So, I'm a new psych NP, and there's a posting at one of the major hospitals here for a job at a sleep center. I have a pretty strong interest in sleep disorders and want to apply. But I'm curious, have any of you have worked in such a setting, and, if so, what credentials did/do you or your co-workers had/have?
The job posting says that the position requires an ARNP license, but it doesn't specify a board certification. The posting does note that their MDs (who, of course, have wider scopes of practice than NPs) have varied certifications in psychiatry, neurology, or pulmonology. I think that evaluating, diagnosing, and managing most sleep disorders (e.g. ordering sleep studies, teasing out mood disorders, substance abuse and dependence, primary hypersomnia, narcolepsy) are within the scope of practice of a psych NP. I did have several hours of seminar on these topics-- significantly more than what the FNPs at my school got. Management of central and obstructive sleep apneas would have to be referred to a pulmonologist or primary care, because those issues are not my scope.
Of course, if I decide to pursue the position, I will also ask the Board their opinion. I'm looking for as many opinions as I can get!
Aug 13, '12
I did see that there were pulmonologists on staff at the center, so it may be possible to refer within the facility.* I'd have to talk to them during the interview and also to get clarification from the nursing board on whether or not I could order a CPAP as a psych NP.*
I am comfortable prescribing adjunctive psych medications for ancillary issues related to OSA, such as modafinil for fatigue.* I'm not intimidated by OSA coming from an ICU/ER RN background, I just can't make that diagnosis (which would probably be done during the actual sleep study anyway).* But what exactly in my scope of practice is somewhat of a gray area.* I wonder how/if psychiatrists and neurologists handle the issue, e.g. if they also refer to on staff pulmonology.
Thanks for your advice, BlueDevil and psychcns!
Last edit by apocatastasis on Aug 13, '12
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