Working as a Nurse on a Cruise Ship

Are you ready for a career that combines adventure, compassion, and the open seas? If so, get ready to set sail as a vital member of the cruise ship medical staff working as a nurse on a cruise ship.

As part of the dynamic crew, you’ll play a crucial role in ensuring the health and well-being of both passengers and fellow crew members. From treating minor ailments to handling emergencies, you’ll be at the forefront of healthcare on the high seas. So, grab your stethoscope, pack your passion for medicine, and embark on an extraordinary journey as a member of the cruise ship medical team. Welcome aboard!


What Are The Cruise Ship Medical Team’s Responsibilities?

Nurse Cruise Ship
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The cruise ship medical team carries significant responsibilities to ensure the health and well-being of passengers and crew members. Their primary duties include:

1. Providing medical care: The medical team delivers quality healthcare services, addressing both routine medical needs and emergencies. They diagnose and treat a wide range of medical conditions, administer medications, and perform minor medical procedures.

2. Handling medical emergencies: The medical team is trained to handle medical emergencies that may arise on board, such as injuries, acute illnesses, or cardiac events. They respond swiftly, providing immediate medical assistance and coordinating with relevant authorities, both on the ship and onshore.

3. Managing the ship’s medical facility: The medical team is responsible for the efficient operation of the ship’s medical facility, including the inventory and management of medical supplies, equipment, and medications. They ensure that the facility is well-equipped, clean, and ready to handle any medical situation.

4. Collaborating with other ship departments: The medical team works closely with various ship departments, including guest services, housekeeping, and security, to ensure a safe and healthy environment for everyone on board. They provide guidance on health and sanitation practices and contribute to emergency response plans.

5. Maintaining medical records and reports: Accurate and up-to-date medical records are essential for effective care. The medical team maintains confidential patient records, documenting treatments, medical histories, and follow-up care. They also generate reports for regulatory compliance and statistical analysis.

Responsibilities of a Cruise Ship Nurse


The responsibilities of a cruise ship nurse encompass a wide range of healthcare duties to provide exceptional medical care to passengers and crew members. Some key responsibilities include:

1. Patient care: Cruise ship nurses deliver compassionate and competent nursing care to individuals on board. They assess patients, monitor vital signs, administer medications, dress wounds, and provide assistance with activities of daily living.

2. Medical emergencies: In emergency situations, cruise ship nurses play a critical role in providing immediate care. They assist the ship’s doctor in responding to medical emergencies, perform CPR or other life-saving interventions, and coordinate with other medical professionals as necessary.

3. Health assessments: Nurses conduct health assessments, including pre-employment medical screenings for crew members and initial health evaluations for passengers. They gather medical histories, perform physical examinations, and provide medical advice or referrals as needed.

4. Health promotion and education: Cruise ship nurses actively promote health and wellness among passengers and crew members. They conduct health education sessions, provide guidance on preventive measures, promote healthy lifestyles, and may organize wellness activities or fitness programs.

5. Medication management: Nurses are responsible for ensuring the safe administration and management of medications on board. They maintain medication inventories, ensure proper storage and handling, and educate patients about their medications.

6. Collaboration and documentation: Cruise ship nurses work closely with the medical team, assisting in medical procedures, coordinating care, and maintaining accurate medical documentation. They collaborate with other ship departments, such as housekeeping and food services, to ensure a clean and sanitary environment.

7. Health and safety compliance: Nurses adhere to health and safety regulations, infection control practices, and emergency response protocols. They contribute to maintaining a safe environment, conducting inspections, and monitoring compliance with health standards.

Requirements for Nurses to Work on Cruise Ships

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To work as a nurse on a cruise ship, there are specific requirements that need to be met. While these requirements can vary slightly between cruise lines, here are some common qualifications and prerequisites:

1. Education and licensure: A minimum educational requirement is a nursing degree (diploma, associate, or bachelor’s degree) from an accredited nursing program. Additionally, you must hold a valid registered nurse (RN) license, which should be current and unrestricted. The specific licensing requirements may vary depending on the flag state of the cruise ship.

2. Experience: Prior nursing experience is usually preferred, especially in areas such as emergency care, critical care, or general medical/surgical nursing. Some cruise lines may require a minimum number of years of experience before considering a nurse for a position on a ship.

3. Certifications: Basic life support (BLS) and advanced cardiac life support (ACLS) certifications are commonly required. These certifications demonstrate proficiency in responding to medical emergencies. Additional certifications such as Pediatric Advanced Life Support (PALS) or International Trauma Life Support (ITLS) may also be beneficial.

4. Language proficiency: Fluency in English is typically required as it is the primary language used for communication on most cruise ships. Depending on the cruise line and itinerary, knowledge of other languages may be advantageous, especially if the ship caters to an international clientele.

5. Medical assessments and vaccinations: Prior to employment, cruise ship nurses may be required to undergo medical assessments to ensure they are fit for the job. Vaccinations and immunizations may be required to meet the health and safety standards on board.

6. Interpersonal skills: Excellent communication, interpersonal, and customer service skills are essential for a cruise ship nurse. The ability to work well in a multicultural environment, collaborate with a diverse team, and provide compassionate care to passengers and crew members is crucial.

It’s important to note that each cruise line may have its specific requirements and hiring processes. Therefore, it’s advisable to check with the individual cruise line or recruitment agency for their specific qualifications and prerequisites when applying for a nurse position on a cruise ship.

Types of Nurse Jobs on a Cruise Ship


Staff Nurse:

The Staff Nurse is the first responder during medical emergencies, delivering immediate first aid until the doctor can assess the situation. They assist the medical doctor, prepare treatment rooms, and administer prescribed medications and treatments. These nurses are the backbone of onboard medical care.

Nurse Practitioner

Nurse practitioners take on a broader role, able to stand in for the doctor and prescribe medications. They maintain injury and illness logs and ensure that first aid supplies are well-stocked on the ship and lifeboats. Nurse Practitioners contribute significantly to the medical team’s capabilities.

Chief Nurse

Chief Nurses lead the entire nursing staff and report directly to the ship’s doctor. A minimum of three years of clinical experience is required for this position. The Chief Nurse oversees daily infirmary operations and handles administrative responsibilities, including medical and patient records, and equipment checks, and monitors stock inventory to make sure they are well stocked for the next voyage, especially if talking about month-long cruises.



Nurse applicants must hold a Registered Nurse Qualification and current registration and licensing with an appropriate governmental or national regulatory body. Applicants must have at least three years of post-graduate clinical experience in emergency medicine, acute care or ICU, and most recent work experience should be in a clinical setting. Additional requirements include:


What are the Cruise Ship Infirmary Facilities Like?

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Cruise ship infirmary facilities are onboard medical centers designed to provide medical care for both passengers and crew members. While the specifics can vary between cruise lines and ship sizes, here are some common features and characteristics of cruise ship infirmaries:

1. Medical equipment: Cruise ship infirmaries are equipped with essential medical equipment to provide primary care and handle emergencies. This can include items such as examination tables, diagnostic equipment (like ECG machines and X-ray equipment on larger ships), and basic surgical instruments.

2. Treatment rooms: Infirmary facilities typically have treatment rooms where medical procedures can be performed. These rooms are equipped to handle minor surgeries, wound care, and other necessary medical procedures.

3. Isolation area: A designated isolation area may be available within the infirmary to handle cases of contagious illnesses and help prevent the spread of infections.

4. Pharmacy: Cruise ship infirmaries typically have a small pharmacy stocked with commonly used medications, allowing for prompt treatment of various medical conditions. The pharmacy may be able to fill prescriptions and provide over-the-counter medications as needed.

5. Observation area: An observation area may be available where patients can be monitored for a period of time to assess their condition and response to treatment.

6. Medical records and documentation: Cruise ship infirmaries maintain medical records and documentation of patient care. This helps ensure continuity of care and allows for proper communication with other healthcare providers if necessary.

7. Collaboration with onshore medical resources: Cruise ship infirmaries often have protocols in place to collaborate with onshore medical resources, such as telemedicine consultations or coordinating medical evacuations in more severe cases.


It’s important to note that while cruise ship infirmaries are staffed by medical professionals, their scope of practice may be limited compared to onshore medical facilities. In cases where specialized care or services are needed, arrangements may be made to transfer patients to onshore medical facilities at the next port of call.

The specific size and capabilities of infirmary facilities can vary depending on the cruise ship’s size and the cruise line’s policies. Cruise ships with larger passenger capacities tend to have more extensive infirmary facilities to meet the needs of a larger population.

Examples of Medical Emergencies


Medical emergencies on cruise ships can vary in nature and severity, requiring prompt and appropriate medical attention. Some examples of medical emergencies that can occur on cruise ships include:

1. Cardiac emergencies: This can include heart attacks, chest pain, arrhythmias, or other cardiac conditions requiring immediate medical intervention, such as cardiopulmonary resuscitation (CPR) or defibrillation.

2. Respiratory emergencies: Severe respiratory distress, asthma attacks, or allergic reactions can lead to breathing difficulties and require urgent medical attention.

3. Trauma and injuries: Accidents, falls, fractures, or injuries sustained during onboard activities or excursions can require immediate evaluation, treatment, and possible stabilization before further medical care.

4. Gastrointestinal emergencies: One of the most common medical issues on cruise ships is gastrointestinal illnesses (GI), often referred to as “stomach bugs” or “cruise ship GI.” These illnesses are usually caused by norovirus, which is highly contagious and spreads easily in close quarters, such as cruise ship environments. Norovirus can lead to symptoms like nausea, vomiting, diarrhea, abdominal cramps, and sometimes fever. If a passenger is suspected to have GI, they will have to be isolated in their cabin for up to 48 hours and depending on the severity of the issue, they might have to be quarantined in the medical facility.

5. Neurological emergencies: Strokes, seizures, or altered mental status requiring immediate assessment and appropriate medical interventions fall under this category.

6. Severe allergic reactions: Anaphylaxis due to food allergies, insect bites, or medication reactions can lead to life-threatening situations requiring emergency treatment, including the administration of epinephrine and other interventions.

7. Infectious diseases: Cruise ships may encounter outbreaks of gastrointestinal illnesses, respiratory infections, or other communicable diseases. These situations require swift action to manage the spread of the illness and provide appropriate medical care to affected individuals.

8. Obstetric emergencies: Pregnant passengers experiencing complications such as preterm labor, bleeding, or hypertension may require immediate medical attention and potential arrangements for emergency medical evacuation if necessary. Crew if suspected of being pregnant will have to end their contract early.

It’s important to note that cruise ships have trained medical staff and resources to handle medical emergencies on board. However, in cases where specialized care or resources are required, arrangements may be made to transfer individuals to onshore medical facilities at the next port of call.

Cruise Ship Healthcare Guidelines and Protocols


Cruise ship healthcare guidelines and protocols are in place to ensure the safety, well-being, and proper management of healthcare-related situations on board. While specific protocols may vary between cruise lines, here are some common healthcare guidelines and protocols:

1. Medical team and resources: Cruise ships have a dedicated medical team, including doctors, nurses, and support staff, who are responsible for providing medical care and managing healthcare services on board. They follow established protocols for patient assessment, treatment, and emergency response.

2. Health screening: Cruise lines typically conduct health screening measures for passengers and crew members, such as pre-boarding health questionnaires or temperature checks, to identify individuals with potential health concerns before embarking.

3. Sanitation and infection control: Cruise ships have stringent sanitation practices and infection control protocols in place to minimize the risk of illnesses spreading on board. This includes regular cleaning and disinfection of public areas, frequent handwashing, and promoting good hygiene practices among passengers and crew.

4. Medical facilities and equipment: Cruise ships maintain medical facilities equipped with essential medical equipment and supplies necessary to provide primary care and handle emergencies. These facilities comply with healthcare regulations and guidelines to ensure the safety and comfort of patients.

5. Medical evacuations: In more severe cases requiring specialized care not available on board, cruise ships have protocols for medical evacuations. This may involve coordinating with onshore medical facilities, arranging transportation (such as by helicopter or other means), and ensuring seamless transfer of the patient to appropriate medical facilities at the next port of call.

6. Collaborations with onshore medical resources: Cruise lines may have partnerships or agreements with onshore medical facilities or telemedicine services to facilitate consultations, transfer of medical records, and access to specialized care when needed.

7. Public health emergencies: Cruise lines follow guidelines provided by international health organizations and regulatory authorities to address public health emergencies. This includes monitoring and responding to outbreaks of infectious diseases, implementing containment measures, and collaborating with public health authorities at various ports of call.

It’s important to note that healthcare guidelines and protocols on cruise ships are continuously reviewed and updated to align with industry best practices and regulatory requirements. Cruise lines prioritize the health and safety of passengers and crew members, and these protocols play a crucial role in maintaining a safe and healthy onboard environment.

How Much Do Nurses Make on a Cruise Ship?

How Much Money Cruise Ship Workers Make

Cruise ship nurses typically receive a competitive salary that is based on their experience, qualifications, and responsibilities. Salaries can range from around $3,000 to $6,000 or more per month, depending on various factors.


  • Staff Nurse

    With an average monthly salary ranging from $3,000 to $4,900, these nurses are the backbone of onboard medical care.

  • Nurse Practitioner

    With a monthly salary averaging between $4,500 and $5,200, Nurse Practitioners contribute significantly to the medical team’s capabilities.

  • Chief Nurse

    Average monthly salary ranges from $4,800 to $6,000, reflecting the leadership role they hold within the medical department.


Additional Benefits

Accommodation and meals: Cruise ship nurses receive free accommodations and meals while on board. They are typically provided with a private cabin or shared accommodation with one other medical staff, depending on the ship’s size. Meals are typically served in crew dining areas.

Travel and transportation: Cruise ship nurses receive travel benefits, including round-trip airfare to and from the ship’s embarkation and disembarkation ports. The cruise line usually covers the costs associated with transportation to and from the ship.

Medical malpractice insurance: Cruise lines typically provide medical malpractice insurance coverage for their onboard medical staff. This coverage helps protect doctors against liability claims related to their professional medical services provided on board.

Health and retirement benefits: Cruise ship nurses receive health insurance coverage for themselves and, in some cases, their immediate family members, if onboard.

Vacation and leave: Cruise ship doctors and nurses typically receive vacation and leave benefits, allowing them to take time off and explore ports of call or return home during their scheduled time off. The specific amount of vacation and leave time may vary depending on the contract and duration of service.

All the cool places you will get to Explore!

It’s important to note that salary and benefits packages may vary between cruise lines, and the information provided here is a general overview. Specific details regarding salary, benefits, and contractual terms can be obtained by directly contacting the cruise line or through discussions during the hiring process.

Do Cruise Ship Nurses Get Days Off?


Tips Job Cruise Ship
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Yes, cruise ship nurses are typically provided with scheduled days off during their contract period. The specific number of days off can vary depending on the cruise line, the ship’s itinerary, and the length of the nurse’s contract. Cruise ship nurses work on a rotational schedule, which often involves working for a set number of days followed by a block of time off.

The working shifts for medical staff are shifts of 12 hours, 12 hours on duty followed by 12 hours off.

The duration and frequency of days off can vary, ranging from a few days to a week or more, depending on the contract terms and cruise line policies. These days off allow nurses to rest, relax, explore ports of call, and recharge before returning to their duties on board. It’s important to note that the schedule and availability of days off may vary depending on the ship’s operations, such as during peak travel periods or in the event of unforeseen circumstances.


Can Cruise Ship Nurses Bring Their Families?


In general, cruise ship nurses are not able to bring their families on board. Cruise ship employment contracts typically only cover the nurse’s individual employment, and the living accommodations and facilities provided are designed for single or shared occupancy. The nature of working on a cruise ship involves being away from home for extended periods, often in a limited space environment. This can make it challenging to accommodate family members or dependents on board. However, policies can vary between cruise lines, so it’s always best to check with the specific cruise line or employer for their policies regarding family members accompanying employees on board.

How Long Do Cruise Ship Nurses Work?

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The contract for cruise ship nurses is short when compared to other crew members. You can expect to work contracts between 3-4 months, with 1 week off for every month you work. If you work a 4-month contract,(16 weeks), you can expect to have 4 weeks off. Keep in mind that your vacation time is not paid, so prepare ahead financially.


What to Pack Cruise Ship

Cruise ship life is very exciting and visiting awesome locations around the world is just one of the many benefits of working on a cruise ship. If this is your first time going to work on a cruise ship, you might be wondering what you need to pack for a cruise ship contract. This post might just be what you are looking for.


Do Cruise Ship Nurses get their Own Cabin?

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Yes, cruise ship nurses typically have their own cabin. Cruise ship nurses typically have officer roles, receive single cabins, and enjoy deck privileges. You will have free time when there are no in-patients and can partake in onboard entertainment, dine at the ship’s fine restaurants, and occasionally go ashore to explore the awesome ports of call.

Having your own cabin allows you to have privacy and personal space to rest and recharge during your time off. The cabins are typically equipped with basic amenities such as a bed, storage space, a desk, and bathroom facilities, and as an officer, you receive cabin cleaning and laundry privileges. However, it’s important to note that cabin sizes and configurations can vary, and some cruise lines may have different policies regarding cabin arrangements for medical staff.


Final Words

Working as part of the medical staff on a cruise ship is an extraordinary and fulfilling experience. The fast-paced environment, combined with the thrill of traveling to breathtaking destinations, creates a sense of adventure like no other. Building relationships with colleagues from around the world, exploring new cultures, and immersing yourself in the beauty of the open seas make this career truly exceptional. It’s a rewarding and challenging path that allows you to grow both professionally and personally while making lasting memories and friendships along the way. 

Nursing is a Work of Heart!

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