Whatever path a student takes, in nursing the same shoe does not fit all feet. Many of the classes are the same, but a separate degree or certification is needed for private nursing. People pursuing this option usually obtain a LPN/LVN, or a Licensed Practical Nurse diploma. It is needed to practice in people's homes and includes training specific to that task.
A certified nurse with a 4-year degree will work in a hospital environment, typically supervised by a doctor. Fewer decisions will be made by the nurse, and they will execute the same routine tasks every day. Decisions will be made by doctor, and the nurses will basically act in a supportive role.
Benefits of institutional nursing is regular pay and benefits such as insurance and free health care. There are some liabilities to working in a hospital, namely being surrounded by so many sick people. The patients are usually unfamiliar, and the nurse must become accustomed to handling great variety. Patients can be unpredictable, and some people arrive in very emotional states.
Working for a few clients is a long term relationship and the nurse must get to know their needs and temperament. The advantages include fairly predictable work as well as the ability to get to know people and their individual needs. It can be emotionally satisfying to take care of a person over an extended period of time, and these clients might not have infectious diseases.
The real disadvantage of being a practical or private nurse is the lack of a regular salary. Independents must pay for their own benefits, and assume liability for their own practice. On the bright side, being a private nurse is very much like running a business, and there is real profit potential. People who achieve good reputations can end up with higher salaries than their institutional counterparts.
A nurse is not fixed into his or her decision; it is always possible to go back to school and get a certificate that will grant access to the other side. Nursing credits and real world experience are always valuable, and a nurse can expect a flexible career.
