters;

Eye charts or vision cards: Visual acuity testing cards; Snellen eye charts;

Flexible endoscopes or accessories or related products: Flexible sigmoidoscopes; Fiberoptic endoscopes;

Flow sensors or regulators or components: Oxygen flowmeters;

Glucose monitors or meters: Glucometers;

Goggles: Safety goggles;

Head or neck traction supplies: Halo traction equipment;

Intermittent positive pressure breathing IPPB machines: Mechanical intermittent positive pressure ventilators;

Intraaortic balloon pump and accessories: Intra-aortic balloon pumps IABP;

Intracranial pressure ICP monitoring units or accessories: Intracranial pressure monitors;

Intravenous infusion pumps for general use: Intravenous IV infusion pumps;

Intravenous or arterial catheter tray: Intravenous IV administration sets; Intravenous IV cutdown trays;

Intubator components or accessories: Intubation sets;

Lancets: Lancets;

Laryngoscopes or accessories: Fiberoptic laryngoscopes;

Leg orthopedic softgoods or accessories: Lower extremity braces;

Long term continuous electrocardiography EKG or holter monitoring systems: Holter monitors;

Medical acoustic stethoscope or accessory: Mechanical stethoscopes;

Medical exam or non surgical procedure gloves: Medical examination protective gloves;

Medical nasal catheters or catheterization kits: Nasal catheters;

Medical oxygen masks or parts: Oxygen delivery masks;

Medical staff isolation or cover gown: Protective gowns;

Medical staff isolation or surgical masks: Protective face shields;

Medical staple or clip removers: Surgical staple removers;

Medical stapler for external use: Skin staplers;

Medical suction or vacuum appliances: Tracheal suctioning equipment; Nasal suctioning equipment; Oral suctioning equipment;

Medical syringe with needle: Hypodermic syringes;

Medical tuning forks: Diagnostic tuning forks;

Microcentrifuges: Microhematocrit centrifuges;

Nasogastric tubes: Nasogastric tubes;

Nebulizer or accessories: Handheld nebulizers;

Non invasive bi level machines: Bilevel positive airway pressure BiPAP ventilators;

Notebook computers: Laptop computers;

Ophthalmoscopes or otoscopes or scope sets: Otoscopes; Ophthalmoscopes;

Orthopedic splint systems: Orthopedic splinting equipment;

Oxygen concentrators: Oxygen concentrators;

Patient floor scales: Medical scales;

Peak flowmeters: Peak flowmeters;

Pericardiocentesis needles or kits or accessories: Pericardiocentesis kits;

Personal computers: Personal computers;

Personal digital assistant PDAs or organizers: Personal digital assistants PDA;

Pulse oximeter units: Pulse oximeters;

Reflex hammers or mallets: Reflex hammers;

Special purpose telephones: Multi-line telephone systems;

Specimen collection container: Specimen collection containers;

Spine boards: Spinal immobilization equipment;

Spirometers or its accessories or its supplies: Incentive spirometers;

Surgical clamps or clips or forceps or accessories: Mosquito hemostats;

Surgical lasers or accessories: Argon lasers; Carbon dioxide CO2 lasers; Pulsed dye lasers;

Surgical pneumatic or electric tourniquets or accessories: Pneumatic tourniquets;

Surgical punches or punch holder or accessories: Biopsy punches;

Surgical scalpels or knives or blades or trephines or accessories: Surgical scalpels;

Surgical scissors: Straight surgical scissors;

Suturing kits or trays or packs or sets: Suturing kits;

Tablet computers: Tablet computers;

Thoracentesis set or tray: Thoracentesis kits;

Tissue culture incubators: Tissue culture incubators;

Tourniquets: Tourniquets;

Transcutaneous electric nerve stimulation units: Transcutaneous electric nerve stimulation TENS equipment;

Tympanometers or accessories: Tympanometers;

Umbilical catheters: Umbilical catheters;

Urinalysis test strips: Urinalysis test strips;

Urinary catheterization kit: Urinary catheters;

Vacuum blood collection tubes or containers: Evacuated blood collection tubes;

Vaginal exam specula: Vaginal exam specula;

Ventricular assist devices: Ventricular assist devices VAD;

Walking braces: Walking braces;


Technology

Data base user interface and query software: Microsoft Access;

Electronic mail software: Microsoft Outlook;

Internet browser software: Web browser software; Microsoft Internet Explorer;

Medical software: NextGen Healthcare Information Systems EMR; PCC Pediatric Partner; SOAPware software; StatCom Patient Flow Logistics Enterprise Suite; SynaMed EMR; Texas Medical Software SpringCharts EMR; Allscripts Professional EHR; Amkai AmkaiCharts; Bizmatics PrognoCIS EMR System; Cerner Millennium; GE Healthcare Centricity EMR; Medical condition coding software; Medical procedure coding software; Medscribbler Enterprise; MicroFour PracticeStudio.NET EMR; e-MDs software; eClinicalWorks software;

Office suite software: Microsoft Office software;

Spreadsheet software: Microsoft Excel;

Word processing software: Microsoft Word;


Related O*NET occupational titles for Nurse Practitioners include:
  • 29-1141.02 Advanced Practice Psychiatric Nurses
  • 29-1141.04 Clinical Nurse Specialists
  • 29-1031.00 Dietitians and Nutritionists
  • 29-1199.04 Naturopathic Physicians
  • 29-1161.00 Nurse Midwives
  • 25-1072.00 Nursing Instructors and Teachers, Postsecondary
  • 29-1122.00 Occupational Therapists
  • 29-1123.00 Physical Therapists
  • 29-1071.00 Physician Assistants


Sources of Additional Information
  • For information about nurse anesthetists, including a list of accredited programs, visit: American Association of Nurse Anesthetists
  • For information about nurse midwives, including a list of accredited programs, visit: American College of Nurse-Midwives 
  • For information about nurse practitioners, including a list of accredited programs, visit 
  • American Association of Nurse Practitioners
  • For more information about registered nurses, including credentialing, visit: American Nurses Association
  • For more information about nursing education and being a registered nurse, visit: National League for Nursing
  • For information about undergraduate and graduate nursing education, nursing career options, and financial aid, visit: American Association of Colleges of Nursing
  • For information about the Consensus Model and for a list of the states’ Boards of Nursing, visit 
  • National Council of State Boards of Nursing
  • For information about certification, visit: National Board of Certification and Recertification for Nurse Anesthetists
  • American Midwifery Certification Board
  • American Nurses Credentialing Center
  • Pediatric Nursing Certification Board
  • Nurse Anesthetists
  • Nurse Midwives
  • Nurse Practitioners

  • Contact Texas Workforce Commission
    Labor Market and Career Information  |  101 E. 15th Street, Annex Room 0252  |  Austin, Texas 78778
    Official Website  |  1-800-822-PLAN (7526)  |  512.936.3200

    ** The information in this report may be derived from many sources like O*NET, BLS (Bureau of Labor Statistics), OOH (Occupational Outlook Handbook), and Career One Stop.