How to Become an Oncology Nurse Practitioner
Think you might enjoy supporting patients with cancer? If you have an eye for detail and strong compassion, you might make a great oncology nurse practitioner. This is an advanced practice registered nurse (APRN) that helps assess, diagnose, and treat patients with different cancers and cancer-related illnesses. Using clinical and critical thinking skills, as well as empathy and emotional intelligence, you’ll likely work alongside oncology nurses, but your scope of practice will be broader.
Some oncology nurse practitioners specialize in one or a few types of cancers, while others may work in more generalized roles. The most common cancers that an oncology NP might see include:
- Bladder
- Breast
- Colon and rectal
- Endometrial
- Kidney
- Leukemia
- Liver
- Lung
- Melanoma
What Do Oncology Nurse Practitioners Do?
NPs in oncology help their patients experience the best outcomes possible, treating a variety of cancers through chemotherapy, radiation, and other measures. Oncology NPs work in hospitals, cancer centers, clinics, and acute care facilities. Some of the specific patient care tasks you’ll do depend on the setting you work in. For example, an oncology NP in the clinic setting might not perform all of the clinical duties that they would in acute care.
The general responsibilities you might have include:
- Cancer diagnosis and treatment planning for patients with different types and stages of cancer, coordinating care with oncologists and other healthcare professionals.
- Clinical interventions, such as inserting venous access devices for chemotherapy, or performing palliative extubations.
- Chemotherapy and radiation therapy monitoring, managing side effects, and providing supportive care to minimize treatment-related complications.
- Pain management and symptom management, such as fatigue, nausea, vomiting, loss of appetite, neuropathy, and other treatment-related side effects.
- End-of-life and palliative care for patients with advanced cancer, supporting patients and their families in making decisions and facilitating access to hospice services when appropriate.
- Psychosocial support, counseling, and resources to help patients cope with the emotional and psychological challenges of living with cancer, including anxiety, depression, fear, and uncertainty.
- Genetic counseling and risk assessment for individuals with hereditary cancer syndromes or a family history of cancer, coordinating genetic testing and risk-reduction strategies.
- Supporting clinical trials and research by educating patients about clinical trial options, assisting with informed decision making, and collaborating with research teams to advance cancer treatment and care.
- Survivorship and supportive care programs to address the unique needs of cancer survivors, including rehabilitation services, survivorship clinics, and support groups.
Oncology Nurse Practitioner Salary
The average oncology nurse practitioner salary is around $122,000 per year, but salaries vary based on education, experience, location, and work setting. Curious about the areas where nurse practitioners make the most income? Check out oncology NP jobs in one of these highest-paying states for NPs:
How to Become an Oncology Nurse Practitioner: 5 Steps
If you’re already a nurse, becoming an NP will mean going back to school and getting certified in your state, which could take three to four years. Otherwise, you’ll need to become a nurse, and this path will likely take at least seven years. Here are the steps to becoming an oncology NP:
Step 1: Nursing School
To become an NP, you’ll need to first complete a nursing program at an accredited institution. This could be an associate degree in nursing (ADN) or a bachelor of science in nursing (BSN). Depending on your goals and timeline, one of these paths may make more sense than the other. During nursing school, students learn foundational knowledge and skills in patient care, anatomy and physiology, pharmacology, and medical ethics.
Step 3: Become a Registered Nurse
Before you can start work, you’ll need to gain licensure as an RN by taking the National Council Licensure Exam for RNs. The NCLEX is an adaptive exam, which means that the length of your test will depend on how you answer the questions. These include multiple choice, case study, select-all-that-apply, and more. Learn more about the newest version of the NCLEX.
Step 2: Gain Experience in Oncology
Most MSN programs require one to two years of experience as an RN to be accepted. This is a great time to build your basic skills in patient assessments, reading labs, and working with different treatment modalities. Depending on where you live, there may be opportunities to work in an oncology unit or clinic right out of nursing school, so you can start developing a specialized knowledge base right away.
You might also pursue specialty certifications, such as chemo certification, becoming an oncology certified nurse (OCN) or a certified breast cancer nurse (CBCN). Extra credentials will deepen your skills and make you more competitive when applying for grad school.
Step 4: Earn Your Master’s Degree in Nursing (MSN) or Doctorate of Nursing Practice (DNP)
Oncology nurse practitioner programs are offered at the master’s and doctoral level. If you’re interested in a faster track to advanced practice, look for MSN programs with an oncology focus or sub-specialty. On the other hand, a DNP may offer higher income after you graduate, and it’s the terminal practice degree for nurses. A typical MSN takes between two and three years, while a doctorate programs are typically between three and five years long.
Step 5: Gain and Maintain Licensure as a Nurse Practitioner
Once you’ve completed your state’s requirements for licensure, you’ll sit for the nurse practitioner certifying exam for your specialty. Then, you can consider becoming an advanced oncology certified nurse practitioner (AOCNP), which is a credential offered by the Oncology Nursing Certification Corporation (ONCC).
Once licensed, you’ll also need to maintain licensure to continue practicing. This means updating your RN licensure according to your state requirements, and staying current with your NP certifying body.
Flex Your Skills in Your Next Nursing Role
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