Shame on you ANCC : Psych CNS: Don't precept Psych NP's

Specialties CNS

Published

ANCC is not recognizing our 500+ clinical hours as a Psych CNS's stating that maybe we did not preform "clinical" work for those hours and instead did some other type of managerial or organizational work, therefore they will not allow us to sit for the Psych NP exams despite meeting all the requirements. Even if you had a dual program and decided to sit for the CNS vs the NP exam (because it was the thing to do at the time) and even if you had hours in more than one modality as required, ANCC will give you a hard time saying that your hours don't count. It makes no sense and this is an unfair practice by the ANCC. If we as CNS's aren't able to take the same exam as the students we are supposedly fit to precept then we shouldn't precept them at all. Don't Precept Psych NP's until the ANCC makes changes to their policies. If their practice is so different then ours then nursing programs can go find all the experienced psych NP's out there to precept instead (aka NP's with less than 3 years experience).

EXACTLY! or at least have your school try to be supportive. I can understand and appreciate that there are some things they cannot do, but they seem to bask in the idea of being unhelpful... why did I pay $160K to be turned on when I need them to speak up for me. What problems specifically have you run into?

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Specializes in Psychiatric Nursing.

I do locum tenens and some states I cannot work in. ( NY, CA,FL and a few others). So I apply only to states that are CNS friendly. There are still plenty of jobs but I thought by now there wouldnt be these barriers. I think it is up to the CNSs in each state to get their BON to accept the consensus model. It seems like in your case your school would have to verify to Ancc that your program was a psych np program. Or the same as a psych np program. it would be best to have the non-retired credential for the future.

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Specializes in Family Nurse Practitioner.
EXACTLY! or at least have your school try to be supportive. I can understand and appreciate that there are some things they cannot do, but they seem to bask in the idea of being unhelpful... why did I pay $160K to be turned on when I need them to speak up for me. What problems specifically have you run into?

You paid $160,000 to become a CNS? :uhoh3: Or even a NP, really that is outrageous.

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Specializes in Outpatient Psychiatry.

WOW. Geez. Med school at my alma mater is 25k/semester.

Three years of NP crap at the same university cost me about 12,000 bucks (and maybe another grand in books and tools). Total.

Someone got a bum deal.

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The problem is I already have the correct degree. The ANCC says I have the correct degree to take the exam and all the course requirements, and event though I was trained to be a prescribing psych CNS and all my clinical hours are in providing therapy and prescribing and have been working doing that for almost 12 years somehow my clinical hours don't count even though they were were good enough to use for the NP exam before.. they just aren't

anymore for whatever random reason that the ANCC made up

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That's what I get for going to a fancy pants school, I wish I went somewhere else.

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Twenty years ago, there was a non prescribing Psych CNS working in my area, getting paid by insurance companies to do psychotherapy. The bottom fell out, and when I got mine in 2002, it was essentially not recognized. I was a glorified RN.

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If it would be of any help. When the Consensus Model was ratified it was done knowing that many nurses were being disenfranchized and they literally did not care. The people that did not support the role as those who voted in the NP were disinvited...so yes it was stacked. Its in writing and documented but try to find that documentation--good luck. If you are a nurse and want to be a nurse you are of NO value. ANA or ANCC in this case wants people who have medical training. They don't know the difference between nursing and medicine. We've lost nursing as a profession. When a nurse is judged superior to other nurses based on medical education we have a real problem. The NPs keep protesting no we are still nurses. Well maybe but not really. It has only been recent history that some CNS have been reinstated into and advanced practice role. This has been brewing since the early 1900. Not all states approved all CNS roles.

I've been quiet for some time and it has not served me so I'm speaking out based on the facts as they are written. I was totally disenfranchized in the state where I live as in I can't practice at my level of education. I can practice as a BSN at the bedside and eventhoug I loved my patients the system is so difficult that you cannot work in it because it jepordizes your well being and postentially the patients b/c systems just look at nurses as task doers and not as people that takecare of others. We don't build cars we are not Toyota.

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Specializes in Nephrology, Cardiology, ER, ICU.
2 hours ago, the4ofus said:

If it would be of any help. When the Consensus Model was ratified it was done knowing that many nurses were being disenfranchized and they literally did not care. The people that did not support the role as those who voted in the NP were disinvited...so yes it was stacked. Its in writing and documented but try to find that documentation--good luck. If you are a nurse and want to be a nurse you are of NO value. ANA or ANCC in this case wants people who have medical training. They don't know the difference between nursing and medicine. We've lost nursing as a profession. When a nurse is judged superior to other nurses based on medical education we have a real problem. The NPs keep protesting no we are still nurses. Well maybe but not really. It has only been recent history that some CNS have been reinstated into and advanced practice role. This has been brewing since the early 1900. Not all states approved all CNS roles.

I've been quiet for some time and it has not served me so I'm speaking out based on the facts as they are written. I was totally disenfranchized in the state where I live as in I can't practice at my level of education. I can practice as a BSN at the bedside and eventhoug I loved my patients the system is so difficult that you cannot work in it because it jepordizes your well being and postentially the patients b/c systems just look at nurses as task doers and not as people that takecare of others. We don't build cars we are not Toyota.

I’m not sure what you mean by this post? As a CNS I have both nursing and medical education. The two are not exclusive to each other.

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Yes, I understand that CNS have medical and nursing education. If I am understanding you properly...my point was that CNS have only recently been re-included in the APRN role. FL only approved the CNS role in 2017 or 2018. I served on the committee that facilitatied that recognition for a short time. Only some of the Foci of CNS are approved and it depends on which state one lives and practices in and if the foci is approved by the state where one practices. For instance if one lives in Kansas the public/community health foci is recognized as APRN, In FL public/community health is NOT approved for the APRN recognition.

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Specializes in Nephrology, Cardiology, ER, ICU.

the4ofus - I see what you mean now. I am actually an adult (2006) and peds (2011) CNS - neither have an exam now. It has been very frustrating to maintain two certifications with double the CME - grrrr..

To be honest, I never would have chosen this route had NP been offered at the hospitals college of nursing when I went to school. I don't encourage anyone to become a CNS.

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Specializes in Vascular Neurology and Neurocritical Care.
On 9/25/2016 at 10:01 AM, traumaRUs said:

Fortunately I work in a state where I have same scope of practice as NP. I have no clue what a REAL CNS does as all the ones I know are APRNs.

Well then that makes two of us. Or four, I guess actually from what I've read. I've tried to wrap my mind around it, but it just won't go ??.

I've seen a CNS in an educator role but then wondered why that's any different than the MSN prepared nurse who's degree is Nursing Education but not CNS.

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