Adult nurse practitioner

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    hello alll! just joined! i really need help! i was just accepted into an acnp program, i have one year critical care and one year tele experience as an rn. I love critical care but i have realized how important primary care is in preventing almost everything i treat today! I see myself in the the clinic type setting but I do not EVER want to care for peds. i am not interested at all and really disliked that portion of school. I am a little afraid of job choices for the ANP. I believe that this would be the better route for me vs. acnp because of the setting I see myself in in the future. I enjoy taking care of the adult and older adult population. I would finish by 2014 so in that time I would also have a significant amount of intensive care experience. my question is that you think i willl have a good amount of job choices as the anp? can some anps tell me about their salary and job? thank you so much !
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  3. 11 Comments so far...

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    I am also a critical care nurse and I will be starting a FNP program next month.
    Although I am not already a NP, I have talked to numerous people before I chose a specialty, and based on what I have heard, I would recommend that you either stick with ACNP or do FNP.

    ANP limits you a whole lot. You can't work in an acute care setting and you can't see children. Although you aren't interested in PEDs, you don't want to start your career off limiting your job opportunities. FNP is a lot more marketable than ANP. You could still obtain a position somewhere that is primarily focussed on adults with FNP. Plus if you needed to take a job say at like a take care clinic at walgreens or something where you are seeing all ages, just to get your foot in the door and get some experience, you can.

    Believe me, PEDs isn't my cup of tea either. I personally would love to use my CV experience and work in a cardiology clinic. I know there are ANP programs out there that will allow me to specialize in cardiology, however i have decided not to specialize right off the bat for the reasons I stated above, marketability.

    Whatever you decide i would suggest you look for ANP jobs in your area to see if there is a demand. This is just my two cents but I'm sure some NPs on here will give you advice as well.

    Congrats on your acceptance and good luck!
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    Thanks so much for ur reply. I reallly don't want to take care of kids though even to start out although I see what ur saying. I also heard most acnps work in the icu and I reallly don't think I wanna be in thehospital all the time ya know? Anps are really very limitedu hear? What about the docs office or chf or coumadin clinics I really thought I could do anp.......ur post was helpful but if u know any anps or if theirare any that r reading this can pls post with ur thoughts?the acnp program is very focused inthe intensive care setting and compared to fnp and anp the jobs were slim when I searched..........
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    Are you able to relocate? If not, I think I would contact your state's APN organization and see what they think the future of APNs is in your area as to marketability.

    Then, go with that.
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    I am an ANP. I would recommend doing ANP or FNP, as the ACNP probably limits you the most. With the ACNP, you can only practice in the inpatient setting. With the FNP or ANP, you can do both inpt and outpt. Obviously, with the ANP you are limited by the fact that you can only see pt's aged 13+. I chose this route due to simple convenience of the NP program I went to. Even though I have NO desire to EVER treat peds, the FNP is great to have because you can, even if you don't want to, ya know?
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    Thank you so much for your response! If you wouldn't mind me asking what kind of facility to do work in, hows the salary, and how easy was it to find a job after school?
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    I just wanted to add my 2 cents. I am an FNP who ALWAYS worked adult CCU, ER or ICU. DREADED the thought of working with kids even though I love my own. I work in a family practice office now and I might see 2-3 kids per week, almost all > 10 years old. They are so fun and it is SUCH a nice break from the chronic diseasers with htn, dm2,COPD and CHF! Refreshing to see "no daily meds"! A classmate of mine is working in Internal Medicine and they see zero kids.
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    Thanks for the input Im am definitely thinking now either the anp or fnp versus the acnp. You all have been such a huge help!
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    Quote from icurn5909
    Thanks for the input Im am definitely thinking now either the anp or fnp versus the acnp. You all have been such a huge help!
    Forgot the other part of the question: jobs = had three job offers before I graduated and I would say 65% of my classmates were in a similar situation. All of them had jobs within three months of certification. Salary varies, but average I would say is about 42-46.00 an hour.
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    I work in a level one trauma center with the hospital medicine team. My salary is good for my area. Probably the hardest part about accepting my salary was that I was forced pretty much to take new grad pay even though I'd worked at this facility for like 6 years. Stupid new grad technicality! I plan on renegotiating once I'm past my one year requirement, and have been collecting a lot of data to prove I should get more $$!

    My situation isn't usual - the team I hired on with wanted me and I wanted to work with them, and somehow they got the position created right after I graduated. It really depends on your area and who you know who's looking for a NP. The FNP will open more doors than the ANP will simply because of the broader scope. My job is adult inpts only, so no need for a FNP. However, many job postings were looking for FNP, not ANP - I applied anyway! If the FNP is available and convenient, that's what I'd pick. Otherwise, the ANP is a good second.


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