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Specialist crew · Senior

Yacht Nurse

A yacht nurse is the medical cover on board. You look after the owner, guests and crew, run the medical stores and lead the response when someone is hurt miles from a hospital. Most dedicated posts sit on yachts over 70m, often owner-driven, and they go to registered nurses with real acute or emergency experience.

The jobWhat fills the day

The core job is clinical. You hold the ship's medical chest, keep the drug log, check expiry dates and make sure the defibrillator, oxygen and trauma kit are ready. You run sick bay for the crew: cuts from the deck, burns from the galley, back strain, infections, seasickness, the odd dental problem. You also link the yacht to its telemedical provider, so when something is beyond you, you are the one describing it clearly to a doctor on the phone.

With guests aboard the work changes. Some owners bring complex health needs and want you on hand for them. You may manage their prescriptions, travel vaccinations and pre-trip medical history, and stand by during diving, jet skis and tender runs. On a quiet crossing or in the yard you train the crew in first aid and CPR, run medical drills, audit the medical stores and keep hygiene standards up in the galley and crew mess.

Who gets hired: registered nurses with three or more years in emergency, intensive care or pre-hospital work, ideally with a valid licence from the UK, Australia, South Africa, New Zealand or the US. Owners and captains like calm people who can work alone. On smaller yachts the post is often a dual Steward / Nurse role, where you work in the interior and pick up medical duties as needed. Dedicated nurse posts usually appear on 80m+ yachts.

Progression is less of a ladder than on deck or interior. Nurses build a reputation with one or two owners and hold the post for years. Some move into Medical Officer roles on the largest yachts, often with paramedic or advanced practice training. Others move ashore into crew health, safety management or teaching STCW medical courses. Keeping your home registration current matters, because it is your licence to practise and your way back to land work.

Skills captains look for

  • Emergency and trauma care
  • Remote and telemedicine practice
  • Medical stores management
  • Crew first aid training
  • Discreet guest care
  • Clinical record keeping
  • Working calmly alone

A day aboardOwner trip, 90m motor yacht, Maldives

LOG · YACHT NURSE9 ENTRIES
  1. Check the AED, oxygen and grab bags, then sign the controlled drugs log. Review the day's dive and watersports plan with the bosun.

  2. Crew clinic in the hospital cabin. A deckhand with a reef cut that needs cleaning and dressing, and a stew with a sore throat.

  3. Morning check-in with the owner's wife, who is on daily medication. Blood pressure, notes, and a quiet word on sun and hydration.

  4. Ride out on the dive tender as medical cover. Kit bag, oxygen and radio with you, watching ascents and the guest children snorkelling.

  5. Lunch in the crew mess and an hour off in your cabin while guests rest.

  6. Medical stores audit against the flag state list. Order replacement dressings and antihistamines through the purser for the next delivery to Malé.

  7. Run a 30-minute CPR refresher for off-watch interior crew in the crew mess.

  8. Dinner and downtime, on call with a handheld radio through the night.

  9. Called to a guest with a jellyfish sting. Treat it, write it up, and brief the captain before turning in.

Pay by yacht sizeMonthly, before tips. Estimates. Bars share one scale.

Under 60m (Steward / Nurse)
US$4,000–5,500
60-80m
US$5,000–6,500
80-100m
US$6,000–7,500
100m+
US$7,000–9,000

Most dedicated posts are on rotation with paid leave, which makes the monthly figure worth more. Charter tips add to take-home pay, though owner-only yachts may pay a higher salary and no tips. See the Spa, Wellness & Childcare salary guide for figures from live adverts.

Tickets and visas

Must have

  • Current nursing registration (e.g. NMC, AHPRA, SANC, NCLEX)
  • STCW Basic Safety Training
  • ENG1 or accepted seafarer medical
  • Advanced Life Support (ALS or ACLS)

Gets you hired

  • PHTLS or ATLS trauma course
  • Paediatric life support (PALS or EPLS)
  • Remote or expedition medicine course
  • PDSD
  • Food Hygiene Level 2

Visas

  • US B1/B2
  • Schengen visa if non-EU

Where it leadsA typical career path

Questions crew ask

Do I need yachting experience to get a nurse post?

Not always for a dedicated post on a large yacht, where clinical experience counts for most. For dual Steward / Nurse roles, a season of interior work or a GUEST interior course helps a lot. Either way you need STCW and an ENG1 before you walk the docks in Antibes or Palma.

Can I practise on board with my home licence?

Most yachts work under the captain's authority, the flag state's medical rules and a telemedical service, and your home registration is the proof of competence. Keep it current, including revalidation hours, because owners and insurers check it. Do not let it lapse while you are at sea.

What clinical background do owners prefer?

Emergency department, ICU and pre-hospital work top the list, because they show you can handle trauma and cardiac events on your own. Paediatric experience is valued on family yachts. Three years post-registration is a common minimum.

Will I do other work when no one is ill?

On dual roles, yes, you work interior shifts most of the day. On dedicated posts you are expected to keep busy with training, stores, hygiene audits and safety drills. Some captains also ask nurses to help with guest activities or the spa.

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