A fnp as a hospitalist?

sauce · Nov 19, 2014

I do a night shift 7 7 gig it's pretty intense. It's fun though and you get to learn a lot. Been doing it a year or so. Legally it is not out of our scope.

ashonman · Nov 20, 2014

Sauce what state do you practice in?

sauce · Nov 21, 2014

Kentucky

harmonizer · Nov 26, 2014

The scope of practice really depends on what is said by BON or the related regulating board in each states. This is the similar issue as FNP working in psych. I would contact or read the scope of practice defined by you state board. I know that Texas is very strict regarding this. According to BON in texas, "advanced practice registered nurses must practice within the role and population focus appropriate to their educational preparation." However, in most and many states, the scope of practice is loosely regulated so it is "legally" acceptable to practice out of education preparation.

WKShadowNP, DNP, APRN · Nov 19, 2016

I am grateful this thread still exists. I really had little interest in the role because my focus was elsewhere, the typical schedule was unappealing, and I doubted an FNP would be considered for it. I'm poring over the many threads related to Hospitalist NPs and the more I read more questions arise.

Maybe I'm just experiencing the aftereffects of finally being licensed and getting interviewed and job ffers. Namely, the emotion is what did I get myself into? It's anot excited apprehension, kind of thinking, "now what?"

I don't remember feeling this as a new nurse, but memory fades. I'm sure I did.

I plan to translate this healthy anxiety into reinforcing what I've learned and ensuring I have resources to do which ever role I take on.

I think I'll update to a more recent version of 5 minute clinical. What others would you recommend for a Hospitalist role, especially with the expectations of doing mostly ED admits?

JellyDonut · Nov 20, 2016

Every time someone brings up the issue of an FNP working in the hospital there is this cry of consensus model. Well, the consensus model was suppose to be effective in every state by now and it has not happened and does not appear to be happening anytime soon. Plus, there are not enough acute trained NPs to fill all the open positions in every state. Maybe down the road there will be a day when IP positions are filled by mostly acute care trained NPs but that day is a good way off.

I personally would prefer to see a blended program provided to all NP students that is based on clinical skills and providing training for inpatient and outpatient with the option of selecting a subspecialty (OB, Cards, Derm etc). Therefore upon completion you could work anywhere with some specialty training in a particular area of interest.

chiromed0 · Nov 23, 2016

Hmmm...most of the time I saw the hospitalist NP just rounding for the doc's and a physician does the initial intake. The orders are probably a pre-defined order set. I'm not so sure I'd be run off...ask them and another mid-level. The out of scope thing might be a state issue and is worth checking. I almost worked in the hospital as a specialty ortho NP, I'm FNP, so it might depend on the state practice act. It would be good experience. Being an ICU nurse you KNOW what the nurses want and when, that makes you more valuable IMHO. Do you have to run the codes?

WKShadowNP, DNP, APRN · Nov 23, 2016

I would overnight be expected to respond to codes. Depending on location during the day it depends who is where.

JellyDonut · Nov 26, 2016

My first ICU job we had NPs running the 48 bed ICU. They rounded on all the patients assigned to the intensivist, placed all the lines and intubated as needed. Also, any codes in the facility they responded to and ran the codes. The MD would round with them at some point during the day shift but they were all solo at night. If needed, they could page the Intensivist or get advice from one of the ED physicians. The whole system ran very smoothly.