ANCC to retire most popular, and eventually all, NP roles. - page 4

I just received an official notice from ANCC that my credential will be “retired.” My credential is “Adult Nurse Practitioner,” but other credentials on the chopping block are ACNP, Adult and Child... Read More

  1. by   core0
    I think that people are missing a valid point from ANCC. The reason that the GNP is going away is that another organization is/was offering certification without completing a separate GNP program. Once this happened a number of states dropped the certification as an NP certification due to requirements that NPs demonstrate separate coursework in a specific certification. This left ANCC in a rather untenable position. Since they had a seperate GNP certification (and defined GNP as a domain seperate from ANP) they couldn't say well GNP has been included in adults all along. This led them to fold the domain and the certification into the other certifications. Once they did this they were back in the same situation. If they grandfathered in NPs that didn't have the certification then they risked states not recognizing the certification for the same reasons the GNP stopped being recognized. So they ended up with the current system. Its functionally due to the nursing having multiple competing certification bodies.
  2. by   juan de la cruz
    Quote from core0
    i think that people are missing a valid point from ancc. the reason that the gnp is going away is that another organization is/was offering certification without completing a separate gnp program. once this happened a number of states dropped the certification as an np certification due to requirements that nps demonstrate separate coursework in a specific certification. this left ancc in a rather untenable position. since they had a seperate gnp certification (and defined gnp as a domain seperate from anp) they couldn't say well gnp has been included in adults all along. this led them to fold the domain and the certification into the other certifications. once they did this they were back in the same situation. if they grandfathered in nps that didn't have the certification then they risked states not recognizing the certification for the same reasons the gnp stopped being recognized. so they ended up with the current system. its functionally due to the nursing having multiple competing certification bodies.
    i understand that. but it was ancc itself that had a special gnp certification for fnp's, adult np's, and adult acnp's to gain gnp certification without having to go back to school for a gnp program. the requirements, if i remember them right, were submitting proof of having worked a number of hours as an advanced practice nurse with older adults and completing ceu's in gerontology approved by ancc (see link a and b below). with this current announcement, there's not even a clear guideline stating what would constitute eligibility for acagnp or agnp certification nor instructions on how currently certified anp's and acnp's can transition to the new certification.

    it's a given that most ancc certified apn's will renew in a timely fashion even if this change wasn't going to happen. but at the end of the day, who wants to carry a retired credential? it's very irresponsible on np leaders' part (both ancc and nonpf) to not come up with guidelines on the new acagnp curriculum leaving schools with acnp programs in the dark. incidentally, nonpf has guidelines on the new agnp curriculum but not acagnp and yet 2013 is around the corner and a student who starts school for acnp in the fall would expect to graduate around 2013 (see link c below).

    and just as a side note, aanp also offer separate anp, gnp, and fnp exams (no acnp though). i do believe that though others here have mentioned taking their certification to aanp instead of ancc, such a move is not as sound as you may think because pretty soon aanp will also get on this bandwagon. after all, they were one of the organizations that signed in to the consensus model together with ancc. i also foresee aacn changing their acnpc certification to conform with the credentials offered in these other certification boards.

    a. GNP or FNP?
    Last edit by juan de la cruz on Dec 13, '11
  3. by   juan de la cruz
    Oh and another thing. I know I sound like I'm just looking out for my ACNP peeps but if you look at ANCC's current certification offerings, the Exam Handook for PNP, ANP, FNP, and GNP all state in the heading that "This is a primary care certification". Truly, ANCC never had an acute care gerontology certification. All along, it seems implied that Adult ACNP's could care for patients who are acutely ill adults to older adults because we never had a separate older adult acute care exam. So now we are supposed to come up with a combined acute care adult and gerontology competency exam?
  4. by   NPmimzy75
    I think someone hinted at this in their post, but why not just alter the test to include more geriatric questions, thus proving our competency. I know my program included geriatric material, does this mean I may be eligible for the new exam? It sounds like the requirements are not even laid out yet, so how are schools adjusting to be ready?
    I think I have PTSD from taking my ACNP boards just weeks ago and I don't EVER want to do that again! Nor can I afford to go back to school...probably ever by the time I get my loans paid off!
    I also can't believe that I graduated in August and did not hear anything about this during school.
  5. by   SC ANP
    This really makes me crazy.

    I am graduating in 2012, from a program that is an A/GNP program. But if the certification exam for A/GNP is not offered until 2013, where does that leave me? Do I wait a year to certify and practice? Or do I certify as a GNP? ANP? both? And then hope to keep my certifications current?

    My original plan was to take the GNP from ANCC and the ANP from AANP. I took extra clinical hours to make sure I was qualified to sit for both exams. So...

    Now what?
  6. by   RPF,PhD,NP
    I had not heard that GNPs were no longer recognized as a valid certification by a state board. In truth, the branches of certifications were getting out of control, we had geriatric and diabetic nurse practitioners. At best, these should have been specializations on top of the primary care NP role rather than a stand alone certification. I would agree, ANCC did create an untenable situation for itself. Unfortunately, this organization has not learned from its past mistakes and moves forward with ill-contrived decisions such as "retiring" the ANP and ACNP credential. I'm never said GNP were always ANPs, I did propose that ANPs (and ACNPs) have always cared for geriatric patients.

    If the problems lies with the GNP in certain states, that should be addressed. I'm sure someone, somewhere, had a heads up on this issue.
  7. by   moonischasingme1
    My concern is that I just started my program for Adult nurse practitioner and will be graduating in December 2013. As of now, I am not yet in the main courses (for example, I'm still taking theory, pharm, patho, etc., not yet clinicals), and I don't see them adding in any new curriculum. For those graduating in 2013--will our programs that did not change yet allow us to sit for the new certification?? I feel stuck--in the middle of it all!
  8. by   MelanieAPN
    Oh my goodness....I plan to continue to certify my credential every year and not let it expire. Sometimes, the path of least resistance is the best. Yes, I am an Adult Nurse Practitioner working with Adult patients only in the Intensive Care Unit. My peers are Internal Medicine MD's and they think the whole NP renaming/retiring thing is just plain crazy. The most important part is that I am a credentialed member of the medical staff where I practice and that I am able to bill MediCare/Medicaid and private insurance for my services.
  9. by   CCRNDiva
    I'm glad that it is that simple for you, Melanie. It is not that simple for many of us. I am scheduled to graduate in May of 2013 and I don't know if I will be able to certify for either. I don't know if the current certification will still be available by the time I take the exam and I don't know if my program meets the new guidelines for certification.

    Also, who in the world wants to carry a retired certification when it has been deemed inferior and the new certification is being touted as the gold standard? And as I've stated before, life happens. Any of us could find ourselves out of the job market for an extended period of time, potentially leaving someone unable to re-certify without returning to school.
    Last edit by CCRNDiva on Jan 10, '12
  10. by   PMFB-RN
    With confusing and fruesterating things like this, and usless things like the DNP, why would anyone go to NP school? I won't. Forget it, for less time and money and with far fewer regulatory on overhead concernes I will go to PA school for about the same money as NPs make.
  11. by   Maggi94
    I'm annoyed too, but for a different reason. You see, I am a GNP. I went through a 30 credit master's program that prepared me to provide care to older adults- a poplulation that by everyone's admission is going to be skyrocketing in the next decades. I did it because frankly, it's always the kind of nursing I wanted to do. And quite honestly, I think that a lot of nurses, NPs included, don't see it that way and would much rather work with younger adults. That's OK- it isn't for everyone.

    I'm insulted by folks who think that a semester of content, or a few classes in an FNP/ANP program, prepares them at the same level. I'm sorry, no disrespect to anyone. It is certainly a that is going to be desperately needed. We have way too few geriatric NPs and geriatricians to meet the demand- and that's now, not in 20 years. I welcome more people who are "geri" savvy and certified. I just hope that if folks are going to call themselves geriatric NP's, they have the training to back it up.
  12. by   hrodgers
    Hi everyone - yikes, so I'm really confused now. I am hoping to begin an ACNP program this summer, part-time, should graduate in 2014 (a crazy time period from what I've just read)! So how can/will all of this potentially effect me? Should I not certify with ANCC when it comes time? I will have 2 options - ANCC and AACN, correct? Starting in 2014, will all ACNP programs automatically be forced to change to A/G ACNP? Or is this a friendly suggested option from ANCC? This seems like a lot of nonsense. How do you 'retire' the ACNP degree? I don't understand....
  13. by   juan de la cruz

    This is really a poorly executed move on ANCC's part but a change none of us can do much of anything to reverse. The first thing I would do if I were you is to speak to your program director and ask what changes your school is doing to update the current ACNP curriculum to meet ANCC's future A/G ACNP certification. Chances are you'll be given an answer of "we don't know yet". Program directors from the hundreds of Adult Acute Care NP programs across the US are now scratching their heads because all along they thought their respective ACNP programs prepared clinicians who are competent to care for the geriatric population...go figure. Joking aside, this is a real concern.

    ANCC has not given exact details of what qualifies graduates of specific programs to achieve eligibility for the new A/G ACNP board certification in 2013. Also, it isn't clear if the ACNP and A/G ACNP are going to co-exist as two different exams until the absolute phase out of the ACNP in 2014 happens. At the same time, ACNP-certified APN's like myself are in the dark in terms of being made aware of details on how we could "upgrade" our ACNP certification to A/G ACNP. ANCC have been remiss in making sure this transition is seamless, something I am not particularly surprised about knowing how the political motivations of national nursing groups appear to hinder our progress rather than enhance it. I can only say that it is somewhat reassuring that the acute care nurse practitioner roles are not going away...just being renamed if you will.

    AACN certification remains as another option for ACNP. However, some states do not accept their credentials and who's to say that AACN is not thinking of pulling the same stunt in 2015?
    Last edit by juan de la cruz on Feb 21, '12