Healthcare Practitioners and Technical

Flight Nurse Salary (2026), outlook and how to become one

A critical care registered nurse who treats and transports seriously ill or injured patients by helicopter or airplane.

Median pay
$97,550
Growth to 2035
+5.6%
Openings a year
180,800
Typical entry
Bachelor's

A critical care registered nurse who treats and transports seriously ill or injured patients by helicopter or airplane. BLS does not publish separate figures for registered nurses; it counts them within registered nurse (SOC 29-1141), whose median pay is $97,550 a year (BLS OEWS, May 2025). Typical entry-level education: Bachelor's degree.

  • SOC 29-1141
  • Healthcare Practitioners and Technical
  • Last updated October 9, 2026

At a glance

Flight Nurse in four numbers

Median pay
$97,550a year, or $46.90/hr
Lowest 10% $69KTop 10% $137K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+5.6%Faster than average
This career
+5.6%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+5.6%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
180,8003,465,400 jobs today
  • Jobs in 20253.5M
  • Projected 20353.7M
Employment, 2025–2035
ItemValue
Jobs in 20253.5M
Projected 20353.7M
BLS EP, 2025–2035
Typical education
Bachelor'sneeded to enter
  • High school0.8%
  • Certificate22.5%
  • Associate's19.4%
  • Bachelor's55.9%
  • Master's1.4%
Highest education held by registered nurses
SegmentValue
High school0.8%
Certificate22.5%
Associate's19.4%
Bachelor's55.9%
Master's1.4%
BLS EP, 2025–2035; mix: O*NET

Also advertised as: Certified Flight Registered Nurse, CFRN, Air Medical Nurse, Critical Care Transport Nurse, Flight RN.

Pay

How much do Registered Nurses make?

Annual pay, lowest-paid to highest-paid

Every flight nurse in the US, by percentile of annual wage

Median

$97,550

Middle half earn $80,330 to $112,350

10th
$68,940
25th
$80,330
75th
$112,350
90th
$137,470

All US occupations: $50,980

Flight Nurse annual wages
PercentileValue
10th$68,940
25th$80,330
Median$97,550
75th$112,350
90th$137,470
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$97,550
Median hourly wage
$46.90/hr
Mean annual wage
$101,420
People employed
3,379,720

Versus all US occupations

At $97,550, Registered Nurses earn 91% above the $50,980 median across all US occupations, a difference of $46,570 a year.

Versus healthcare practitioners and technical occupations

Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $102,760, this is 5% below the group median.

Pay range

The top 10% earn $137,470 or more while the bottom 10% earn $68,940, a gap of 2.0×. That is a typical spread for a US occupation.

Rank in the bank

This median pays more than 70% of the 1,741 occupations in the NueCareer career bank.

Highest-paying state

California pays the most at $140,270, and still leads at $126,689 once local prices are taken into account.

Pay by state

Which states pay Registered Nurses the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Registered Nurses
StateMedianCOL-adjustedEmployed
1California$140,270$126,689338,940
2Hawaii$136,320$123,98312,940
3Oregon$129,010$124,81539,730
4Washington$124,200$116,06169,260
5Alaska$109,480$106,9577,510
6New York$109,440$101,408205,810
7New Jersey$106,500$97,88292,680
8Massachusetts$104,550$98,85988,200
9Nevada$103,670$103,69227,070
10Connecticut$102,740$99,16040,110
See all 53 states, sortable, with cost-of-living adjustments

Job outlook

Is Flight Nurse a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Registered Nurses
+5.6%
All US occupations
+3.5%

Faster than average. +5.6% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Registered Nurses+5.6%
All US occupations+3.5%

Source: BLS EP, 2025–2035

Faster than average

BLS projects employment of Registered Nurses to change 5.6% over 2025–2035, against 3.5% projected for all occupations. That is 194,700 more jobs.

Annual openings

About 180,800 openings are projected each year, 5.2% of the 3,465,400 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Getting in

How to become a Flight Nurse

Flight nurses are registered nurses, and most programs require several years of experience in an intensive care unit or emergency department. Employers usually expect certifications such as ACLS, PALS, and trauma nursing courses, and many require or prefer the Certified Flight Registered Nurse (CFRN) credential from the Board of Certification for Emergency Nursing (BCEN), or the CCRN critical care certification.

A bachelor's degree in nursing is commonly preferred. Some flight nurses also hold paramedic certification. Programs are competitive, so applicants build strong critical care skills and often start in ground critical care transport. The Air & Surface Transport Nurses Association offers training and resources.

  1. 1

    Typical entry-level education

    Bachelor's degree

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    None

  4. 4

    Preparation needed (O*NET job zone)

    Medium preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

What education people in the job have

O*NET incumbent survey: the highest level of education reported by people already working as registered nurses.

  • Bachelor's Degree55.9%
  • Post-Secondary Certificate22.5%
  • Associate's Degree or other 2-year degree19.4%
  • Master's Degree1.4%
  • High School Diploma or the equivalent (such as a GED)0.8%
Highest education held by registered nurses
ItemValue
Bachelor's Degree55.9%
Post-Secondary Certificate22.5%
Associate's Degree or other 2-year degree19.4%
Master's Degree1.4%
High School Diploma or the equivalent (such as a GED)0.8%

Source: O*NET 31.0 Database

The work

What does a Flight Nurse do?

Flight nurses work on air medical crews, usually paired with a flight paramedic, to bring critical care to patients at accident scenes and to move patients between hospitals. In the aircraft they manage airways and ventilators, give medications and blood products, run cardiac monitors and IV pumps, and stabilize patients with trauma, strokes, heart attacks, and other emergencies.

They must account for how altitude, noise, vibration, and confined space affect both the patient and the equipment. Between flights they check the aircraft's medical gear, restock supplies, complete detailed charts, and train with ground crews and hospitals. Some fly fixed-wing missions that cover long distances or international repatriation.

Day-to-day tasks

  1. Assess and stabilize critically ill and injured patients at scenes and hospitals
  2. Manage airways, ventilators, and advanced cardiac monitoring in flight
  3. Administer medications and blood products under protocols
  4. Coordinate patient handoffs with sending and receiving hospitals
  5. Account for altitude and flight effects on patient condition
  6. Check and restock the aircraft's medical equipment
  7. Document care in detailed transport records
  8. Participate in safety briefings and outreach training

Typical tasks, researched by NueCareer from the sources below.

Working conditions and hours

Flight nurses work for hospital-based and independent air medical programs and military aeromedical units, based at hospitals or airports. Shifts are often twenty-four hours, with crews living at the base between calls. The work involves weather, heights, lifting patients, wearing flight gear, and making decisions with limited help.

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day

    Indoors, in a climate-controlled space, every day.

  • Outdoors in all weather

    NeverEvery day

    Almost never works outdoors.

Physical demands

  • Sitting

    NeverAlmost all the time
  • Standing

    NeverAlmost all the time
  • Bending or twisting

    NeverAlmost all the time

Working with people

  • Contact with other people

    NoneConstant

    Constant contact with other people.

  • Face-to-face discussions

    NeverEvery day

    Face-to-face discussions every day.

  • Dealing with the public

    Not importantExtremely important

    Dealing with customers or the public is very important.

Pressure and stakes

  • Strict deadlines

    NeverEvery day
  • Conflict situations

    NeverEvery day

    Handling conflict situations at least monthly.

  • Cost of a mistake

    Not seriousExtremely serious

Autonomy

  • Freedom to decide

    NoneA lot

    A lot of freedom to make decisions without checking first.

Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Core skills

O*NET importance, 1 to 5

  • Active Listening4.0
  • Speaking4.0
  • Critical Thinking4.0
  • Reading Comprehension3.9
  • Writing3.8
  • Monitoring3.8
  • Active Learning3.5
  • Learning Strategies3.3
Core skills for Registered Nurses
ItemValue
Active Listening4.0
Speaking4.0
Critical Thinking4.0
Reading Comprehension3.9
Writing3.8
Monitoring3.8
Active Learning3.5
Learning Strategies3.3

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Social Perceptiveness4.1
  • Coordination4.0
  • Service Orientation4.0
  • Judgment and Decision Making3.9
  • Complex Problem Solving3.5
  • Instructing3.3
  • Time Management3.1
  • Operations Monitoring3.0
Transferable skills for Registered Nurses
ItemValue
Social Perceptiveness4.1
Coordination4.0
Service Orientation4.0
Judgment and Decision Making3.9
Complex Problem Solving3.5
Instructing3.3
Time Management3.1
Operations Monitoring3.0

Source: O*NET 31.0 Database

Tools and software

  • Business intelligence and data analysis software · in demand
  • Data base user interface and query software · in demand
  • Document management software · in demand
  • Electronic mail software · in demand
  • Medical software · in demand
  • Office suite software · in demand
  • Operating system software · in demand
  • Presentation software · in demand
  • Project management software · in demand
  • Spreadsheet software · in demand
  • Time accounting software · in demand
  • Word processing software · in demand

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

Personality fit

What personality type suits a Flight Nurse?

Interest profile

NueCareer estimate (Holland code SIR) built on O*NET's Registered Nurse profile, scored 1 to 7

Flight Nurse · Realistic: 4Flight Nurse · Investigative: 5Flight Nurse · Artistic: 1Flight Nurse · Social: 6Flight Nurse · Enterprising: 2Flight Nurse · Conventional: 5
Flight Nurse interest profile
AxisFlight Nurse
Realistic4
Investigative5
Artistic1
Social6
Enterprising2
Conventional5

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around teaching, helping and working directly with other people, combined with investigating, analysing and solving problems with ideas and data.

  • Social5.7
  • Investigative4.9
  • Conventional4.6
  • Realistic3.9
  • Enterprising2.4
  • Artistic1.3

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Flight Nurse: frequently asked questions

How much do Registered Nurses make?

BLS does not publish a separate wage for registered nurses. It counts them within registered nurse, whose median pay is $97,550 a year (BLS OEWS, May 2025). The middle half of that occupation earn between $80,330 and $112,350, and the top 10% earn $137,470 or more.

Do you need a degree to become a Flight Nurse?

Yes. BLS reports a bachelor's degree as the typical entry-level education for Registered Nurses, and O*NET rates the preparation needed as medium preparation. In O*NET's survey of people already doing the job, 55.9% hold bachelor's degree.

Is Flight Nurse a growing career?

Yes. Employment is projected to grow 5.6% over 2025–2035, faster than the 3.5% average for all occupations (BLS EP, 2025–2035). BLS still projects about 180,800 openings a year, mostly from workers retiring or moving to other work.

What does a Flight Nurse do?

Flight nurses work on air medical crews, usually paired with a flight paramedic, to bring critical care to patients at accident scenes and to move patients between hospitals. A typical task: assess and stabilize critically ill and injured patients at scenes and hospitals. Employers most often ask for Business intelligence and data analysis software, Data base user interface and query software, Document management software.

Which states pay Registered Nurses the most?

The highest state medians for Registered Nurses are California ($140,270), Hawaii ($136,320), Oregon ($129,010) (BLS OEWS, May 2025).

What personality type suits a Flight Nurse?

O*NET scores Registered Nurses highest on the Social, Investigative and Conventional interest areas, so the work mixes teaching, helping and working directly with other people with investigating, analysing and solving problems with ideas and data. On NueCareer's MBTI-to-interest mapping that lines up most closely with ISFJ personalities. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.

Research sources for this career