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Registered Nurse (Paediatrics) – ANZSCO 254425

Registered Nurse (Paediatrics) (ANZSCO 254425) is a skill level 1 occupation assessed by Australian Nursing and Midwifery Accreditation Council (ANMAC) for Australian skilled migration. It is on the MLTSSL, CSOL lists and can be used for subclass 189, subclass 190, subclass 491, subclass 491F, subclass 485, subclass 482, subclass 186, subclass 494, subclass 407. 7 of 8 states and territories currently nominate it.

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Quick facts

  • ANZSCO code: 254425
  • Skill level: 1 – Bachelor degree or higher, or at least 5 years of relevant experience.
  • Assessing authority: ANMAC
  • Occupation lists: MLTSSL, CSOL
  • English test for skills assessment: Required
  • ANZSCO unit group: 2544 Registered Nurses

Registered Nurse (Paediatrics) job description and duties

Provides nursing care to children of all ages, including neonates, across a range of health and community settings with an emphasis on assessing children’s acute and ongoing needs while taking into account physical, social, cultural and family circumstances. Registration or licensing is required.

Tasks include

  • Assessing, planning, implementing and evaluating nursing care for patients according to accepted nursing practice and standards
  • Working in consultation with other Health Professionals and members of health teams, and coordinating the care of patients
  • Providing interventions, treatments and therapies such as medications, and monitoring responses to treatment and care plan
  • Promoting health and assisting in preventing ill health by participating in health education and other health promotion activities
  • Answering questions and providing information to patients and families about treatment and care
  • Supervising and coordinating the work of Enrolled Nurses and other health care workers

Education and skill level

Occupations in this unit group have a level of skill commensurate with a bachelor degree or higher qualification. In some instances relevant experience and/or on-the-job training may be required in addition to the formal qualification (ANZSCO Skill Level 1). Registration or licensing is required.

What the assessing authority expects: Nursing or midwifery qualification plus registration (Ahpra/NMBA or an eligible overseas registration).

Visa options for Registered Nurse (Paediatrics)

Eligible means the occupation is on a list the visa accepts. You still need to meet every other requirement.

  • Subclass 189 Skilled Independent: Eligible (via MLTSSL)
  • Subclass 190 Skilled Nominated: Eligible (via MLTSSL / STSOL)
  • Subclass 491 Skilled Work Regional – State/Territory nominated: Eligible (via MLTSSL / STSOL / ROL)
  • Subclass 491F Skilled Work Regional – Family sponsored: Eligible (via MLTSSL)
  • Subclass 485 Temporary Graduate – Post-Vocational Education Work: Eligible (via MLTSSL)
  • Subclass 482 Skills in Demand – Core Skills stream: Eligible (via CSOL)
  • Subclass 186 Employer Nomination Scheme – Direct Entry: Eligible (via CSOL)
  • Subclass 494 Skilled Employer Sponsored Regional – Employer sponsored: Eligible (via MLTSSL / STSOL / ROL)
  • Subclass 407 Training visa: Eligible (via MLTSSL / STSOL / ROL)

State and territory nomination for Registered Nurse (Paediatrics)

7 of 8 states and territories currently list this occupation: New South Wales, Victoria, Queensland, South Australia, Western Australia, Tasmania, Australian Capital Territory. Onshore means already living in that state; offshore means living outside Australia.

  • New South Wales: 190 Yes, 491 Closed 26–27, onshore NSW residents, offshore Yes. NSW Skills List — unit group 2544.
  • Victoria: 190 Yes, 491 Not yet open, onshore VIC residents, offshore Yes. All 190-eligible occupations (no state list).
  • Queensland: 190 Yes, 491 Yes, onshore QLD residents, offshore Yes. Onshore list: 190 & 491; Offshore QSOL: 190 & 491.
  • South Australia: 190 Yes, 491 Yes, onshore SA residents, offshore Yes. SA Graduates: 190 & 491; Skilled Employment in SA: 190 & 491; Outer Regional Skilled Employment: 190 & 491; Offshore: 190 & 491.
  • Western Australia: 190 Yes, 491 Yes, onshore WA & interstate, offshore Yes. General – WASMOL Schedule 1: 190 & 491; Graduate stream (WA study): 190 & 491; Priority WA industry sector.
  • Tasmania: 190 Yes, 491 Yes, onshore TAS residents, offshore 190 with job offer. Living in Tasmania: Skilled Employment, Graduate or Established Resident pathways; Overseas: 190 only with a Tasmanian health or education job offer; Overseas 491 (OSOP) closed for 2026–27.
  • Australian Capital Territory: 190 Yes, 491 Yes, onshore Canberra residents, offshore Yes. ACT Nominated Migration Program Occupation List.
  • Northern Territory: 190 Closed, 491 By exception, onshore NT grads/residents only, offshore No. 491 onshore only, by exception for NT Graduate or Resident applicants with urgent visa or age deadlines.

Based on each state's official 2026–27 lists and program pages. Being listed does not guarantee an invitation.

Skills assessment for Registered Nurse (Paediatrics)

ANMAC's migration assessment is separate from registration to practise (that is done by the NMBA through Ahpra). Most internationally qualified nurses first get Ahpra registration and then a quicker ANMAC assessment; nurses from some countries can apply for a full assessment directly.

The process

  1. Check your route: Registered with Ahpra/NZ? Use the shorter assessment. Otherwise check if you qualify for the full assessment.
  2. Registration (if needed): Complete NMBA requirements through Ahpra (e.g. outcomes-based assessment).
  3. Apply to ANMAC: Upload qualifications, registration evidence, employment evidence and pay.
  4. Assessment: ANMAC checks qualification, registration and paid nursing experience.
  5. Outcome: Use the outcome for your EOI and visa.

What you need for this occupation

  • Already registered in Australia or New Zealand: shorter assessment based on your nursing or midwifery qualification and current registration.
  • Full assessment (selected countries): qualification and registration from an eligible country, paid post-registration experience and an English test.

Documents checklist

  • Passport
  • Nursing/midwifery qualification and transcripts
  • Registration certificates (Ahpra and/or overseas)
  • Employment statements showing paid hours
  • English test results where required

Key facts

  • Modified (Ahpra-registered): About AUD 395
  • Full assessment: About AUD 595 (selected countries)
  • Registration: Separate: NMBA via Ahpra
  • Validity for visas: Home Affairs generally accepts an assessment for 3 years unless the letter says otherwise

English language requirement

For the ANMAC skills assessment

English test required. If you are already registered with Ahpra (or in New Zealand) and use the shorter assessment, no English test is needed. For a full assessment you must meet the NMBA English language skills registration standard.

  • IELTS Academic: 7.0 overall; Listening 7.0, Reading 7.0, Writing 6.5, Speaking 7.0
  • PTE Academic: 63 overall; Listening 58, Reading 59, Writing 60, Speaking 76
  • OET: Listening 350, Reading 360, Writing 350, Speaking 360
  • TOEFL iBT: 91 overall; Listening 22, Reading 22, Writing 23, Speaking 24
  • Scores shown are the Ahpra test-pathway minimums for tests taken on or after 23 April 2026. Check the NMBA standard before booking.
  • Online or at-home test versions are not accepted.

For the visa (189, 190 and 491)

Separately, the visa needs at least Competent English. Minimum scores for tests taken on or after 7 August 2025:

  • IELTS (Academic or General): Listening 6.0, Reading 6.0, Writing 6.0, Speaking 6.0
  • PTE Academic: Listening 47, Reading 48, Writing 51, Speaking 54
  • TOEFL iBT: Listening 16, Reading 16, Writing 19, Speaking 19
  • OET: Listening 290, Reading 310, Writing 290, Speaking 330

Proficient English adds 10 points and Superior English adds 20 points in the points test.

Related occupations in unit group 2544

Frequently asked questions

What is the ANZSCO code for Registered Nurse (Paediatrics)?

The ANZSCO code for Registered Nurse (Paediatrics) is 254425. It is a skill level 1 occupation.

Who assesses Registered Nurse (Paediatrics) for Australian migration?

Registered Nurse (Paediatrics) is assessed by Australian Nursing and Midwifery Accreditation Council (ANMAC). You need a positive skills assessment before you can apply for most skilled visas.

Which Australian visas can a Registered Nurse (Paediatrics) apply for?

Registered Nurse (Paediatrics) is on the MLTSSL, CSOL lists, so it can be used for: 189 Skilled Independent; 190 Skilled Nominated; 491 Skilled Work Regional – State/Territory nominated; 491F Skilled Work Regional – Family sponsored; 485 Temporary Graduate – Post-Vocational Education Work; 482 Skills in Demand – Core Skills stream; 186 Employer Nomination Scheme – Direct Entry; 494 Skilled Employer Sponsored Regional – Employer sponsored; 407 Training visa. You must still meet every other visa requirement.

Which states nominate Registered Nurse (Paediatrics)?

7 of 8 states and territories currently list Registered Nurse (Paediatrics): New South Wales, Victoria, Queensland, South Australia, Western Australia, Tasmania, Australian Capital Territory. Each state has extra criteria such as residence, employment and points.

Do I need an English test for the Registered Nurse (Paediatrics) skills assessment?

Yes. If you are already registered with Ahpra (or in New Zealand) and use the shorter assessment, no English test is needed. For a full assessment you must meet the NMBA English language skills registration standard.

Sources: Australian Bureau of Statistics ANZSCO 2022 (CC BY 4.0), Department of Home Affairs skilled occupation lists, ANMAC and state and territory nomination pages. Checked November 2026. General information only, not migration advice. Search all ANZSCO occupations.

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