Tested with Patch: 1.61.15.1020 (20th anniversary patch)
Nurses are just as important as doctors in Sim City! I was inspired by this career from the Get To Work EP. I personally wanted my sim to be a pediatrician, so I thought why not make my own career and share it with others?
This particular career contains specific skills from the game packs: Spa Day, Parenthood, and Outdoor Retreat. But the career should work fine without it. If not, just let me know and I'll re-upload another file without it.
Mesmeric Nurse Career
With a growing need for health care professionals, nurses are currently in high demand. The current need for registered nurses is only expected to increase as Sim City's population grows and ages. With the modern advances in technology and recently added opportunities for specialization, the nursing profession can provide you with a wide variety of exciting options.
A career in nursing allows an individual to combine his or her abilities to problem solve, provide attention to details, give personal care, and develop medical knowledge, to create a holistic approach to caring for an individual. Nurses take into account both the physical and psychological state of the patient as well as social elements when treating each individual.
Nursing Student
Getting into nursing school is no small feat. You've worked hard, stayed up late, and basically imprinted tons of medical information into your mind. Now it's time to put what you know into action and maneuver your way up the Nurse Hierarchy.
Wage: Unpaid
Days: MTWT---
Time: 9am - 3pm
Clinical Level I
Clinical experience comes in a variety of forms and is the beginning of a learning process that will extend throughout the education of a nursing student — and well into their nursing career. Essentially, this is the “right of passage” for a nursing student to gain real-world experiences and apply theory to practice. It’s at this juncture (clinical nursing experience), where many nurses begin to develop advanced competencies, foster clinical judgment and cultivate specialty expertise.
Wage: $10/H
Days: -TWTFS-
Time: 1pm - 9pm
Clinical Level II
The weeks are becoming more exhausting, but it’s okay! You got this. Your mentor and colleagues are taking notice of your rising skill level, and how seriously focused you are in your field. Keep up the good work; you don’t have much longer!
Wage: $15/H
Days: MTWTF--
Time: 9am - 3pm
Clinical Level III
Your time at the clinic is finally coming to an end and your body is excited. Those long hours and sleepless nights wreaked havoc on you, but you made it! On top of that, your mentor is very impressed with how far you came and some of the newbies are coming to you for advice on how to survive the infamous “Nursing Internship”. Hang in there!
Wage: $18/H
Days: MTWTF---
Time: 10am - 4pm
The career can either branch off into 4 paths or 6, whichever file you decide to download. If you get both, then a total of 10
Track 1: Neonatal Nurse Neonatal nurses work with infants who have been born with conditions that require substantial medical care. They typically work in neonatal intensive care units, or NICUs. Although neonatal means newborn, neonatal nurses may work with infants beyond what is generally considered the newborn phase. Most often it is until the baby first leaves the hospital. In rare instances, a neonatal nurse may work with infants up to age two.
Level I Level I is Basic Newborn Care. You specialize in providing postnatal care for healthy newborn infants. It's your job to help maintain the stability of newborn infants at 35 to 37 weeks' gestation who are physiologically sound and help to stabilize infants who are born at less than 35 weeks' gestation and/or sick until they can be transferred to a healthcare facility that can provide an acceptable level of neonatal care.
Wage: $80/H
Days: -TW-FSS
Time: 10am - 6pm
Level II You're needed in the Advanced Neonatal Care, where you'll be working at this level care for less critically ill newborns who may require breathing and feeding support, or special medication.
Wage: $98/H
Days: MT-TFS-
Time: 8am - 4pm
Level III Sub-specialty Newborn Care was in need of a very knowledgable Neonatal Nurse, and you were the one they contacted. At these NICUs, you care for infants that have been born at less than 32 weeks' gestation and newborns suffering from severe afflictions at any gestational age. Typically, level III NICUs offer patients access to a complete spectrum of pediatric sub-specialties, respiratory support systems, and advanced imaging technologies.
Wage: $110/H
Days: MTW-FS-
Time: 11am - 7pm
Level IV You now work at the highest Level of Neonatal Care along with other specialists. You provide the utmost care for infants who are born as young as 22 to 24 weeks' gestational age and equip mechanical ventilation, including high-frequency ventilation, a wide range of advanced surgeries including "open-heart" surgeries needed to correct congenital heart defects, and ECMO or extracorporeal membrane oxygenation.
Wage: $120/H
Days: MT--FS-
Time: 8am - 6pm
NICU Nurse Director Lead the department and team to achieve World Class Status, quality patient outcomes, and exceptional patient experience within the NICU community. You must instill in your nurses that this profession can be fast-paced, stressful, and emotional, especially when working with family members. Strong communication skills and a calm, empathetic demeanor are key. In addition, because the patients are so tiny and even the smallest error can be life-threatening, precise attention to detail CANNOT be understated.
Track 2: Nurse Educator Nurse educators are registered nurses (RNs) who have obtained advanced nursing degrees that allow them to teach nursing curriculum at colleges and universities, teaching and helping to train the future nurses of the world. They serve as faculty members in both nursing schools and teaching hospitals, transferring their valuable knowledge, experience, and skill sets to their students who will ultimately serve as the next generation of nurses. Many nurse educators, in addition to working in the classroom and teaching, also work in clinical settings. The best nurse educators will exhibit exceptional leadership qualities, have excellent communication abilities, and have in-depth, comprehensive knowledge in their given field.
Temp Clinical Faculty Member Nurse educators teach nursing students. You are responsible for designing, implementing, evaluating, and revising educational programs for nurses. For now, your job is temporary until further notice. Always stay current and up-to-date regarding the latest nursing trends, methods, developments, and technologies that are available. To achieve this, continue to work as a professional nurse in your field and continue to actively participate in the larger nursing community through various professional nursing organizations.
Wage: $85/H
Days: M-WT---
Time: 10am - 4pm
Permanent Clinical Faculty Member You have proven you're the leading edge of clinical nursing practice. You possess the capacity to convey the knowledge to your neophyte nursing students and exhibit an intense commitment to lifelong learning. Exercise leadership abilities and be committed to the scholarly progression of the nursing discipline. Lastly, you should have a strong knowledge base in theories of teaching, learning, and evaluation. These will push you further up the ladder.
Wage: $102/H
Days: MTWT---
Time: 10am -6pm
Associate Dean of Nursing You provide administrative leadership in areas of curriculum development, institutional assessment and improvement, human resource, faculty development and performance appraisals, budget and finance, and facilities planning and management. Whew, what a mouthful! You also report to the Dean. You're tasked to manage subordinate staff in the day-to-day performance of their jobs and ensure that department goals are met and adhering to approved budgets.
Wage: $176/H
Days: MTWT---
Time: 8am - 4pm
Dean of Nursing The nursing students love you and you have garnered much respect at the University. You provide leadership and counsel to faculty staff and students, monitor trends in nursing education, participate in research, ensure adherence to federal and state and university regulations, maintain accreditation standards, and establish strategic partnerships.
Track 3: Nurse Manager Being a registered nurse may be fulfilling to many in the field, but for the natural born leader, it might be fitting to move up to a more administrative role. A nurse administrator/manager are leaders who not only guide the nurses in their department but also help to adopt new ideas and practices for the betterment of the facility or organization. Nurse managers wear several different hats and act as the middle-man who communicates with both staff and upper-level management.
Staff Nurse You'll work as part of a team responsible for looking after all of the needs of patients in your care, ensuring that they're as comfortable, clean and happy as possible. Evaluate patients and plan, implement and document nursing care, and teach patients how to handle their illness or injuries at home.
Wage: $196/H
Days: MTW-F--
Time: 10am - 6pm
Nurse Practitioner You can diagnose and treat patients as well as perform procedures. You differ from physicians in that their patient care approach is more holistic. Being a nurse, you gather information about a patient not only to include physical symptoms but psychosocial and environmental information as well. You are exceptionally skilled in education and therefore can spend time teaching patients and family about disease processes, treatments, and healthcare prevention as well as diagnosing acute health issues.
Wage: $210/H
Days: MT-T-S-
Time: 10am - 6pm
Director of Nursing Directing, supervising, and leading the nursing staff of a hospital or medical facility is your life now. The role is fast-paced, multi-dimensional that requires organization and critical thinking, and is vital to patient care as you oversee the nurses that provide direct care. Excellent skills are a must in both nursing and business-related tasks, including coordinating schedules, managing budgets, and handling personnel matters.
Wage: $220/H
Days: --W-F-S
Time: 12pm - 8pm
Chief Nursing Officer You reached the highest of these nursing management positions available in health organizations for experienced registered nurses. A CNO is the primary spokesperson for the facility's nursing staff who has the hefty task of coordinating all of the daily nursing operations. On the executive management team, you seek to develop a nursing environment in which excellence in clinical care and research is achieved. You also oversee all nurses and nurse managers to ensure consistency in the organization's practice standards. Use your leadership expertise to keep your health systems running smoothly.
Track 4: Pediatric Nurse Nurses who specialize in pediatrics devote their knowledge and skills to caring for children from infancy through the late teen years and their families. These specialized nurses usually complete advanced training in pediatrics and collaborate closely with physicians and other health care providers who share their dedication to children’s health.
Entry-level Pediatric Nurse Your job provides the opportunity to play a key role in a child’s life when that child needs you most. Children get scared and can’t always clearly communicate “what hurts.” You know how to talk to children and how to dispel their fears. You also know how to ask children questions about their health, so you can gather complete and accurate information to aid in diagnosis and treatment.
Wage: $78/H
Days: MTWTF--
Time: 9am - 5pm
Pediatric Nurse Practitioner You are very knowledgeable about growth and development as you adapt your interactions and care to the individual child’s developmental level. In addition, you acknowledge the expertise of the family and collaborate with them to provide care for the child. Being a pediatric nurse is both rewarding and challenging. You deal not only with the child patient but also with all the anxieties and demands of the parents. The joy of watching a sick child recover can be immeasurable but dealing with acutely ill and dying children can take its toll, making it essential that you understand what kinds of issues can arise.
Wage: $86/H
Days: M-WT-SS
Time: 9am - 5pm
Primary Care PNP Your role as Primary Care Pediatric Nurse Practitioner is to provide care to children from birth through young adult with in-depth knowledge and experience in pediatric primary health care including well-child care and prevention/management of common pediatric acute illnesses and chronic conditions. This care is provided to support the optimal health of children within the context of their family, community, and environmental setting.
Wage: $105/H
Days: -T-TF-S
Time: 12pm - 10pm
PICU Nurse Specialist Apply your advanced skills in supporting patients, families, and nurses at the point of care. You will empower other nurses to develop caring, evidence-based practices through mentoring and system changes. As a PCNS, you will also be involved in educating staff and developing initiatives to improve safety and quality with the pediatric population.
Wage: $120/H
Days: -TW-F--
Time: 8am - 8pm
6 Path File:
ER Nurse | Home Healthcare Nurse | Intensive Care Unit (ICU) Nurse | Labor and Delivery Nurse | Medical-Surgical Nurse | Perioperative Nurse
Track 1: ER Nurse ER nurses treat patients coming through hospital emergency departments for a variety of reasons — trauma, injury, and acute-onset symptoms. They treat patients of all ages and background. Most patients are experiencing emergency, life-threatening situations, and ER nurses must be quick to recognize those acute problems and be able to resolve or stabilize them immediately upon arrival. From heart attack to stroke to gunshot wounds, motor vehicle accidents, or just fractured bones, ER nurses see it all. ER nurses learn to quickly triage patients based on immediate observation and acute assessment skills, then to treat symptoms in order of life-threatening priority. They may immediately start CPR to reverse cardiopulmonary arrest or start slamming blood products for a hemorrhaging patient or work to quickly discover underlying medical conditions that are less apparent.
Entry-Level ER Nurse The emergency room nurse, or YOU to be specific, is responsible for accurately assessing then triaging patients in a thorough yet efficient manner. You must think quickly, make fast decisions, and multitask. You have the training, aptitude, and willingness to adapt to whatever the day happens to bring, as every day is different in the emergency room. You don't know exactly who is coming through the door and what may be wrong with them, so don't allow the emotions of patients in trauma affect your mindset.
Wage: $56/H
Days: M---FSS
Time: 3pm - 11pm
Advanced ER Nurse You're a pro at this now. You perform all types of tasks - from icing a swollen ankle to performing CPR and treating victims of major trauma. The theme among these tasks is a thorough and insightful evaluation to determine the extent of injuries, and the development of an appropriate course of action to achieve stabilization, and balancing other patients' needs.
Wage: $70/H
Days: M-WT-S-
Time: 6am - 2pm
Head ER Nurse You ensure that the Emergency Room maintains pre-set inventory standards for solutions, supplies, medicines, and equipment, and keeps track of narcotics. Additionally, you typically report to top management. You manage subordinate staff in the day-to-day performance of their jobs. You make sure that project milestones are met and adhere to approved budgets. You have full authority for personnel actions and extensive knowledge of department processes.
Track 2: Home Healthcare Nurse A home healthcare nurse works closely with patients within their own homes, or in a nursing home situation to bring patients that kind of care that they would have if they could care for themselves at home. This includes bathing and feeding patients, as well as providing other medical support such as massage, medication, and wound treatment. Home healthcare nurses work long hours and may spend most of their time in the home of a patient. While some work during the day, others will work only overnight with their patients in case there is trouble while they sleep. Other home healthcare nurses live with their patients and care for them until they are no longer needed.
Nurses' Aide You work under the supervision of Home Healthcare Nurses to address the most fundamental elements of a patient’s care. You will feed, dress, bathe and groom patients, contributing enormously to their sense of normalcy and wellbeing. Sometimes you are given more medically oriented duties such as measuring and recording temperature, blood pressure, and other vital signs. You'll also assist with the administrative duties and record-keeping that accompany patient care.
Wage: $65/H
Days: -TWTF--
Time: 9am - 5pm
Primary Care Nurse You are often the first medical professional that most patients come in contact with, even before their first scheduled appointments. You are in charge of manning the phones when you're not out at a patient's home, which will often entail scheduling appointments, recording some patient information, and addressing concerns. When patients first arrive at Oasis Springs Health Clinic, you are also usually responsible for extending a friendly greeting and checking them in.
Wage: $88/H
Days: MTWT---
Time: 10am - 6pm
Intermediate Home Healthcare Nurse Assignments are coming in left and right, and you're constantly on the road visiting patients that are in need of your help. You can expect to tackle a wide variety of job duties, including duties like taking vital signs, helping patients with mobility issues, cleaning wounds, administering medication and drawing blood. Teaching also comes into play as a home health nurse, such as educating a patient recently diagnosed with diabetes or instructing a patient and their family about the signs of heart failure.
Wage: $110/H
Days: MT-TF--
Time: 12pm - 8pm
Advanced Home Healthcare Nurse Being a Home Healthcare Nurse isn't all smiles and rainbows. You've come across stubborn patients, those who can't afford their medication, and others who simply just don't like you. But you're still keeping up that positive attitude of yours and it beats out the cons of the jobs. Home health nursing is the most fulfilling option for you. You love being able to see your patients accomplish their goals and become healthier. You enjoy seeing a wound heal, teach a client how to manage their own diabetes after working with you and caregivers, and help a family member learn how to give IV antibiotics to their loved one.
Track 3: Intensive Care Unit Nurse ICU nurses treat patients who require the highest acuity of care in a very structured and controlled setting. In order to treat the most critical patients in the most thorough manner, critical care nurses use their specialized skills and extensive knowledge of disease pathology to provide interventions that sustain life. ICU nurses work quickly, efficiently, independently, and meticulously. They care for the most fragile of patients who hang on to life by a thread. Most patients in the ICU are intubated, ventilated, and on life-sustaining medication drips at the very least. Nurses need to be able to preemptively recognize signs of decompensation and act swiftly on them. They are advocates for their patients and work closely with the intensive care team to treat their patients. The environment is structured, high acuity, and multifaceted.
Entry-Level Critical Care You must have the ability to perform complex patient assessments, implement intensive interventions and therapies, and monitor patients, all while remaining calm in desperate, sometimes life-threatening situations. Because a critically ill or injured patient’s condition can change quickly without warning, you must be capable of immediately changing a current care plan and providing emergency care as necessary.
Wage: $55/H
Days: MTW-FS-
Time: 9am - 5pm
Advanced Critical Care You came to terms you often face a harsh reality. You will not be able to restore all your patients to good health and some may even die in your care. But you still find fulfillment in those that you have saved and made a drastic difference in their life. Keep a cool head and continue to save lives.
Wage: $70/H
Days: -T-TFS-
Time: 10am - 6pm
Medical ICU You now care for patients with sepsis, pneumonia, withdrawal from a substance such as alcohol or drugs, stroke, myocardial infarction, active gastrointestinal bleeding, or other complications. You're becoming the best among ICU nurses and your skills are showcasing just that.
Wage: $86/H
Days: --WTFS-
Time: 11am - 7pm
Trauma ICU Trauma ICU has become overwhelmed for quite some time and your expertise in ICU is desperately needed. You work with patients who have sustained injuries due to a motor vehicle crash, fall, attempted homicide, attempted suicide, drowning, or similar events.
Wage: $115/H
Days: -TW-FS-
Time: 2pm - 10pm
ICU Nursing Supervisor You overlook ICU to make sure everything is flowing smoothly; your patients are taken care of, the nurses are doing what they've been trained to do, and that no mistake turns fatal. You are now the glue to this department and it's your duty to make sure nothing goes haywire.
Track 4: Labor and Delivery Nurse Labor and delivery nurses assist pregnant women throughout the childbirth experience, from early labor through delivery and the immediate postpartum period. Labor and delivery nurses coach mothers through difficult contractions, offering encouragement and advice on pain management. They also monitor both the baby and the mother’s tolerance for labor and stay alert for any potential medical complications that can occur. Labor and delivery nurses administer medications, including epidurals, and assist physicians or midwives with the actual delivery. Following the birth, their care extends to the newborn and mother’s needs. Labor and delivery nurses also help new mother-baby pairs with the baby’s first breastfeeding.
Bedside Nurse Bedside nursing is one of the most basic forms of nursing, but it is also one of the most important forms, too. You are ensuring that a patient's basic needs are being tended to so that the patient can recover as much as possible without further deterioration.
Wage: $77/H
Days: MT-TFS-
Time: 1pm - 7pm
Postpartum Nurse Now you work primarily in the maternity unit where you'll provide important physical and emotional care and recovery for both the new mom and the newborn baby following delivery. You are trained to educate the new mother and watch for signs of postpartum depression and may work in tandem with a lactation consultant to assist with breastfeeding. A large part of your role is providing support for the mother in any way that's needed.
Wage: $86/H
Days: -TW-F-S
Time: 11am - 7pm
Entry-level Labor and Delivery Nurse You will usually spend a significant amount of time with laboring mothers, and regularly form strong bonds with new families in their care. Don't let your happy attitude falter so you can continue to work in a joyful environment, celebrating the arrival of new babies and witnessing the miracle of birth.
Wage: $115/H
Days: --WT-SS
Time: 11am - 7pm
Advanced Labor and Delivery Nurse You know your role like the back of your hand, and coach mothers through difficult contractions, offering encouragement and advice on pain management. You also monitor both the baby and the mother’s tolerance for labor and stay alert for any potential medical complications that can occur. You will administer medications, including epidurals, and assist physicians or midwives with the actual delivery. Following the birth, your care extends to the newborn and mother’s needs.
Track 5: Medical-Surgical Nurse The Medical-Surgical Nurse or "Med-Surg" Nurse has a broad array of knowledge that is applied in the fast-paced environment of the surgical operating room. The daily schedule or yearly agenda of these nurses is difficult to predict due to the many different types of patients that they see and treat. Typical tasks may involve caring for a patient who is rapidly deteriorating and required a higher level of care as well as patients who are stable and being discharged home. A busy and often stressful hospital environment is common.
Entry-Level MSN You are the frontline provider who has more facetime with patients than any other professional in the hospital while also planning care, listening to patients’ concerns, and answering loved ones’ questions. You're still learning the ropes to your role, but it won't be long before you're running this unit smooth as butter.
Wage: $65/H
Days: MTW--S-
Time: 11am - 7pm
Intermediate MSN Your pride and passion are evident in the work you do. You coordinate and innovate patient care every day. You apply sophisticated skills to help reduce hospital readmissions and prevent complications like falls and pressure ulcers. The compassion you feel for your patients and the fulfillment of changing lives for the better is what keeps you going.
Wage: $93/H
Days: -TWT--S
Time: 2pm - 10pm
Advanced MSN As the go-to health care professional on the unit, you have the high-level critical thinking skills, vast knowledge of disease states and body systems, robust management skills, and the ability to stay calm under pressure. You're juggling care for several patients — administering medications, educating families, discharging patients and admitting new ones, all while keeping the entire health care team on the same page. The entire nurse staff looks to you.
Wage: $140/H
Days: M---FSS
Time: 6pm - 2am
Operating Room Director In this role, you assume the business functions of running an OR. This includes managing budgets, staffing, and ordering equipment and supplies. Just because you’re an OR Director now, doesn’t mean the patients haven’t forgotten what you’ve done for them. Your staff still hold you in high regards as you’re the most respected health care professional in this hospital.
Track 6: Perioperative Nurse Perioperative nursing is rewarding in that most patients undergo a procedure that prolongs or improves the quality of their life. Only in perioperative nursing is the nurse able to care for one patient at a time. If you are interested in working in a fast-paced environment where you are continuously learning, becoming a perioperative nurse sounds like the right career path for you!
Circulating Nurse You serve as the "eyes and ears" of an anesthetized patient, oversee the procedure, and ensure the care team follows hospital policy and safety guidelines. You also make sure all necessary personnel, equipment, and supplies are readily available, as well as completing necessary paperwork and being sure anyone who enters the OR is a necessary and documented addition to the environment.
Wage: $86/H
Days: MT--FS-
Time: 1pm - 9pm
Scrub Nurse You work within the sterile field in the operating room. Your role is to set up the operating room for the patient, choose and handle instruments and supplies, hand surgical instruments to the surgeon, and many other duties. These may include collecting vital signs and health history, starting intravenous catheters (IVs), performing a detailed head-to-toe assessment to ensure the patient's condition is stable for surgery, verifying that the appropriate paperwork is complete, and providing emotional support and teaching to the patient and family.
Wage: $97/H
Days: M-WTF--
Time: 10am - 6pm
RN First Assistant You work in collaboration with the surgeon and other health care team members to achieve optimal patient outcomes; utilizes the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice; and practices intraoperatively at the direction of the surgeon.
Wage: $115/H
Days: M---FSS
Time: 3pm - 11pm
PACU Nurse A post-anesthesia care unit (PACU) nurse cares for patients who have gone under anesthesia. You are responsible for observing and treating a patient post-operation and making sure that they safely awake from anesthesia. This means that you must monitor vital signs and levels of consciousness to make sure that the sedation is wearing off properly and patients are regaining consciousness. You are often the first person a patient see after a major surgery. A calm demeanor and strong communication skills will provide comfort and reassurance to both patients and family members who may be worried.
Wage: $145/H
Days: MT-T---
Time: 11am - 9pm
I hope you enjoy this career that I worked extremely hard on. If you have any questions or problems, let me know! If you just wanna extend some support, I'll appreciate that too
This Career has THREE files. One file contains 4 paths, one has 6 paths, and the other one has all 10. If you want both, just simply choose the one that has both. If not, get either one that you want.
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Sims 4 Nurse Career
Sims 4 Nurse Career
The career can either branch off into 4 paths or 6, whichever file you decide to download. If you get both, then a total of 10 
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