Family NP or Adult acute care NP - page 3

by KatGoodman 27,140 Views | 33 Comments

hi, i'm entering nursing school in the fall to get my RN. I've already started looking at an RN-MSN program. I really want to work at a children's hospital hopefully in the ER or ICU. The two options I have around Memphis is... Read More


  1. 0
    Good post. The key is that you have the foundation to do acute care. All you need is a mentor or class to add to your knowledge.

    Inpatient medicine is not that hard, especially with a mentor to guide you until you become proficient.

    I agree that the state board is the limiting factor, as it stands now. That is one goal of the consensus is to have the competence at the specialty level be regulated by professional organizations and not the boards of nursing. This is how the physicians do it.

    We can always hope. Until then, come to the northwest, we would love to have you.
  2. 0
    Quote from shadowflightnurse
    Another option I have not seen anyone mention is being certified in dual specialties. For example, get your FNP then do a post-Master's program for the acute care. I am about to begin a program that is molded for an ED role. At the end of the program I will be eligible to sit for both FNP and adult acute care. It is a little longer than other programs, but to be prepared to sit for both exams...eithout having to go back to school makes it worthwhile to me.

    I'm sure you will hear otherwise, but this is purely an opinion. Get plenty of GOOD quality clinical experience before going back to school. Many schools are decreasing/dropping their requirement for experience and I (again, my opinion) think this is a mistake.

    Good luck in your efforts!!
    What school are you going to?
  3. 0
    Yeah the course title turn me off a bit on these DNP programs. I think having dual FNP/ACNP is your best best...there is schools like Duke University doing that. Or you can get FNP, then get ACNP after (1 year post-masters program). You'll be in school for 3 years with dual cert. do it before 2015 though.
  4. 0
    Wow, do any other schools offer a combined FNP/Acute Care NP program? This seems like an ideal solution for the dilemma. Thanks!
  5. 1
    ED Nurse:

    The certification boards require a minimum of 500 hours (plus the specialty classes) for each certification. So a combined FNP/ACNP program would have over 1000 practica hours and twice the number of specialty classes.

    It may make better sense to follow NurseW74's advice and do one for specialty area a MSN, and the second as a Post-Masters. Most schools that offer ACNP preparation also have FNP preparation. There are several students in our post-master's ACNP program who have had FNP certification for over a decade. Because of pending changes in the state's Nurse Practice Act, these FNP-prepared individuals need ACNP certification to continue to work in specialty clinics (oncology, urology, neurology, etc). What worked in the past (a FNP in specialty clinics) will not work in the future.
    FNPdude74 likes this.
  6. 0
    Great thread!
  7. 0
    Relax for now. Watch the Oylympics. Think sports. No nursing. hahaha
  8. 0
    UVA Grad Nursing, you said that your state is changing its Nurse Practice Act to keep primary care NP's from working in specialty areas. What state is that?

    BTW, I ended up enrolling in an Acute/Critical Care NP program, at Johns Hopkins. Halfway done!
  9. 0
    I am going to University of S. Alabama. Just finished 4th semester, about to start clinical portion.
  10. 0
    To shadowflightnurse:

    Hi! How was the program at USA?I just applied for Spring 2014 and I am still waiting for results. I hope I'd be able to get accepted. Any advice by any chance? Was it hard to get accepted to the program?


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