What is the hardest RN job?

Among the hardest RN jobs are ICU and ER nurses, facing extreme stress akin to first responders. Surgical First Assistants, earning between $99,973 and $123,106, also endure high-pressure situations, making their role particularly challenging in the operating room.

Many consider Labor and Delivery Nursing to be one of the most challenging RN roles due to the high-pressure environment. The average salary for this position ranges from $75,400 to $93,800, with a mid-level salary of approximately $82,900, reflecting its demanding nature and specialized skills.