NP Specializing in Cardiology - Out of Scope?

[Plbe]

I am a newly graduated FNP and have been offered a position with two cardiologists in their practice. However, in discussing the position further they want me to round on their patients in the hospital primarily and not in their clinic. I have heard/read so much conflicting information about this being within or not within my scope that I am very frustrated. Now obviously, I was not trained to round on inpatient cardiology patients in school, so I was told/heard I would need to be trained appropriately by the physician or take some CMEs or something along those lines to help prove my competency and that would be sufficient, but I am very concerned I may be getting myself in over my head. Any feedback regarding this would be helpful.

[newFNP2015]

I'm not sure which state you are in, but I probably agree that it will depend on your level of training and self-education through CMEs etc. From what I have also read/heard, FNPs are being ushered out of the hospital to draw clearer lines between primary and acute care specialties. However, I have heard from several people that a gray area exists in rounding on patients in the hospital vs. trying to function as a hospitalist. Hospitalist would not necessarily be an FNP scope appropriate position, but I think that an FNP who works in a cardio clinic would be able to round on appropriate patients in the hospital with the right training.

This is mostly speculation from what I have read and heard so I hope that others will jump in and we can both learn more about the situation.

[chillnurse, BSN, RN, NP]

Hospital rules. More fun than clinic. It is in our scope. Otherwide I'd be unemployed. From er to icu patients on 4 pressors. We fit it covered

[ghillbert, MSN, NP]

Depends on your state of licensure. You are supposed to work in areas for which you've been appropriately trained, educated and licensed. What that means still varies a lot between states. I work in inpatient CT surgery and we have an FNP and 2 ACNPs. The FNP does have prior ICU nursing experience and is going back for a post-MSN certificate in ACNP.