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No. 10
from maleka
Old Mar 11, 2005, 03:18 AM

Default ENP Program
Originally Posted by zacarias
Question folks, do if an NP wants to work ER do they normally do the FNP route or Acute NP?

I wish to continue on my Master's and like both Family Practice and ER, that's why I'm asking. Thanks.
There is an Emergency NP program in Houston, TX at The University of Texas, Houston Health Science Center. It was started by Frank Cole, PhD, RN, CEN, CS, FNP, FAAN, FAANP,Professor, Divison Head: Emergency Care
Department of Acute & Continuing Care, Emergency Care Division The program started in 1994. There were 3 or 4 students in that first class, now there is a waiting list. Dr. Cole has also created a Resource Directory of Nurse Practitioners who provide emergency care and has created a newsletter for nurse practitioners in emergency care. These can be accessed through the web site.
Nurse Practitioners in Emergency Care http://son.uth.tmc.edu/ecnps
Loyola University Chicago, Marcella Niehoff School of Nursing also has an ENP program, based on Dr. Cole's
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No. 11
from Browndog
Old Mar 16, 2005, 10:31 AM

I have been told that most mid-level ER positions require that you be able to serve the entire patient population (including peds) and that the typical ACNP program does not provide the required ped component. The person that informed me of this policy is a recruiter for PA/NPs for ER positions in the southeast. She suggested that I pursue the FNP and combine that with RN experience in acute care. Does anyone have any comments regarding this advice?
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No. 12
from FNP/DNP
Old Mar 16, 2005, 05:56 PM

Originally Posted by Browndog
I have been told that most mid-level ER positions require that you be able to serve the entire patient population (including peds) and that the typical ACNP program does not provide the required ped component. The person that informed me of this policy is a recruiter for PA/NPs for ER positions in the southeast. She suggested that I pursue the FNP and combine that with RN experience in acute care. Does anyone have any comments regarding this advice?
I think that is probably good advice. I can't speak for ACNP programs, but I do think the ERNP programs listed above would be phenomenal. My FNP combined with acute care RN experience has served me well. I think getting some FNP experience in an urgent care prior to the ED works well too. You do see a lot of kids in most small town er's that aren't specialized. I probably see half and half.
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No. 13
from maleka
Old Mar 16, 2005, 06:09 PM

Default ENP Program
Originally Posted by Browndog
I have been told that most mid-level ER positions require that you be able to serve the entire patient population (including peds) and that the typical ACNP program does not provide the required ped component. The person that informed me of this policy is a recruiter for PA/NPs for ER positions in the southeast. She suggested that I pursue the FNP and combine that with RN experience in acute care. Does anyone have any comments regarding this advice?
I am also a recruiter and have been recruiting NP's exclusively since '94. I spoke at UT Houston in '96, and met Dr. Cole. I am an associate member of AANP, past associate member of Texas Nurse Practitioners and the recipient of TNP's Presidents Patron Award in '98.
When you graduate from UT's program, you are eligible to sit for the FNP certification exam through AANP or ANCC which means you will be able to see patients from the cradle to the grave in any emergent care setting.

Plan of Study Listed below:
Course Credits
N5529 Advanced Pharmacology 3
N6152 Physical Examination and Differential Diagnosis 3
N6151 Advanced Pathophysiology 3
SPRING N6274 Family and Primary Care Concepts for Emergency/Ambulatory Care Advanced Practice Nurses (90 hrs) 4
N5501 Theoretical Foundations in Nursing * 2
N5506 Statistics in Nursing 2
N6202 Diagnostic Tests and Procedures for Emergency and Acute Care Nurse Practitioner (45 hrs) 1
SUMMER N6275 Treatment of Health Deviations in Emergency Care I (90 hrs) 4
N6176 Advanced Practice in Nursing: Economics and Management of Health Care Systems 3
N6101 Clinical and Epidemiologic Research for Advanced Nursing Practice 3
Year 2
FALL N6276 Treatment of Health Deviations in Emergency Care II (90 hrs) 4
Scholarly Option 2
N6175 Advanced Practice in Nursing: Primary Prevention in Individuals, Families, and Communities 3
SPRING N6743 Advanced Clinical Practice: Nurse Practitioner Role and Preceptorship Emergency/Ambulatory Care (400 hrs) 9
Scholarly Option 3
*Must be taken within the first 12 hours of course work.
Hours in ( ) are clinical hours.

The 760 hours of clinical experiences occur in multiple settings. The majority of settings are community-based hospital EDs. Other settings such as the Harris County Prison System, the pediatric ED at the Lyndon Baines Johnson Hospital, an Urgent Care clinic of a local HMO and physician offices and clinics specializing in care of well children and pregnant women are also used.
In the first clinical course ENP students gain experience working with patients who are pregnant and in providing well childcare. After this first course, ENP students begin providing care to patients with non-urgent conditions and then progress into practice sites to provide care to patients with urgent and emergent complaints. Fast tracks, main EDs, and an urgent care clinic are used for experiences related to management of patients with non-urgent, urgent, and emergent conditions. During the last course, ENP students perform 400 hours of clinical time doing 40 hours a week for 10 weeks and rotate clinical sites every 80 hours. During these clinical experiences, students assess, diagnose, and manage the medical and nursing care of patients.
The majority of clinical preceptors are physicians although prior graduates of the program, faculty, and other NPs employed in emergency care also serve as preceptors.
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No. 14
from zacarias
Old Mar 16, 2005, 08:56 PM

Originally Posted by maleka
I am also a recruiter and have been recruiting NP's exclusively since '94. I spoke at UT Houston in '96, and met Dr. Cole. I am an associate member of AANP, past associate member of Texas Nurse Practitioners and the recipient of TNP's Presidents Patron Award in '98.
When you graduate from UT's program, you are eligible to sit for the FNP certification exam through AANP or ANCC .

The UT program sounds really cool. I'm just wondering if a it allows a person to not only practice EM. For instance, if later in life I wanted to do Family Practice in a clinic, I would like to have that option. It seems you should be able to given that the exam you ultimately sit for is the FNP no?
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No. 15
from maleka
Old Mar 16, 2005, 10:36 PM

That would be totally up to you. It might take some transition time from emergent care settings to family practice, but that would be your choice. Being a certified FNP allows you to see all patients in any setting.
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No. 16
from FNP/DNP
Old Mar 23, 2005, 07:50 AM

Originally Posted by zacarias
The UT program sounds really cool. I'm just wondering if a it allows a person to not only practice EM. For instance, if later in life I wanted to do Family Practice in a clinic, I would like to have that option. It seems you should be able to given that the exam you ultimately sit for is the FNP no?
I think it would not be difficult to transition over to the clinic later in life. You would need to stay abreast of the management of chronic illness. I feel that I am losing some of that now that I only work in the ED. Another option is to do one day a week at a clinic and a few in the ED. That is what I am hoping to do. I think the Houston and Loyola programs look phenomenal!
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No. 17
from FNP/DNP
Old Mar 23, 2005, 07:52 AM

Originally Posted by maleka
I am also a recruiter and have been recruiting NP's exclusively since '94. I spoke at UT Houston in '96, and met Dr. Cole. I am an associate member of AANP, past associate member of Texas Nurse Practitioners and the recipient of TNP's Presidents Patron Award in '98.
When you graduate from UT's program, you are eligible to sit for the FNP certification exam through AANP or ANCC which means you will be able to see patients from the cradle to the grave in any emergent care setting.

Plan of Study Listed below:
Course Credits
N5529 Advanced Pharmacology 3
N6152 Physical Examination and Differential Diagnosis 3
N6151 Advanced Pathophysiology 3
SPRING N6274 Family and Primary Care Concepts for Emergency/Ambulatory Care Advanced Practice Nurses (90 hrs) 4
N5501 Theoretical Foundations in Nursing * 2
N5506 Statistics in Nursing 2
N6202 Diagnostic Tests and Procedures for Emergency and Acute Care Nurse Practitioner (45 hrs) 1
SUMMER N6275 Treatment of Health Deviations in Emergency Care I (90 hrs) 4
N6176 Advanced Practice in Nursing: Economics and Management of Health Care Systems 3
N6101 Clinical and Epidemiologic Research for Advanced Nursing Practice 3
Year 2
FALL N6276 Treatment of Health Deviations in Emergency Care II (90 hrs) 4
Scholarly Option 2
N6175 Advanced Practice in Nursing: Primary Prevention in Individuals, Families, and Communities 3
SPRING N6743 Advanced Clinical Practice: Nurse Practitioner Role and Preceptorship Emergency/Ambulatory Care (400 hrs) 9
Scholarly Option 3
*Must be taken within the first 12 hours of course work.
Hours in ( ) are clinical hours.

The 760 hours of clinical experiences occur in multiple settings. The majority of settings are community-based hospital EDs. Other settings such as the Harris County Prison System, the pediatric ED at the Lyndon Baines Johnson Hospital, an Urgent Care clinic of a local HMO and physician offices and clinics specializing in care of well children and pregnant women are also used.
In the first clinical course ENP students gain experience working with patients who are pregnant and in providing well childcare. After this first course, ENP students begin providing care to patients with non-urgent conditions and then progress into practice sites to provide care to patients with urgent and emergent complaints. Fast tracks, main EDs, and an urgent care clinic are used for experiences related to management of patients with non-urgent, urgent, and emergent conditions. During the last course, ENP students perform 400 hours of clinical time doing 40 hours a week for 10 weeks and rotate clinical sites every 80 hours. During these clinical experiences, students assess, diagnose, and manage the medical and nursing care of patients.
The majority of clinical preceptors are physicians although prior graduates of the program, faculty, and other NPs employed in emergency care also serve as preceptors.
I have been looking at these programs as an FNP who has just started in the ED, I have a lot to learn. Is there any type of ER coursework/certification for someone who already has the advanced degree and the FNP certification? I would hate to have to sit through courses I have already taken, but some I would love to take.
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No. 18
from Technotart
Old Apr 08, 2005, 09:54 AM

UT Arlington in the Dallas/Fort Worth area also has an ENP program specific to ER.
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No. 19
from imastudent
Old Apr 08, 2005, 06:50 PM

will you get paid more if youre a FNP going into ER than if you're a registered nurse? I too want to go for my masters and become a NP and want to work in the eR..

if youre a FNP going into ER what kind of roles do you have?
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