ANCC to retire most popular, and eventually all, NP roles. - page 5

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   traumaRUs
    Juan - you bring up some valuable points:

    1. I emailed ANCC about "upgrading" to a different certification but have never heard back. My guess is that they have thousands of these types of emails.

    2. Since this is a Consensus Model, I would bet my morning coffee that it will be across the board from ANCC to AACN.

    3. Student NPs should be proactive with their schools and ask LOTS of questions.

    4. Who knows what the fallout will be?
  2. by   elkpark
    Quote from 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.
    V. well said -- I feel exactly the same about my child psych specialty, which is being eliminated in favor of a "lifespan" psych certification only.
  3. by   juan de la cruz
    ACNP peeps,

    Just as we all feared was coming, the AACN does have a combined Adult-Gero ACNP exam in the works. They're calling it ACNPC-AG (oh, the letters are just killing me!). I have not found any information on when this will come out. There's no hope -we're forced into submission.
  4. by   juan de la cruz
    ...FAQ's answered by AACN re: ACNPC-AG:

    the test is being introduced February 2013. The ACNPC credential is being "retired" December 31, 2014. All ACNP students reading this should ask their program directors whether their program qualifies for this test if you foresee a graduation date on or after this time frame.

    <a name="Top"></a>Frequently Asked Questions About the APRN Consensus Model for Nurse Practitioners*
  5. by   CCRNDiva
    WOW! I must say that I am beginning to regret my career choice. I am scheduled to graduate May 2013 if I continue as a full-time student. What happens if I am not able to continue as a full-time student? What certification exam will I be eligible to complete? The most mind-boggling part for me is the fact that neither certifying body has specifically identified the content a student must have to take either exam. All they say is that the courses must be broad based and cover the entire adult spectrum. Well, we've covered the differences in assessment and pharmacology for the older adult. Does that make me eligible? Notice, also, that these new certifications have yet to be approved by the state boards, instead, they are expected to be approved! They have yet to obtain state approval but they have already determined that the current exams and certifications will be retired.

    I've spent $20,000 on just this year's tuition to find that I may or may not be eligible to take a certifying exam. What a joke! Maybe I should have pursued the PA or MD/DO route. At least they have their s*** together with a predetermined route to practice. Aaaaargh!
  6. by   juan de la cruz

    I hear you and totally understand your frustration. On the other hand, maybe there's a slight chance we're overreacting to this development. There's a good amount of ACNP programs out there that will be affected by this change and so far many continue to exist seemingly unfazed by this pending transition. I know the school I attended imposed an admissions moratorium on their ACNP, ANP, and GNP programs (the GNP program, of course, will be gone forever) but that is not the norm everywhere. I bet you all this will all of a sudden come to light by 2013 and ACNP grads would easily qualify for both the AACN and ANCC exams. It may require an additional course or a clinical added to your current curricular plan of work but hey, aren't we all asking for more clinical content anyway?

    In the end, I think it will be alright. I actually think that you guys are better off because you have a chance to get the new certification whereas we old timers have the certification that is about to be retired. Lastly, the Acute Care NP role to me, is such a satisfying field to be in and I think you didn't plan on pursuing this if you didn't have a passion for the field. Don't let the politics of nursing question your motivation. Nursing will always be this way but in the end, NP, PA, or MD, we're all going to be in it because we have patients to take care of.
  7. by   CCRNDiva
    Thank you for the encouragement, Juan, and for being my "voice of reason" :redpinkhe. I'm just very frustrated, but you are quite right. I decided to become an ACNP because I felt that it was a much better fit for me. I entered the ICU with the goal of becoming a CRNA. Only after years of critical care nursing did I realize that I love being in the ICU and, while being a CRNA would provide greater financial reward, critical care really does it for me. I like being part of the continuum of care.

    I'm also frustrated because we have not received any information or guidance about this Consensus Model situation or how it will affect our ability to obtain certification and licensure from our program director. I'm wondering if I need to drop to part-time status and let them figure out what is going on instead of continuing as a full time student and end up in limbo after graduation. You're absolutely right, I don't mind completing additional clinical hours. I had to hoped to incorporate additional clinical hours or obtain a fellowship to supplement my training anyway. I just want to know what I need to do to reach my goal. I don't like being being in professional purgatory, lol.

    Also, it frustrating to see how they are treating you and your colleagues. I think they should be able to tell you what needs to be done for you to obtain the new certification. I also resent the implication that your current level of education is inadequate. How do we know that they won't change the game again 10 yrs from now?
  8. by   hrodgers
    CCRNDiva - I can not express how much I relate word for word to what you said in that first paragraph. I too had great aspirations of becoming a CRNA, was dead set on getting my 1 year of ICU experience, and then getting into a program. It's really bizarre because in my grad school application I recently submitted for Penn, I think I used the exact words "I didn't realize how much I would love working in the ICU..." Crazy! And admittedly, looking back, I was probably highly drawn by the salary of CRNAs. But here I am, certain that the scope and practice of an ACNP (or A-G ACNP should I say ) is perfect for me!

    Anyways, we should definetly stay in touch because I'll be curious what you end up deciding regarding staying full time or slowing down to part time. I am hoping to start the program this summer, and finish in 2014. I've actually thought about prolonging it to 3 years just so that everything will have been decided for certain by the time I graduate and am ready to sit for the boards. (But yikes, 3 years, really?) I feel like in 2014 the 'old' ACNP exam may still be around and if Penns program doesn't adjust to the new guidelines...I also have no idea where that will leave me! I've emailed the program director asking about this, haven't heard back yet.

    Ahhh professional purgatory....
  9. by   juan de la cruz
    Quote from CCRNDiva
    Also, it frustrating to see how they are treating you and your colleagues. I think they should be able to tell you what needs to be done for you to obtain the new certification. I also resent the implication that your current level of education is inadequate. How do we know that they won't change the game again 10 yrs from now?
    I think the nurse practitioner profession is still evolving. To me, it is a role in transition caught between a strong desire for respect as a true provider of traditional medical therapy yet struggling to form an identity separate from the field of medicine. Our powers that be seem to be more focused on the latter. Our leaders have their priorities wrong. They realize the need to produce a competent practitioner but seem to be going about it in ways that are counter-productive to real-world expectations. But we're here and in many places, are respected as legitimate members of the healthcare team and I think that's what counts. Our leaders should be thankful to the many NP's on the field who have shaped public and peer opinions of our competence.

    As far as ANCC goes, this is not the first time they did something to screw us NP's and students. In 2003, ANCC stopped offering the ACNP certification exam for 6 months beginning in September 2003. The test was getting an overhaul and was not to be offered until March 2004. My ACNP program had rolling admissions and we have graduates coming out at each semester's end. Naturally, the August and December grads (like myself) were very upset. Granted we only had 4-5 students graduate each semester at a time but talk about not being able to take your boards til March next year! Our PA counterparts were taking their boards within weeks of graduation. Students with jobs lined up were up in arms. But ANCC didn't care and went along with their plan to suspend the exam. We are at their mercy unfortunately.
  10. by   CCRNDiva
    Juan, that must have been very frustrating. I agree with your statement entirely. I've said it before and I'll say it again: sometimes I feel "the powers that be" act like a bunch of 2 yr olds kicking and screaming in the middle of the room, "Look at me, I'm a profession!!" We get it. I wish they would stop trying to invent problems when there are valid issues regarding nursing education that should be addressed. How about standardizing nursing education (instead of offering vague statements and requirements) and streamlining certification (like one certifying body for advanced practice nurses) I fear that many of us will be caught in this crossfire and who knows when it will be ironed out.

    I'm going to email my program director tomorrow. I suspect that they are just as much in the dark as the rest of us, since they have neglected to address this issue with us thus far. I will keep you all posted.
  11. by   mona b RN
    It amazes me that many of the posts indicate a "just deal with it' attitude. No wonder the credentialing boards and those involved in the consensus model make changes so easily. It's a crying really is.
  12. by   juan de la cruz
    Quote from mona b RN
    It amazes me that many of the posts indicate a "just deal with it' attitude. No wonder the credentialing boards and those involved in the consensus model make changes so easily. It's a crying really is.
    What are you proposing NP's should do?

    Speaking for myself, I've been in nursing for 20 years and the politics in the nursing profession is not really any different from the other healthcare professions. I would say though that our profession is more fragmented in more ways than one compared to the other healthcare fields. The infighting never ends.

    As a practicing nurse practitioner for 8 years, my concern is to keep my job by maintaining my NP credentials and remaining up to date in my knowledge and skills. AACN or ANCC are necessary evils for me as an ACNP. My state does not require national certification but the Medical Affairs Board at my institution require all nurse practitioners to carry active national certification in our respective NP fields.

    At the end of the day, if I can keep the certification worries at bay, I am a happy nurse practitioner in my little corner of critical care.
    Last edit by juan de la cruz on Mar 28, '12
  13. by   CCRNDiva
    **Just to give you guys an update**

    I spoke with my program director and she said that they have revamped their program to include the appropriate gerontology content so we should be able to sit for the new exam. I don't know how the certifying bodies will know this as none of the class titles have changed, though. She said they are in the process of renaming the program to reflect the content changes.

    Nevertheless, I've decided to drop to part-time in the summer so I will end up graduating in 2014. One of my classes for this semester was cancelled so I would have had pick it up next spring, making my last semester a complete hell if I would have stayed on as full time.