No response eh? Well, I'm an ACNP and work exclusively in the hospital. I am part of a nurse practitioner + surgical resident team that provides 24-hour coverage of the hospital's Cardiothoracic Surgical Intensive Care Unit.
We are under the Department of Surgery, Division of Acute and Critical Care Surgery. We round daily with an intensivist attending (usually a surgical intensivist) and the cardiothoracic surgery attendings.
We provide medical management of fresh post-op hearts and lungs (CABG, valves, aortic grafts, heart transplants, VAD's, lobectomies, pneumonectomies, lung transplants).
We are credentialed to perform invasive procedures - triple lumen central lines, Swan-Ganz, arterial lines, temporary dialysis catheters, chest tubes, thoracentesis tubes.
The downside is that we work shifts and some weekends. We usually do not work holidays as the residents work those days.
Our model is not unique to this hospital. I've met other NP's and PA's who are involved in the same kind of work in another metro area in my home state as well as in other areas in other states when I am out networking during educational conferences.