Give me some perspective NP's

Specialties NP

Published

Specializes in Emergency Medicine, Cardiology.

Could anyone shed a little light on the roles of a ACNP (acute care nurse practitioner) and Clinical Nurse Specialist? My goal is to pursue training past my BSN. Furthermore, I see myself working as part of a trauma team or in an acute care setting.

Thank you in advanced ladies and gentleman.

Specializes in Outpatient Psychiatry.

If you want a provider role pick some type of NP. Although the CNS can still be a provider in some environs, that isn't quite the norm anymore. If you want to do trauma, I'm not sure. I honestly do not see NPs on trauma teams and if there's a CNS on such a team they're probably functioning as a RN in that instance and doing CNS stuff elsewhere. We've got plenty of ED/trauma enthusiasts around that can probably help in this. Maybe post a question asking about NPs on trauma teams down in the ED forum.

Specializes in Nephrology, Cardiology, ER, ICU.

NPs can work in trauma centers. However, most level one trauma centers have their own surgical and/or EM (emergency medicine) residencies (for physicians) so they get the "cool" stuff.

I am a CNS and I never advise anyone to go that route - its a dying role unfortunately unless you are an APN

My previous level one facility had NP's on their trauma team and they inserted central lines, chest tubes, ran codes, etc. (ACNP)

I've worked in a large academic medical center in the past that had several NPs on the trauma team, and they loved their jobs.

Specializes in Registered Nurse.

I am a CNS and I never advise anyone to go that route - its a dying role unfortunately unless you are an APN

Yup- CNS is a dying breed. I became certified because I was in a dual CNS-ACNP program. But it would've almost impossible to get hired as strictly a CNS, at least in my neck of the woods. And I also noticed with my CNS clinical that their role was kind of a hybrid RN and administrator. Personally didn't really understand why it required an advanced degree.

Specializes in Nephrology, Cardiology, ER, ICU.

I will say that my two CNS programs (yes, like a dummy I didn't learn the first time!), provided me with a solid clinical experience but only because I worked in a level one teaching institution.

Specializes in Emergency Medicine, Cardiology.

My original goal was to become a physician. The reason I wanted to be a physician was the knowledge obtained and the opportunity to be an expert in whatever field you choose (cardiology, emergency medicine, etc...). However, in order to become a physician I would have to end my relationship, move out of state, and be in debt $150,000 - $250,000 dollars for tuition/cost of living. So i decided I was not prepared to take that leap, and I am 100% okay with that.

Fast forward to today... I am entering nursing school to ultimately become a Nurse Practitioner.

All this being said has anyone heard of the Vanderbilt NP Program? It has caught my eye since they have the opportunity to "specialize" and the Nurse Practitioner candidates are trained in their School of Medicine.

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