Quote from christvs
I am certified as an Adult Acute Care NP. I currently work in a hospital, but am thinking about changing my job. I am curious about ACNPs who work in clinic settings. Wouldn't a clinic setting be considered more primary care vs. acute care? Say for example, I wanted to work in a Cardiology Clinic...would that be considered primary care or acute care? I guess I am trying to figure out where I belong. I enjoy acute care, but maybe I should go back and get a post-Master's certificate in adult primary care as well.
This is from ANCC's certification:
"The Acute Care Nurse Practitioner (ACNP) is a registered nurse prepared in a graduate level acute care nurse
practitioner program to provide and manage health care of acutely ill, critically or chronically ill adult patients
in a wide range of settings."
From a physician point cardiology is not primary care. I have a hard time seeing how it would be from a nursing standpoint. Does primary care take care of cardiology issues? Yes. But its in the setting of primary care and preventative health care. Cardiology also does preventive health care but in the realm of chronically or acutely ill cardiology patients.
If you listen to Tracy Klein speak she roughly delineates the range like this:
FNP = Primary care in all age groups in an outpatient setting, nursing home, urgent care.
ANP: Primary care for adults in an outpatient setting. Specialty medical care in an outpatient or inpatient setting (if you can demonstrate clinical and didactic experience in inpatient medicine). No critical care. Nursing home. urgent care
ACNP: Specialty medical care for adults in outpatient, inpatient and critical care settings. Emergency medicine. urgent care.
So the only real overlap for all three per the various certifications is urgent care. We are looking at hiring additional NPs and PAs in our group. The word from hospital credentialling is that to see the patient in all three environments (clinic, floor and ICU) we should only look at ACNPs. If you want to do adult primary care then an ANP would benefit you (although a FNP would probably benefit you more). If you want to work in specialty medicine then you have the appropriate degree (at least in my non nursing opinion).
David Carpenter, PA-C