Acute Care NP - page 2

by MBARN

Can anyone tell me if there will be good job prospects for Acute Care NP's in the next 5 to 10 years? Also can anybody give me their experience as an Acute Care NP, do you like it, work environment, autonomy, school, any info... Read More


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    If you're interested in Pittsburgh, U Pitt has a good ACNP program and lots of jobs at local hospitals for NPs.
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    U Pitt sounds good too, I visited Pittsburgh a few years ago and had an awesome time there! ghillbert - did you get an ACNP degree from there or how is your opinion of the program based?

    Lately, I have been really leaning towards UPENN's program and I'm wondering if there is anyone out there that can comment on it? The good/bad/ugly/anything! Also, how much $ am I looking at for the ACNP program? THANKS!
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    PM me if you want more info.

    I know people who did ACNP at Penn and they loved it there too. I think it's more $$ than Pitt. The tuition rates are probably on the websites.
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    : ) : )
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    So it's been awhile since I last commented on this thread, but I am still curious on a few things. I recently submitted my application to U Penn's ACNP program and am super excited, hopefully I'll hear for an interview soon! It's really and truly an ideal job description for me, but when I think about getting a job after graduation though, I continue to be a little nervous....Is it true that they are starting to tighten the laws and scope of practice for ACNPs and regular Adult/Family NPs? So that if you have an Acute Care degree, you can only work within ICUs or ERs and if you have the Adult/Family you can not? I'm just worried that if I can not find a job in an ICU and would like to branch out and work with a Cardiology team perhaps, that I would not be allowed because I would not be using all of my Acute Care skills and thus would not be fulfilling the requirements to maintain the license? Does this make any sense? The idea of investing so much time and money in an education and degree that will not produce a job afterwards is simply terrifying! As I've mentioned before, I would like to stay working in the VA system but would be willing to leave temporarily to gain some experience as an NP if that's what is offered... Just curious on this! Any and all ACNP's please comment and let me know the latest that you've heard regarding this situation... Thank you!
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    Quote from hollyw22
    So it's been awhile since I last commented on this thread, but I am still curious on a few things. I recently submitted my application to U Penn's ACNP program and am super excited, hopefully I'll hear for an interview soon!
    Good luck! that's obviously a well-respected program. Do know that the Hosp of UPenn have many ACNP's on staff.

    Quote from hollyw22
    It's really and truly an ideal job description for me, but when I think about getting a job after graduation though, I continue to be a little nervous....Is it true that they are starting to tighten the laws and scope of practice for ACNPs and regular Adult/Family NPs? So that if you have an Acute Care degree, you can only work within ICUs or ERs and if you have the Adult/Family you can not?
    ACNP training does not limit one to working only in ICU's and ER's. The program prepares you to provide chronic care as well as acute and critical care on the entire spectrum of adult health. You will be expected to be competent in the clinical care of patients with health problems affecting all body systems in a wide variety of settings including out-patient, ER, hospital wards, and ICU. Your clinical rotations will cover all those settings. Your only limitation with ACNP are strict primary care NP roles and peds.

    Quote from hollyw22
    I'm just worried that if I can not find a job in an ICU and would like to branch out and work with a Cardiology team perhaps, that I would not be allowed because I would not be using all of my Acute Care skills and thus would not be fulfilling the requirements to maintain the license? Does this make any sense?
    You do not need to work in an ICU as an ACNP. For example, the field of Cardiology covers a wide spectrum of the health-illness continuum that goes from out-patient care to the full-blown decompensated patient with multiple drips in the CCU. It is absolutely acceptable for ACNP's to work in this specialty field, in fact, Cardiology is one area of specialization where many ACNP's work.

    Quote from hollyw22
    The idea of investing so much time and money in an education and degree that will not produce a job afterwards is simply terrifying! As I've mentioned before, I would like to stay working in the VA system but would be willing to leave temporarily to gain some experience as an NP if that's what is offered... Just curious on this! Any and all ACNP's please comment and let me know the latest that you've heard regarding this situation...
    You'll have to keep an eye and an ear out for what fields your metro area hires NP's. I've never had problems getting hired as an ACNP in the cities I've lived in.
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    Thanks Juan - you are always so reassuring! I'm sure I'll have plenty of opportunity to due clinicals at HUP while I'm in school that may/potentially/hopefully lead to a job opporutnity after graduation. I don't work there but have heard great things about the hospital. I know finding an ACNP position is a lifetime away, first things first GET ACCEPTED, right?! I just always like to have a plan set out and it's difficult to forsee the possibilities 2-3 years away. And thank you for clarifying the scope of practice thing...I just hear different things from different people about the NP boards trying to 'tighten' the scope for ACNP and FNP/ANP to give them more distinct separation, because I guess for so long there has been a bit of overlap. Anyways, thanks again and I'm sure this won't be the last time we speak! Take care! (P.S. where do you work right now?)
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    I am employed by the the medical center within the campus of the state university in San Francisco, CA (I think that's obvious enough without stating the medical center's actual name!).
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    Hi Juan, (or any ACNP who has an opinion) I currently work at your academic medical center in San Francisco, CA on a med/surg General/Specialty Surgical Unit and I'm planning to apply to the university's Adult Acute Care NP program. Have you seen ACNP grads get jobs in the ICU or ED although they have little to no critical care experience? I know one NP who works and follows pulmonary pt's in med/surg and ICU, even though she never had bedside experience in the ICU. I only have 1 yr of experience in the ICU when I was in NY, and now work on a med-surg floor since I relocated to SF and couldn't find a ICU position at SF's academic medical center. I am sad I may have lost my critical care experience since working on the med-surg floor for a year. But I'm still hoping to start the ACNP program before life gets too busy (e.g. having kids). Do you recommend waiting to apply to the acute care NP program, or just start the ACNP position right away hoping for an ICU opportunity to come up again?
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    Quote from kimposbl
    Hi Juan, (or any ACNP who has an opinion) I currently work at your academic medical center in San Francisco, CA on a med/surg General/Specialty Surgical Unit and I'm planning to apply to the university's Adult Acute Care NP program. Have you seen ACNP grads get jobs in the ICU or ED although they have little to no critical care experience? I know one NP who works and follows pulmonary pt's in med/surg and ICU, even though she never had bedside experience in the ICU. I only have 1 yr of experience in the ICU when I was in NY, and now work on a med-surg floor since I relocated to SF and couldn't find a ICU position at SF's academic medical center. I am sad I may have lost my critical care experience since working on the med-surg floor for a year. But I'm still hoping to start the ACNP program before life gets too busy (e.g. having kids). Do you recommend waiting to apply to the acute care NP program, or just start the ACNP position right away hoping for an ICU opportunity to come up again?
    Like I've said before, ICU or ED experience is not a requirement for admission to most ACNP programs. However, if you are interested in a purely ICU position as an NP, your best chance of getting that is to have good ICU RN experience at the bedside. I won't say it's not possible for someone without good critical care experience to get hired but in order to be competitive in the field, one must have the experience to be placed on top of the candidate pool. With that said, there are many other fields aside from ICU that ACNP grads without critical care experience can easily qualify for.


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