its been a while since my last post but i have a choice to make and hoped the input of other advanced practice nurses might help.
I find myself having to choose between to jobs. the first is a critical care nurse practitioner in a pulmonary intensivist group. i would have my own assignment of about 5 patients daily. there are morning rounds, then we present patients to the attending, then early afternoon we do consults and procedures (lines, spinal taps and intubations mostly) and have family rounds after that. I would have a decent amount of autonomy. The group is very pro NP. there is a lot of opportunity for education as the group does a lot of research and seminars
The second position is a neurosurgical position. i would round mostly on patients in the icu, some clinic and would see new consults. i would also get some OR time which would be new to me. I wouldn't have as many procedures but I would be trained for ventriculostomy placement (also new to me)
Ive been an ICU NP for a couple years now and really like it, but the thought adding OR time and ventriculostomy placement to my skill set is really appealing, not to mention its a very focused specialty. Any thoughts?