Ok, so I'm soon an FNP... what about a DNP in acute care?

  1. 0
    Now that I'm wrapping up my final semester as a FNP student, I'm realiy wanting to work in the ER/ICU.

    What are my options?

    I've looked into Acute Care DNP. Is that a good direction to go in a few years?

    I just resigned from my ICU job this week. Will this affect my ability to enter any prorgrams?
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  4. 0
    Hey congratulations on your upcoming graduation.

    As to further education - what do the ERs/ICUs hire in your area? That seems to be the key to these jobs.
  5. 0
    This a great question that I myself have been wondering...I'm starting an RN-BSN program in Jan, and and planning my career after that.

    My question to you is, why do you want to continue on the ACNP? Is that what most ER NP's have in your area? Where I live, the FNP is desired because many of the ER midlevels work in the Fast Track area and need to see all ages. Even the trauma NP's here are mainly FNP's (that I've seen) because they medically manage patients more that performing invasive procedures. I have seen postings for ACNP's at hospitals also but these are primarily for the surgical services.

    Also, - to the OP - why not a Post Masters Certificate instead of the DNP? How was your FNP program? Do you feel ready to work? Any advice would be greatly appreciated!

    CrazyPremed
  6. 0
    Quote from traumaRUs
    Hey congratulations on your upcoming graduation.

    As to further education - what do the ERs/ICUs hire in your area? That seems to be the key to these jobs.
    The ERs are still hesitant in my area to hire NPs. One local hospital has a PA that works the afternoon shift. The ICUs, however, are present in many of the larger hospitals in town.

    I'm looking at a post-master's certificate in ACNP but I don't want to wait too long before applying for this. Going for the DNP just made me wonder if I would be "more" qualified for these jobs later one.

    I'm so confused as to what to do!
  7. 0
    I have wondered the same thing. I will have a MSN with a FNP. However, if the DNP does truly take off and people buy into it, then I wonder if other stake holders like Medicare will require the DNP for billing. I imagine that there will be grandfather effects taken for certain aspects, but I wonder about the DNP in acute care also.
  8. 1
    I don't know...I've looked at the class requirements for a few DNP programs and they seem so heavily research and theory based I can't imagine that a degree would result in more clinical competency and peer (i.e. MD, PA, etc.) respect. I would consider a post-masters certification in Acute before I did a DNP. The new L.A.C.E. model allows for a residency in your specialty, but I've heard any updates on that recently.
    CrazyPremed likes this.
  9. 0
    Quote from yellow finch
    I'm looking at a post-master's certificate in ACNP but I don't want to wait too long before applying for this. Going for the DNP just made me wonder if I would be "more" qualified for these jobs later on.
    I personally don't think it will make a difference whether you have a DNP or not. A post-master's ACNP certificate program will allow you to be eligible for ACNP certification already and that in itself makes you more marketable as a dual FNP-ACNP nurse practitioner. And again, it's already been discussed previously that all NP's prepared at the master's degree level are going to be grandfathered if the DNP becomes mandatory.

    Your original question was asking about Acute Care DNP programs. You'll have to go through all the schools listed in the AACN DNP program list and find out which institutions listed offer an ACNP track (http://www.aacn.nche.edu/dnp/DNPProgramList.htm). The schools in the list that offer an ACNP program may allow you to complete a post-master's certificate leading to ACNP. Depending on the program requirements, you may get credit for FNP courses you've taken since adults are already covered in your Advanced Patho, Pharm, and Health Assessment courses. You may end up just needing the 3 semesters of acute care didactics and clinical rotations but I'm not positive on this. After you've finished the ACNP component and sat for the ACNP boards, the next step would be to continue on to the DNP courses leading towards your practice doctorate degree.

    But as you may already notice, you really do not need to attend the same school for your post-master's ACNP and DNP programs.
  10. 1
    Quote from CrazyPremed
    This a great question that I myself have been wondering...I'm starting an RN-BSN program in Jan, and and planning my career after that.

    My question to you is, why do you want to continue on the ACNP? Is that what most ER NP's have in your area? Where I live, the FNP is desired because many of the ER midlevels work in the Fast Track area and need to see all ages. Even the trauma NP's here are mainly FNP's (that I've seen) because they medically manage patients more that performing invasive procedures. I have seen postings for ACNP's at hospitals also but these are primarily for the surgical services.

    Also, - to the OP - why not a Post Masters Certificate instead of the DNP? How was your FNP program? Do you feel ready to work? Any advice would be greatly appreciated!

    CrazyPremed
    Now that I'm completing my program, there is little opportunity to round through the hospital as the FNP program I'm in forces me to complete hours primarily within a Family Practice/Internal Medicine office. I've also discovered that the office bores me to no end and I can't see myself working in one.

    So far, I know of a couple of hospitals that hire mid-levels in the ER but they are mainly PAs. *sigh* Time to change that.

    As for my FNP program, yes, I feel (on the whole) ready to practice. I've also put out the word to a specific group that I'm available to round, as a RN, with the MDs in order to learn the job better. It may not be my first choice for employment in the ned, but it will be excellent experience.

    Any further questions? I'm happy to answer them!
    CrazyPremed likes this.
  11. 0
    And thanks to everyone who responded. I suppose it's hard to find a good medium and "level of respect" amongst MDs with the graduate level of education and a doctoral degree.

    My issue... suppose I'll keep thinking about it and make a decision later on.
  12. 0
    It is important to not only figure out if a DNP will meet your needs, but also if you can find a program with the right classwork.

    I'd say if you want advanced clinical training, then the DNP may not meet your needs....as the focus seems to be on management, theory, and some other loosely related topics. I haven't seen much of a research focus, which is a shame....but I guess that would put it closer to what a Ph.D. in Nursing would be expected to complete.

    carachel2, I'm curious what DNP you found that is more research oriented...as I've seen most don't really get into the research aspect of things.


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