Emergency NP Fellowship

  1. 0
    Hello to AllNurses,

    I am starting an Emergency Nurse Practitioner Fellowship.
    I will be the FIRST (and only) in the starting class.
    I am putting the word our to all of you experienced NPs who have spent time in the ED.

    What would you include in a fellowship/residency
    What concepts would you put in the forefront?
    What skills would you focus on?

    I'm looking forward to hearing what everyone has to say!
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  3. 8 Comments so far...

  4. 0
    How many of the readers work in the ED?
    Do any of you work the higher acuity cases?
    What about skills? Chest Tubes, Central Lines, RSI?
  5. 0
    I'm finishing up an Emergency Nurse Practitioner Program and here are some of the things beyond the FNP foundation that we did:

    ROTATIONS (some only for a few days, others for as many as 200 hrs)
    High and low acuity pods of ED as well as trauma
    Women's urgent care clinic
    Trauma surgery
    Orthopedic clinic and surgery
    Radiology
    Toxicology
    Opthalmology
    Anesthesiology
    In-patient psych
    EMS

    SKILLS
    Advanced suturing
    Advanced airway
    Chest tube/needle decompression
    EFAST ultrasonography
    Central line placement
    LP
    Nail and foreign body removal
    Splinting and casting
    Joint injections

    CERTIFICATIONS
    ACLS and PALS
    Wilderness life support
    Advanced disaster life support
    NIH stroke scale certification
    Blast injury certification
    Advanced trauma life support

    Apparently the ENA is coming up with specific criteria to license NPs in the ER. I've heard that will come out in about 9 months (we'll see if that happens).

    Hope this helps!

    Quote from SkiBumNP
    Hello to AllNurses,

    I am starting an Emergency Nurse Practitioner Fellowship.
    I will be the FIRST (and only) in the starting class.
    I am putting the word our to all of you experienced NPs who have spent time in the ED.

    What would you include in a fellowship/residency
    What concepts would you put in the forefront?
    What skills would you focus on?

    I'm looking forward to hearing what everyone has to say!
  6. 0
    I would do it like below. Total time=1.5 years. Didatic instruction run concurrent with rotations.

    Rotation Location Length
     Emergency Medicine 28 weeks
     Radiology/CT/Ultrasound 4 weeks
     Anesthesia 4 weeks
     Pediatric Emergency Medicine 4 weeks
     Trauma 8 weeks
     ICU 4 weeks
     CCU 4 weeks
     PICU 2 weeks
     Orthopedics 4 weeks
     OB/GYN 2 weeks
     Burn Management 4 weeks
     Trauma 4 weeks
     Toxicology 4 weeks
     Blood Bank 2 weeks
     EMS 4 weeks
  7. 0
    There aren't any ED Fellowships in Colorado that I have found. Where are you located?
  8. 1
    I'm a bit biased as I'm a military NP, but if you could swing a month in the ER in Kandahar - your HR would never get above 60 when back in a stateside ER. When I got back from Iraq the last time, I scoffed at what folks called "trauma". There is no real trauma in the states. There certainly isn't a 24/7 conveyor belt of people missing lings, organs, faces, etc. Just my $0.02.
    Daisy Doodle likes this.
  9. 0
    What state are you in? There isn't a single NP in an ER in Ca that I've seen or else I just might go that route. Since they aren't here, I'm sticking to my RN
  10. 0
    We use an equal mix of mid-levels in Colorado. PA and NP's. In my ER the see both Fast-track (verticle 3's, 4' and 5's) Some of the more experienced MLP will go into the core of the ED and work up more acute patients and collaborate with the docs. I think its a great role. From my own expreience the PA's do have more procedural experience than the NP's but after a few years it equals out. I have see ED Bootcamps that teach suturing for example. I may just have to go that route.
  11. 0
    I would say procedures- suturing, intubation, CPAP, I&D
    Radiology- (This was 100% OTC for me)
    Psych- meds, emergency holds


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