Nurse Career plus

🩺 Features

👩‍⚕️ Adult nursing career (10 levels) CNA → Nursing Student / Nurse Extern → Graduate RN → Registered Nurse, then choose a specialty. Raises keep coming after the top level.

🚑 Three specialties

• Emergency: ER Nurse → ER Charge Nurse (requires the CEN)
• Critical Care (ICU): ICU Nurse → ICU Charge Nurse (requires the CCRN)
• Progressive Care (Step-down): Step-down Nurse → Step-down Charge Nurse (requires the PCCN)

Every specialty continues to Nurse Practitioner Student → Nurse Practitioner → Senior Nurse Practitioner → DNP Nurse Practitioner.

🎒 Teen part-time track Nursing Assistant Trainee → Nursing Assistant → CNA, with shifts on Tuesday, Thursday and Saturday, 4–7 PM. Teens who reach CNA start the adult career one level up, as Nurse Extern.

🎓 A real BSN A Bachelor of Science in Nursing is required to become a Graduate RN. Any completed Biology degree counts, or install the optional Nursing (BSN) degree (needs Lot51 Core): 12 nursing courses at Britechester and Foxbury, with honors and a Distinguished BSN at Foxbury. With a BSN, nursing pay is half the matching Doctor career wage.

📋 Sim-CLEX: the RN licensing exam Graduate RNs sit a 2-hour exam. Logic and Clinical Knowledge set your pass chance, shown before you start. Pass to earn the permanent Licensed Registered Nurse trait, which you need for promotion. Fail, and you can retake it after 24 in-game hours.

🧠 Clinical Knowledge A 10-level nursing trait your Sim builds by studying, preparing for certifications and working PRN shifts. It raises your Sim-CLEX pass chance.

🏅 Five specialty certifications CEN, CCRN, PCCN, TCRN and CPEN. Complete three study sessions, meet the skill requirements and pass the exam. Each certification adds +5% pay, and they stack.

⏰ PRN shifts Pick up a 4- or 8-hour extra shift for 125% pay, plus job performance and Clinical Knowledge. One per day.

💻 Everything on any computer Click any computer and open Nursing Education to study, take exams, pick up PRN shifts, and check your certifications, pay and promotion requirements. Take Sim-CLEX Examination is right on the computer too.

📦 Requirements

• Discover University (required): for the BSN
• Get to Work (recommended): for Doctor-based BSN pay. Without it, normal nursing pay is used.
• Optional: Lot51 Core Library, for the Nursing (BSN) university degree
• No other mods needed

⬇️ Install

1. Download the zip attached to this post and unzip it.
2. Put Mike_NursingCareerPlus_Script.ts4script and Mike_NursingCareerPlus.package in Documents\Electronic Arts\The Sims 4\Mods (directly, or at most one folder deep).
3. Optional BSN degree: install Lot51 Core Library, then also put Mike_NursingCareerPlus_BSN.package (in the "Optional - Nursing BSN Degree" folder) in Mods.
4. In Game Options → Other, turn on Enable Custom Content and Mods and Script Mods Allowed, then restart the game.

🗺️ Player guide: teen CNA to DNP (ER path)

Every promotion also needs good job performance, so go to work in a good mood and pick a work tone. Build Logic early: it powers Sim-CLEX, every certification and every promotion.

Stage 1: Teen part-time job Phone or computer → Find a Job → Nursing.

1. Nursing Assistant Trainee (§14/hour): Logic 1, Charisma 1 to promote
2. Nursing Assistant (§17/hour): Logic 2, Charisma 2 to promote
3. CNA (§22/hour): top of the teen track. Your Sim starts the adult career as Nurse Extern.

Stage 2: Young adult and the BSN Find a Job → Nursing. Adult shifts are Monday, Wednesday and Friday, 7 AM–3 PM.

1. CNA (§22/hour): Logic 1, Charisma 1 to promote
2. Nursing Student / Nurse Extern (§26/hour): Logic 2, Charisma 2 and a BSN to promote

Earn the BSN at Discover University (phone or computer → Apply to University): any Biology degree, or the optional Nursing (BSN) degree. You can keep working as a Nurse Extern while you study.

Stage 3: Graduate RN and Sim-CLEX

1. Graduate RN (§34/hour base): Logic 3, Charisma 2 and the Licensed Registered Nurse trait to promote

• Computer → Take Sim-CLEX Examination (2 hours away). Pass chance = 5% + 6% per Logic level + 3.4% per Clinical Knowledge level, up to 99%. Fail? Retake after 24 in-game hours.
• Raise Clinical Knowledge: computer → Nursing Education → Study Clinical Nursing (2 hours). Each certification study session and PRN shift also gives +1.

Stage 4: Registered Nurse and your specialty

1. Registered Nurse (§42/hour base): Logic 4, Charisma 3 to promote

When promoted, choose Emergency Nursing.

Stage 5: ER Nurse and the CEN

1. ER Nurse (§50/hour base): Logic 5, Charisma 4 and the CEN to promote

• Computer → Nursing Education → Certification Study → Study for CEN (2 hours), 3 times.
• Reach Logic 5 and Charisma 3, and have §250.
• Computer → Nursing Education → Certification Exams → Take CEN Exam (3 hours). A fully prepared Sim always passes, and the fee is only charged when the exam is completed.

Stage 6: ER Charge Nurse

1. ER Charge Nurse (§60/hour base): Logic 6, Charisma 5 to promote

Want more pay? Add the TCRN (Logic 6, Charisma 3, §300) or CPEN (Logic 5, Charisma 4, §300) for another +5% each.

Stage 7: Nurse Practitioner to DNP

1. Nurse Practitioner Student (§65/hour base): Logic 7, Charisma 6
2. Nurse Practitioner (§85/hour base): Logic 8, Charisma 7
3. Senior Nurse Practitioner (§105/hour base): Logic 9, Charisma 8
4. DNP Nurse Practitioner (§130/hour base): the top title, with raises for strong performance

Anytime from CNA on: computer → Nursing Education → Pick Up PRN Shift (4 or 8 hours) for 125% pay, job performance and Clinical Knowledge. View Promotion Requirements shows every level's goals, including the ICU and Step-down paths.

Quick path: teen CNA → BSN → pass Sim-CLEX → Registered Nurse → choose Emergency → earn the CEN → ER Charge Nurse → DNP.