nursing.advanceweb.com 2018 Nursing Salary Guide Elite Learning 3 Top 20 Salaries by Certification Based on Total % of Respondents. Specialty Not Certified Certified Extra Earnings Medical-Surgical 72,779 84,922 17% Geriatrics 65,550 78,947 20% Critical Care 79,276 92,314 16% Ambulatory Care 75,717 93,270 23% Perioperative 83,684 95,321 14% Emergency 84,826 88,502 4% Nurse Practitioner, Family 110,398 112,327 2% Pediatrics 64,481 85,211 32% Home Health Care 69,653 78,208 12% Psychiatric 74,078 94,698 28% Cardiac Care 81,786 86,392 6% Case Management 81,189 91,257 12% Long-Term Care 65,060 75,402 16% Oncology 82,308 90,656 10% School Nurse 51,128 72,830 42% Hospice 72,011 85,823 19% Labor and Delivery 76,614 82,992 8% Rehabilitation 67,041 80,482 20% Public Health / Community Health 67,525 85,333 26% Obstetrics Nurse / Gynecology 74,688 92,054 23% Averages, all specialties 76,527 94,236 23% Top 15 Specialties List by Largest Income Variance Specialty Not Certified Certified Extra Earnings Dermatology 83,636 127,500 52% Eye, Ear, Nose, and Throat 64,500 96,250 49% Neurology / Neuroscience 72,059 107,500 49% Clinical Nurse Specialist 70,000 103,704 48% Urgent Care 75,000 110,000 47% School Nurse 51,128 72,830 42% HIV/AIDS Care 81,667 116,250 42% Infection Control 75,333 103,500 37% Urology 76,765 103,636 35% Anesthesia 107,500 144,063 34% Pediatrics 64,481 85,211 32% Corrections 72,857 95,000 30% Wound, Ostomy, and Continence 70,833 92,203 30% Pain Management 84,043 108,636 29% Psychiatric 74,078 94,698 28% for a professional with a certifica- tion. The largest disparities how- ever were shown in groups outside the top 20, including dermatol- ogy, Eye, Ear, Nose & Throat, Neurology/Neuroscience, Clinical Nurse Specialist and Urgent Care. Within the top 20, Medical/ Surgical was the most com- monly reported specialty with 877 responses. Here, almost 30% (259) respondents reported hold- ing a specialty certification and their salaries were 17% higher on average. Out of 68 specialty areas offered in the survey, only three did not show a positive correlation between specialty certification and salary level so, with very few excep- tions, regardless of your title—it pays to specialize! Salary Based on Years of Experience Generally speaking, salaries tended to level off after 15 or so years of employment. In other words, nurs- ing professionals who reported themselves as having anywhere from 6–15 years of experience could expect to see a salary 20% –25% higher than that of pro- fessionals with 0–5 years’ experi- ence. In years 16–25, however, the increase was closer to 8% –10% . After 25 years of experience, any differences in salary were statisti- cally insignificant. There was some evidence of lower salaries for professionals with 40+ years of experience, but the limited number of responses in this category makes it difficult to place too much significance on this statistic. Nevertheless, there are potential explanations for such an occurrence, such as working a reduced number of hours as one approaches retirement age. Salary Based on Age Range One interesting anecdote was the correlation between educa- tion and salary differences at age range. For example, a nurse with an associate’s degree between ages 21–30 can expect to earn an aver- age of $57,191, but between ages 51–60 that average creeps up to