Quote from traumaRUs
I'm both an adult health and peds CNS and yes I wish I had done FNP. However in my state IL, CNS is an APN which makes the nurse practice act the same.
I work in nephrology and it's a very flexible position so works well for me. I do feel that CNS ISA dying degree because an NP cn do everything a CNS does.
I did these two programs because I didn't look around enough to get it right the first time. Also I have to say that I've never functioned in the true CNS role.
Not to be argumentative, but how can you say that "an NP can do everything a CNS does" and then go on to say you've never functioned in a true CNS role? Just because you work in a state and in a position where a CNS is allowed to function as, basically, an NP, that doesn't mean that a CNS is
basically an NP. The roles were orginally entirely separate and different -- it's only since some states have started offering Rx authority to CNSs that the roles have become so blurred in some places.
I've been a child psych CNS for many years -- I've never wanted Rx authority (have worked in states where I could have pursued it and chose not to, although I prefer to just stay in the states where that's not an option -- because the CNS role hasn't been "ruined" in those states), have never
had a CNS job that could have been done by an NP, and, although times have been v. hard for CNSs in recent years, I am currently job-hunting and have noticed a recent resurgence of classic, "old school" psych CNS positions (I don't know about other specialties -- obviously, I'm only looking at my own specialty). I've never considered becoming an NP -- pushing pills isn't something that interests me. I just talked last week to the DON of a major hospital which is recruiting for a psych CNS because they're in the process of replacing all their nursing educators with CNSs in each specialty area/department. They have brought several CNSs on board already, and are so delighted with the results so far that they're v. exciting about filling the remainder of the positions.
On the other hand, now that so many schools offer combined NP/CNS educational programs, I do fear for the future of the "true" CNS. I'm not sure graduate programs like mine even exist
anymore -- which I believe is a big loss for nursing. By the time nursing and healthcare employers
realize what they've lost, we'll be extinct.