Should FNP be required for all APN's?

core0 · Mar 3, 2007

That is stupid....listen its simple, if you want to go into Psych, get your Psych NP, dont listen to other people telling you to get your FNP first and then get you psych NP, that is a complete waste of time, arent you sick of the ivory tower? You dont learn anything in school anyway just get out there and do it....

Part of it depends on what you want to do with your degree. I will admit I am not as familar with the scope of practice for psych NP as some of the others, however, NONPF competencies talk about psychiatric services. I do not think that the FNP will allow you to treat all ages as far as psych. This seems to be tied to the training and competencies as a psych NP. What the FNP does do is open up additional options. I would use Siri as an example. You also have to look at what the job market is. If you anticipate only seeing patients for psychiatric problems or working in an environment where there is someone else to see the patient for non-psychiatric problems then that's all you need (if your perceived job market will support that). On the other hand, if you want to work in a wider area or do more with the position then consider a dual certification. You have to remember that 20% of primary care encounters are psychiatric. There is probably a pretty nice position there somewhere. I have a friend that makes a nice living as a PA on a locked inpatient psych unit. The Psychiatrist doesn't want to (can't:wink2:) handle the patients medical problems (and patient in an inpatient unit have all the normal medical problems). So she does the H&P's, handles the HTN etc. Gets home to see her kids home from school. I would imagine that a combined FNP Psych NP could do something similar.

You have to make the decision based on what you want to do. Also you can always do the thing that you want and get a post master's certificate if it doesn't work.

David Carpenter, PA-C

maikranz · Mar 7, 2007

I'm interested in becoming a Psych NP; however, numerous FNP's tell me that I should become an FNP first. Then I can treat all across the spectrum with all ages.
I am generally cautioned about narrowing my advanced practice knowledge and skills by choosing a specific track like psych, peds, or women's health.
I am told an FNP is much more marketable. Any thoughts?

It may have to do with prescriptive ability. Some states have CNS and as such, those practitioners can't prescribe (if I am not mistaken). Being certified as an FNP or even Adult would help you get around that hurdle.