6 Steps to Becoming a Forensic Nurse | Salary & Programs


    GUIDE
    March 25, 2020
    Forensic nurse working in a morgue

    Do you love crime dramas? Would you like to be part of an investigative team which helps victims get justice?  For nurses with an interest in criminal justice and caring for crime victims, forensic nursing provides a challenging and rewarding career option.

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    Forensic nurses provide compassionate care to victims of violent crime, abuse, or neglect while gathering evidence to support law enforcement. By doing this, they play a vital role in both our healthcare and criminal justice systems.

    Forensic nurses may also help their communities by working side by side with pathologists and coroners to identify accurate causes of death and ensure accurate reporting of vital statistics and epidemiology trends.

    Forensic Nursing FAQs

    •  How Much Does a Forensic Nurse Make a Year?

      • The average salary for Forensic Nurses is $73,985 per year. 
    • What is the Role of a Forensic Nurse?

      • Forensic nurses bridge the gap between law and medicine by working with victims of crimes to gather medical evidence and provide expert testimony that can be used in court. 
    • Where Can a Forensic Nurse Work?

      • Forensic nurses can work in hospitals, anti-violence programs, psychiatric institutions, coroners’ and medical examiners’ offices, communities (after natural disasters), and correctional facilities. 
    • Is Forensic Nursing in Demand?

      • Forensic nursing is a new and emerging field. As long as there is crime, there will be an ongoing need for these types of nurses. It is speculated that forensic nursing will be one of the fastest-growing field in the nursing profession due to their specialty. Popular TV shows like CSI and Bones, are intriguing individuals to specialize in forensic nursing. 

    Part One What Is a Forensic Nurse?

    A forensic nurse is someone who works with crime victims to gather medical evidence and provide expert testimony that can be used in court. Forensic nursing is a unique specialty that blends the worlds of nursing, science, and the legal system. 

    According to the International Association of Forensic Nurses (IAFN), forensic nurses do far more than address victims’ physical and emotional needs. They also collect evidence, provide medical testimony in court, and consult with legal authorities. Because nurses are skilled in effective communication, assessment, and documentation, they are the perfect professionals to fill forensic roles.
    Forensic nurse roles including providing care, gathering evidence, and testifying

    Real-world forensic nurses work with many types of people in diverse settings. You can find forensic nurses in many different places, such as hospitals, anti-violence programs, psychiatric institutions, coroners’ and medical examiners’ offices, communities (after natural disasters), and correctional facilities.

    In their many roles, they may work with victims of sexual assault, domestic violence, abuse, neglect, as well as psychiatric patients, law enforcement, courts of law and public health organizations. 

    Some of the work responsibilities of forensic nurses are:

    • Providing comfort and psychosocial support to victims of violent crimes and their families/significant others
    • Treating physical injuries
    • Collecting and preserving evidence that’s admissible in court (e.g., victim’s clothing, bullet(s), and other physical samples)
    • Assessment of alleged perpetrators and collecting evidence as indicated

    Forensic nurses bridge the gap between law and medicine.

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    Part Two Forensic Nurse Salary

    According to PayScale, the average salary for Forensic Nurses is $30.61 per hour, or $73,985 annually. While the median annual wage for a registered nurse working in a hospital setting according to the BLS was $77,730 or $37.37 per hour. Forensic nurses earn a slightly lower salary than the average hospital nurse, but forensic nurses usually work in the private sector and pay can be lower.

    Forensic nursing is a relatively new field and because of the diversity of work settings, salaries for forensic nurses can vary greatly. It’s important to research your geographic area carefully to uncover details about job opportunities and potential salary for specific positions.

    Also, it’s important to clarify with any employer what the expectations are for being on-call, and what the compensation for on-call availability will be.

    Registered Nursing salaries vary by location. Here are the 5 highest paying states for registered nurses and their average annual incomes.

    The Highest Paying Cities and States for Forensic Nurses

    Top Paying States for Registered Nurses

    • California: $106,950
    • Hawaii: $98,080 
    • District of Columbia: $92,350 
    • Massachusetts: $92,140 
    • Oregon: $91,080 

    Top paying metropolitan areas for Registered Nurses

    • Salinas, California: $131,710 
    • San Francisco-Oakland-Hayward, California: $128,990 
    • San José-Sunnyvale-Santa Clara, California: $ 128,610 
    • Santa Cruz-Watsonville, California: $127,440 
    • Sacramento-Roseville-Arden-Arcade, California: $120,530 

    Top paying nonmetropolitan areas for Registered Nurses

    • Eastern Sierra-Mother Lode Region of California nonmetropolitan area: $102,470 
    • North Valley-Northern Mountains Region of California nonmetropolitan area: $96,930 
    • Alaska nonmetropolitan area: $95,780 
    • Hawaii / Kauai nonmetropolitan area: $93,220 
    • North Coast Region of California nonmetropolitan area: $92,320 

    Other Salary Considerations

    When you evaluate a total compensation package, look at the big picture. Does the employer provide continuing education tuition support and paid education days? Is health insurance part of the benefits package, and if so, what is your responsibility for self, spouse/partner, and dependent coverage? How many paid days off can employees earn per year?

    Be sure to research the cost of living expenses in your chosen geographic area, including housing, taxes, transportation costs, and many others. 

    Advanced Practice Salaries For Forensic Nurses

    Advanced practice nurses generally earn higher salaries. Some forensic nurses obtain a master’s or doctoral degree in forensic nursing (see part 4 of this guide). 

    The BLS reports that in May 2018, the median annual income for nurse practitioners was $107,030, with the bottom 10% of NPs earning $78,000 and the top 10% earning $150,320. Advanced practice salaries are affected by the same factors that shape RN salaries nationwide. 

    Part Three How Do I Become a Forensic Nurse?

    Forensic nurses require a mixture of nursing science and legal expertise. Here are the steps for becoming a forensic nurse.

    Step One: Earn your nursing degree

    You must first graduate from one of the following:

    • A two-year program for an associate’s degree in nursing (ADN)
    • A three-year program for a diploma in nursing (usually hospital-based)
    • Four-year college or university program leading to a bachelor’s degree in nursing (BSN)

    Step Two: Take the RN licensing exam

    After graduation, you will need to pass the NCLEX (National Council Licensure Examination). The NCLEX is a nationwide examination for the licensing of nurses in the United States and Canada. Once you pass this exam, you may apply for your first nursing job.

    The NCLEX exam is a standardized, computerized exam that all individuals must pass in order to earn their RN license. 

    • Cost: $200
    • After submitting payment, the board will send an Authorization To Test which is valid for 90 days.
    • Time Limit: 6 hours with 2 optional breaks
    • Unofficial results are available online after 2 business days for $7.95
    • 75 to 265 questions (will shut off automatically depending on pass/fail percentage)

    Step Three: Gain relevant experience

    Forensic nursing employers most often will prefer that you have prior clinical nursing experience. A background in medical-surgical, pediatric, or psychiatric nursing (for nurses wishing to pursue forensic psychiatric nursing) is a good start.

    Step Four: Consider a forensic nursing certificate program

    Certificate programs can train you for the unique skills needed for this specialty. They include programs in continuing education or post-graduate departments of nursing schools. Certificate programs vary in length and may include a practicum. Earning this type of certificate is not the same thing as becoming board certified in forensic nursing.

    Board certification isn’t required to work in most forensic nursing roles, however, it does show that you have the expert knowledge to meet the highest standards of practice. It also demonstrates your commitment to the profession.

    IAFN offers two certifications for sexual assault nurse examiners (SANEs): the SANE-A for working with adults and adolescents, and the SANE-P for working with pediatric patients. Before taking the exam, candidates must have at least two years of experience as a registered nurse and meet any other eligibility criteria established by the Forensic Nursing Certification Board.

    Before taking the exam, candidates must have at least two years of experience as a registered nurse and meet any other eligibility criteria established by the Forensic Nursing Certification Board. The IAFN certification web page describes how to obtain SANE certification.

    Sexual Assault Nurse Examiner Certification Requirements (Adult and Pediatric):

    • Hold an active, unrestricted license as a registered nurse (RN) in the United States or a US territory
    • Have practiced nursing for a minimum of 2 years as an RN
    • Have successfully completed an adult/adolescent sexual assault nurse examiner education program that grants a minimum of 40 hours of continuing nursing education contact hours from an accredited provider OR
    • Have successfully completed an adult/adolescent sexual assault nurse examiner education program that comprises a minimum of 40 hours of academic coursework or the national equivalent from an accredited educational institution OR
    • Have successfully completed a combined adult/adolescent/pediatric sexual assault nurse examiner education program that grants a minimum of 64 hours of continuing nursing education contact hours from an accredited provider OR
    • Have successfully completed an adult/adolescent/pediatric sexual assault nurse examiner education program that comprises a minimum of 64 hours of academic coursework or the national equivalent from an accredited educational institution
    • Have successfully completed a sexual assault nurse examiner clinical preceptorship as outlined in the most current edition of the IAFN Sexual Assault Nurse Examiner Education Guidelines
    • Have practiced as a sexual assault nurse examiner for a minimum of 300 hours within the past 3 years. At least 200 of those 300 hours must comprise SANE-related practice that is focused on the adult patient population
    • Exam is held twice a year: April and September
    • IAFN Member Fee: $275
    • Non-Member Fee: $425

    Earning this type of certificate is not the same thing as becoming board certified in forensic nursing.

    Step Five: Apply for an advanced degree program

    Master’s or doctoral degree programs in forensic nursing are also an option. These degrees prepare you to work in clinical forensic roles, teaching, legal nurse consulting, research, forensic psychiatric nursing (evaluation of alleged perpetrators of violent crime), violence prevention programs, and roles that require collaboration with the criminal justice system.

    Bear in mind that having an advanced degree in forensic nursing is not a guarantee of finding a forensic nursing job that fits. You may need to be creative and advocate for a role that matches your level of expertise.

    Step 6: Determine how to pay for your advanced degree

    Deciding how to finance an advanced degree as an MSN can seem like a daunting task, and that’s ok. Luckily, there are many options to help offset or lessen the burden of the cost, including grants, scholarships, and student loans -- federal and private. If you're already paying off existing student loans, you can also consider refinancing them to a lower interest rate to save money. 

    Part Four What Is the Career Outlook for Forensic Nurses?

    The Bureau of Labor Statistics predicts that nursing employment will grow at a rate of 12 percent through 2028 – much faster than the average for all jobs. Plus, the aging of baby boomer nurses who are nearing retirement and the growing health demands of boomers are causing a current and predicted future nursing shortage.  

    A 2014 report found that states in the South and the West will have the highest demand for nurses from 2012-2025. As of May 2018, there were 3,059,800 nurses in the United States with a projected need of roughly 371,500 new nurses by 2028. 

    The states with the highest projected demand are Arizona, North Carolina, Colorado, Maryland, Nevada, Washington, Georgia, Oregon, California, New Mexico, Alaska, Rhode Island, Maine, Montana, South Carolina, and Hawaii.

    States that have a high demand for RNs, organized by need

    In addition to the growing need for nurses, violent crime is ever-present in our society. Although crime rates in the U.S. rise and fall, tens of thousands of Americans will suffer from violent crime each year. Some statistics that may affect the demand for forensic nurses in the future:

    • In 2018, an estimated 1,206,836 violent crimes occurred nationwide, a decrease of 3.3 percent from the 2017 estimate
    • When considering 5- and 10-year trends, the 2018 estimated violent crime total was 4.7 percent above the 2014 level but 9.0 percent below the 2009 level.
    • There were an estimated 368.9 violent crimes per 100,000 inhabitants in 20183
    • The estimated number of murders in 2018 was 16,214. There were 5.0 murders per 100,000 people in 2018. 
    • Of the estimated number of murders in the United States, 46.2 percent were reported in the South, 22.0 percent were reported in the Midwest, 19.9 percent were reported in the West, and 11.9 percent were reported in the Northeast. 
    • An estimated 139,380 rapes. 
    • There were an estimated 282,061 robberies nationwide in 2018. The estimated robbery rate of 86.2 per 100,000 inhabitants in 2018 showed a decrease of 12.6 percent when compared with the 2017 rate. 
    • In 2018, the average dollar value of property stolen per reported robbery was $2,119. Robberies accounted for an estimated $598 million in losses. 
    • In 2018, there were an estimated 807,410 aggravated assaults in the nation. 
    • The estimated number of aggravated assaults decreased 0.4 percent when compared with the 2017 estimate and decreased 0.6 percent when compared with the 2009 estimate. 
    • The estimated rate of aggravated assaults in 2018 was 246.8 per 100,000 inhabitants. 
    • FBI UCR data also show that violent crime rates are higher in metropolitan areas and cities in nonmetropolitan areas than in nonmetropolitan counties. 
    • Violent crimes are defined by the (FBI) as murder and non-negligent manslaughter, rape, robbery, and aggravated assault.

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    Part Five Which Schools Have the Best Forensic Nursing Programs?

    Top 10 Forensic Nurse Programs

    Methodology

    This list is based on a number of factors including:

    • Reputation
    • NCLEX pass rate
    • Tuition
    • Acceptance rate, when available
    • Only ACEN or CCNE accredited schools are eligible

    Forensic nurses complete various levels of education, so this list includes undergraduate, graduate, and certificate programs. 

    Nurse Panel

    Our selection panel is made up of 3 Registered Nurses with years of experience and multiple degrees:

    • Tracy Everhart, MSN, RN, CNS
    • Tyler Faust, MSN, RN
    • Kathleen Gaines, MSN, BSN, RN, BA, CBC

    There are numerous forensic nursing programs and our panel of nurses ranked them based on factors mentioned in the methodology. Because individual nursing pathways and careers take various forms, the top 10 forensic nurse programs are ranked in no particular order. 

    1. Xavier University

    Annual Tuition: $12,204 (based on per-credit tuition rate)

    Online: Yes

    Program Length: 2-3 years

    Xavier University's online forensic nursing graduate program leads to either an MSN or both an MSN and a master of science in criminal justice. For only the MSN, nurses complete 36 credits, 10 of which focus on forensics. Applicants must have a bachelor's degree and at least one year of experience as an RN. Also, while the program calls itself 100% online, nurses are required to complete at least four credits worth of nursing practicum, the only in-person requirements for the degree. 

    2. Cleveland State University

    Annual Tuition: $13,620 (based on per-credit tuition rate) 

    Online: Yes

    Program Length: 2 years

    Located in Cleveland, Ohio, Cleveland State University offers an online MSN in forensic nursing. The program takes two years of full-time study to complete, though students need to complete 400-500 hours of clinical study throughout the program. While completing an MSN in forensic nursing at CSU, students can choose to boost their education with a certification in clinical forensic nurses, legal nurse consultants, forensic psychiatric nurses, forensic correctional nurses, or forensic nurse death investigators. Also, all forensic nursing students receive the same per-credit tuition rate regardless of where they live. 

    3. DeSales University

    Annual Tuition: $15,045 (based on per-credit tuition rate)

    Online: Yes

    Program Length: 3 years

    DeSales University offers perhaps the most flexible and comprehensive forensic nursing program. Available part-time or full-time and completed online, on-campus, or through a hybrid of the two, DeSales's MSN in forensic nursing also includes a certification in investigative forensics. Regardless of online or on-campus study, students are required to complete at least 275 clinical practicum hours, plus 75 clinical lab hours, on-site in Center Valley, Pennsylvania. Upon graduating, nurses should demonstrate excellent leadership, organizational, and investigative skills. 

    4. Fairleigh Dickinson University

    Annual Tuition: $15,400 (based on per-credit tuition rate)

    Online: Yes

    Program Length: 3 years

    Available either in-person or online, Fairleigh Dickinson University's MSN lets students choose a specialty. Those interested in forensic nursing select the adult gerontology nurse practitioner, forensic focus. This 42-credit track requires 550 hours of clinical service and prepares graduates to become APRNs with a specialization in forensics. FDU's MSN requires more than other programs, but graduates earn certification and could receive higher wages. 

    5. Duquesne University

    Annual Tuition: $27,162 (based on per-credit tuition rate)

    Online: Yes

    Program Length: 2.5 years

    Duquesne University offers two different forensic nursing options: an MSN and a post-master's certificate. However, most aspiring forensic nurses likely don't hold an MSN and will enroll in the full MSN program. This entirely online program takes 36 credits to complete and prepares students for any area of forensic nursing. Duquesne University partners with the Wecht Institute to offer this degree, so nursing students complete some courses through a different school within Duquesne. 

    6. Texas A&M University

    Annual In-State Tuition: $6,445 Annual Out-of-State Tuition: $12,581

    Online: Yes

    Program Length: 3 years

    An incredibly affordable MSN for anyone who lives in Texas, Texas A&M University's online MSN in forensic nursing is a 36-credit program completed over 2-3 years, though most students take closer to three years. While nurses complete most courses online, Texas A&M does require a total of 45 in-person hours at the Bryan-College Station campus to meet clinical requirements set by the AACN. The university separates this into two visits taken during the second half of the degree. 

    7. Mount Mercy University

    Annual Tuition: $11,484 (based on per-credit tuition rate)

    Online: Yes

    Program Length: 18-24 months

    Available in an online or hybrid format, Mount Mercy University's MSN lets students choose one of five emphases, including an emphasis in forensic nursing. Students who choose the hybrid format attend courses on Wednesday evenings in Cedar Rapids, Iowa. The forensic nursing route requires 36 credits, and students take courses about the theories of crimes and justice, administration of justice, and presenting evidence during a trial. This quick program uses a per-credit tuition rate, so part-time students don't pay higher tuition as they might elsewhere. 

    8. Penn State World Campus

    Annual Tuition: $6,912

    Online: Yes

    Program Length: 9 months

    The online portion of Penn State, Penn State World Campus, extends higher education to tens of thousands of students across the globe. Instead of completing an MSN, those interested in forensic nursing complete Penn State's undergraduate certificate in nursing forensics. This 12-credit certificate takes less than a year to complete and costs far less than an MSN. However, only current RNs without a BSN should consider this program. That being said, graduates can transfer their forensic nursing credits into Penn State's online RN-BSN, making this a great option for RNs looking for both a BSN and a forensic nursing position. 

    9. University of California Riverside

    Annual Tuition: $4,500

    Online: Yes

    Program Length: 9-15 months

    Another option for nurses who don't want to complete an MSN, the University of California Riverside's professional certificate in forensic nursing leads to various forensic nurse positions. Current RNs and LPNs can enroll in the program, and RNs can count either 20 hours or more of continuing education or a SANE certification toward elective credits, reducing the length and cost of the certificate. This short 16-credit certificate takes as little as nine months to complete. 

    10. Aspen University

    Annual Tuition: $13,219

    Online: Yes

    Program Length: 2-3 years

    Aspen University specializes in online education and offers its MSN with a forensic nursing specialization entirely online. Available to current RNs who hold a BSN, the MSN takes as little as two years to complete, though some part-time students take longer. While the program doesn't include any clinical practice, graduates learn all the skills necessary to succeed as a forensic nurse. To keep the degree affordable, Aspen University also set up an optional monthly payment plan, covering the cost of the program over a 41-month period. 

    Forensic Nursing Masters Programs

    Forensic Nursing Master Programs are between 34 and 40 credits. The curriculum is a mixture of didactic coursework and clinical hours. Courses include: 

    • Evidence-Based Practice
    • Theoretical Foundations for Population Health
    • Introduction to Forensic Nursing
    • Crime/Victimology/Social Justice
    • Sociology of Crime and Delinquency
    • Interpersonal Violence
    • Forensic Methodologies 
    • Population Assessment & Intervention
    • Advanced Assessment, Pathophysiology & Pharmacology 
    • Introduction to Demography & Epidemiology
    • Ethics for Nurses
    • The Legal System
    • Psych Bases of Criminal Behavior
    • Advanced Criminological Theory

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    What You Need to Get Into a Forensic Nursing Masters Program

    Though every MSN Forensic Nursing degree program is different, most have similar entry requirements, which generally include:

    • A minimum of two years of nursing experience in a relevant field
    • Satisfactory completion of an accredited baccalaureate program with at least 3.0 GPA on a 4.0 scale
    • Submission of official transcripts from all postsecondary schools attended
    • Unencumbered, active RN license in state of practice (Some programs will require a RN license in the state of the program)
    • Two or three professional references
    • Completion of undergraduate statistics with a grade of C or better
    • Written statement of professional goals for graduate study and nursing career
    • Professional resume or curriculum vitae
    • Successful completion of a personal interview with the Nursing Admissions Committee
    • GRE if applicable
    • TOEFL test if applicable

    Part Six What Certifications Are Required for Forensic Nurses?

    Board certification isn’t required to work in most forensic nursing roles, however, it does show that you have the expert knowledge to meet the highest standards of practice. It also demonstrates your commitment to the profession.

    IAFN offers two certifications for sexual assault nurse examiners (SANEs): the SANE-A for working with adults and adolescents, and the SANE-P for working with pediatric patients. Before taking the exam, candidates must have at least two years of experience as a registered nurse and meet any other eligibility criteria established by the Forensic Nursing Certification Board.

    Before taking the exam, candidates must have at least two years of experience as a registered nurse and meet any other eligibility criteria established by the Forensic Nursing Certification Board. The IAFN certification web page describes how to obtain SANE certification.

    Certification exams are offered twice a year, in May and October, and can be taken at testing sites across the U.S. and internationally.

    An Advanced Forensic Nursing Certification (AFN-BC) is also available from IAFN, in collaboration with the American Nurses Credentialing Center. This certification requires submitting a portfolio documenting your expertise rather than taking an exam and involves a stringent peer review process.

    Some communities use RNs as coroners or death investigators. Check with your local agencies to see if they currently hire nurses as death investigators, and if so, the type of education and experience you need to qualify.

    Some universities offer courses in forensic nursing, either as electives for undergraduates or as part of a graduate degree in forensic nursing.

    Part Seven What Is it Like to Be a Forensic Nurse?

    Violence is a healthcare problem. Forensic nurses work to end violence, help victims through the experience, and work closely with the criminal justice system to support investigative and legal processes.

    Forensic nurses must be detail-oriented, organized, skilled in collecting and preserving evidence that’s admissible in court, and committed to accurate and careful documentation. Forensic nursing is an emotionally challenging field. Developing good self-care practices is critical to keeping professional and personal balance.

    The IAFN recommends that you read about vicarious trauma so you know how a forensics career can affect your personal and professional life. It also advises watching the following documentary video on forensic nursing:

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    Part Eight What Are the Continuing Education Requirements for Forensic Nurses?

    Clinical practice and continuing education requirements for renewing a nursing license, certification, and advanced practice certification vary by state and credentialing agency. Check with your state board and professional organization for the rules on keeping your RN license and certification up to date. 

    You can also visit our CNE Guide for details.

    Part Nine Where Can I Learn More About Forensic Nursing?

    Learn more about forensic nursing by searching the web and talking with nurses currently working in the field. You may also want to review copies of forensic nursing textbooks in your local public or nursing school library. 

    Helpful websites include:

    International Association of Forensic Nursing

    American Forensic Nursing

    American Institute of Forensic Education

    Academy on Violence and Abuse

    American Academy of Forensic Sciences

    Canadian Forensic Nurses Association

    American Board of Medico-Legal Investigators

    Part Ten Where Can I Find the Best Forensic Nurse Jobs?

    Many sources can get you started on your search for forensic nursing positions. Many online resources are available including hospital websites, nursing social media pages, and dedicated nursing sites such as our job board

    Many forensic jobs, such as those with a coroners’ or medical examiners’ office, are available through county governments. Check your local government employment websites to determine the types of jobs available, and to find out about any openings. 

    Forensic nursing is a fascinating and emotionally challenging career path offering a chance to work with a variety of patients, work settings, and skills. You can play a vital role by providing compassionate care and bringing criminals to justice.

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    Sources:
    1. National Bureau of Labor Statistics, 2016 Occupational Employment Statistics - Registered Nurses. Retrieved from: www.bls.gov/oes/current/oes291141.htm#st
    2. US Department of Health and Human Services, The Future of the Nursing Workforce: National- and State-Level Projections, 2012-2025.  Retrieved from:
    https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/nursingprojections.pdf
    3. Federal Bureau of Investigation, 2015 Crime in the United States. Retrieved from: https://ucr.fbi.gov/crime-in-the-u.s/2015/crime-in-the-u.s.-2015/home 
    4. NursingSchoolHub.com, Top 7 Forensic Nursing Programs. Retrieved from: http://www.nursingschoolhub.com/top-7-forensic-nursing-programs/

    *Indicates an affiliate link. At no additional cost to you, Nurse.org will earn a commission if you click through and use this service.

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