How to Become a Neonatal Nurse

Neonatal nurses provide care to babies less than 28 days old. Most of these newborns need serious medical attention. Although the work presents emotional and mental challenges, neonatal nurses can enjoy the rewards of helping newborns and their families.

To become a neonatal nurse, students must obtain a nursing degree, complete licensure requirements, gain experience, and earn relevant certificates. Neonatal nurses can pursue graduate education and career opportunities to become nurse practitioners, earning a $111,670 median annual salary as of May 2020, according to the Bureau of Labor Statistics (BLS).

The page below explores in more detail the steps required to become a neonatal nurse.

Read the Specifics:Required Education | Required Credentials | Steps to Become a Neonatal Nurse | FAQs

Neonatal nurses work with newborn infants with problems such as congenital disorders, infections, or low birth weight. Often, these medical challenges stem from premature birth, making neonatal patients among the most fragile residents in medical facilities.

Generally, neonatal nurses work in the newborn (or neonatal) intensive care unit (NICU). NICU nurses’ work requires excellent judgment, quick reactions, empathetic conversational skills, and vast medical knowledge. With experience and further education, neonatal nurses may become nurse managers, nurse specialists, or nurse practitioners.

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Neonatal nurses must hold at least a diploma or associate degree in nursing. Because of NICU patients’ vulnerability and the complexities of their medical situations, many employers require neonatal nurses to hold a bachelor’s degree at a minimum.

NICU nurses also typically pursue specialized certificates in neonatal pediatric transport, advanced cardiovascular life support, or electronic fetal monitoring. Holding one or more NICU-related certificates can make a neonatal nurse more competitive in the job market.

Nurses who want to specialize, earn more money, or take on leadership roles should consider graduate study. By pursuing a master’s degree or doctorate in nursing, neonatal nurses can advance to providing primary care for their patients as nurse practitioners (NPs).

Becoming an NP requires experience in NICU patient care along with graduate education and other licensure requirements. A master’s degree can also equip neonatal nurses to become nurse midwives, who usually earn higher salaries than registered nurses.

A neonatal nurse must hold licensure as a registered nurse. Technically, a nurse with an associate degree, RN licensure, and no additional experience could find work in a NICU. Most hospitals, however, only hire highly educated, experienced nurses for these positions.

In general, a NICU nurse’s resume should include a bachelor’s degree and at least two years of nursing experience, preferably in pediatrics. Neonatal nurse certificates often require two years of experience before nurses can apply to take the exams.

Some hospitals may give preference to nurse practitioners over registered nurses when hiring for neonatal nursing roles. These professionals have earned a master’s degree or doctorate in nursing, hold several years of experience, and have passed an additional licensure exam.

All registered nurses — including neonatal nurses must hold licensure. Each state sets its own requirements for obtaining a nursing license. Once licensed, nurses can pursue certification in specialty areas. Neonatal nurses can obtain certification in critical care or intensive care to strengthen their skills in the NICU specialty.

Neonatal nurses begin their careers as registered nurses. State boards of nursing oversee nurse licensure. Specific licensure requirements vary by state, but in general, applicants need to meet three conditions. They must hold a degree from an approved prelicensure nursing education program, pass the NCLEX-RN exam, and pass a background check.

To maintain their nursing licenses, nurses need to complete a number of continuing education requirements as their state nursing board mandates. States may also require nurses to complete a minimum number of patient contact hours. NCSBN gathers information about regulations, testing, and licensure requirements across all 50 states.

For neonatal nurses, licensure as an RN is essential, but certification is optional. Nevertheless, neonatal nurses and nurse practitioners can hone their skills by completing a certification program from the organizations listed below:

Neonatal nurses first need a degree in nursing. If studying full time, an associate degree takes about two years, while a BSN requires four years. A nursing degree can cost up to $60,000 per year at a top nursing school, though not all schools are so expensive. Students can pursue nursing degrees online, but most complete hands-on clinical experience requirements in person.

After graduation, nurses need to pass the NCLEX-RN and complete their state’s other requirements for licensure. Before qualifying for neonatal certification, nurses need to work in NICU nursing for about two years.

Find a program that meets your affordability, flexibility, and education needs through an accredited, online school.

Working with newborns sounds rewarding, but the demands of the job may not appeal to all nurses. Typically the best neonatal nurses observe situations carefully, can make quick decisions, and show high emotional intelligence.

Review the possible pros and cons of choosing this career:

Neonatal nurses can find jobs in one of two ways: through personal connections or through job listings. A nurse who leverages personal connections for a job may rely on mentor recommendations, residencies, or professors for introductions.

By contrast, a nurse who competes for an open position may locate opportunities through career fairs, professional organizations, annual conferences, or job sites like those listed below.

Nurses can also identify potential employers by searching hospital databases and insurance provider directories. Joining LinkedIn also allows nurses to connect with potential employers.

Like other healthcare careers, neonatal nursing can provide a lucrative salary. According to PayScale, neonatal nurses earn an average annual salary of $68,760 as of July 2021. Many factors can influence the salary of a NICU nurse or neonatal nurse, including experience and education.

Nurses who pursue additional training to become nurse practitioners or nurse midwives earn a median annual salary of $117,670 as of May 2020, according to the BLS. Neonatal nurses who serve in urban settings can earn higher wages than those working in rural areas.