Steps to become ER NP?

  1. 0
    After I receive my BSN degree, what steps do I take to become a nurse practitioner in the emergency room? Thanks!
  2. 17 Comments so far...

  3. 0
    1. Get a job in ER as an medical assistant/ nurses aide during nursing school
    2. Get a job as RN in ER with your connections
    3. Get into NP school ( I would say get FNP since you can treat across lifespan) and try to find an MD or NP in your ER that will be willing to precept you for clinicals.

    I'm not familiar with ER certifications but apply for theses and obtain. Attend conferences..

    Good luck..
  4. 1
    I worked in an ICU and CVICV for 6 yr while getting my BSN and MSN as an FNP. Three months before graduation I applied to ERs in the area and was hired. After practicing for two years as an ER NP (ENP-BC) I can apply.

    Per the ANCC; Have practiced the equivalent of 2 years full time as a nurse practitioner in the past 3 years

    Have a minimum of 2,000 hours of advanced practice in the specialty area of emergency care in the past 3 years

    Have completed 30 hours of continuing education in advanced emergency care in the past 3 years

    Fulfill two additional professional development categories, to be selected from the following list:

    Academic Credits
    Presentations
    Publication or Research
    Preceptor
    Professional Service

    Good luck!!
    NRSKarenRN likes this.
  5. 0
    I would absolutely not recommend the ANCC portfolio review. It need some major changes.
    as it is, it means squat. You don't need it to practice and it certainly does not validate your capabilities as an ER provider.
  6. 0
    Quote from nomadcrna
    I would absolutely not recommend the ANCC portfolio review. It need some major changes. as it is, it means squat. You don't need it to practice and it certainly does not validate your capabilities as an ER provider.
    While you don't need it to practice, in fact you need two years of practice before applying, I would highly recommend it. It shows dedication, and clinical expertise in your area of practice expertise. Follow the directions in the ENP content outline and you will do fine. Just be sure to address each topic to the best of your ability.
  7. 1
    It is a waste of money for a couple of reasons.
    1. You don't need it to practice
    2. It does more to validate issues that have no bearing on how you are as an ER practitioner.
    3. Do you even want a validation that that does not have any measurement of YOU, as a ER provider?

    Simply putting in time (2 years) does not make you a ER provider. If that were the case, how many NPs working in an urgent care attached to the ER are able to do the portfolio review?

    I had hopes for it but the ivory tower people screwed it up. We need something that DOES validate us as quality ER providers.
    Maybe MedictoRN would tell us why he thinks this portfolio review validates someone? Why does he think it validates your clinical expertise as a ER provider? Does it show in any way, shape or form that you can manage a trauma? How about treating an acute MI? CVA? How about using US to check for pericardial tamponade? Finger thoracostomy for blunt chest trauma, why?
    Current best practice for managing fluids in a septic patient?
    The Pas also have to put in 2 years but then actually take a test. Maybe the ANCC should offer that has well? This would do a much better job of validation.
    The ANCC places more emphasis on being culturally sensitive and narrative essays than your actual quality and knowledge.
    I was totally surprised to receive so many personal PMs and emails from NPs who had the same issues and feel the same way about the ANCC review and cert.
    zmansc likes this.
  8. 0
    Quote from nomadcrna
    It is a waste of money for a couple of reasons. 1. You don't need it to practice 2. It does more to validate issues that have no bearing on how you are as an ER practitioner. 3. Do you even want a validation that that does not have any measurement of YOU, as a ER provider? Simply putting in time (2 years) does not make you a ER provider. If that were the case, how many NPs working in an urgent care attached to the ER are able to do the portfolio review? I had hopes for it but the ivory tower people screwed it up. We need something that DOES validate us as quality ER providers. Maybe MedictoRN would tell us why he thinks this portfolio review validates someone? Why does he think it validates your clinical expertise as a ER provider? Does it show in any way, shape or form that you can manage a trauma? How about treating an acute MI? CVA? How about using US to check for pericardial tamponade? Finger thoracostomy for blunt chest trauma, why? Current best practice for managing fluids in a septic patient? The Pas also have to put in 2 years but then actually take a test. Maybe the ANCC should offer that has well? This would do a much better job of validation. The ANCC places more emphasis on being culturally sensitive and narrative essays than your actual quality and knowledge. I was totally surprised to receive so many personal PMs and emails from NPs who had the same issues and feel the same way about the ANCC review and cert.
    I respectfully disagree.

    By your logic no certification is of any value. How does a test evaluate anything any better than the portfolio? It certainly doesn't validate your ability to manage a critically ill multi system trauma patient any better.

    Portfolio review is a scientifically and psychometrically validated process that involves actual content experts (practicing Emergency Nurse Practitioners)
    that has been shown to be as good at evaluating candidates for certification as a written test.

    I'm sorry you weren't successful in your application. I would be disappointed too. But just because you didn't submit sufficiently rigorous documentation doesn't invalidate a psychometrically sound certification process.
  9. 0
    Lol. I was waiting for that. Nice try at a dig. I have a thick skin.
    So here you have someone who:
    1. Has a doctorate
    2. CRNA and FNP certification
    3. ER education which includes a 2 year certificate program taught through a medical school. Students are MDs, PAs and NPs
    4. way over the requirements. Anotherwards score high in all areas but one (exemplar telling how good you are).
    5. Way, way over the requirements for semester hours, ceus and even public service years.

    yet you say this test validates you as a ER provider? You seem to have your feelings hurt because I posted my experience with the process. I think people need to know and understand the process and what it's deficiencies are. This is how it will change and improve so that it will actually validate us as emergency medicine providers. We are being laughed at by the MDs and yes even the PAs who have to validate by taking a test.

    Have you been through the process? Do you have any vested interest in the process? If you have been through the process, we can debate the pros and cons. It is very black and white in my eyes.
    we need to do what is best for our profession. I am very passionate about this. This validation process hurts us more than helps.
  10. 0
    Quote from nomadcrna
    Lol. I was waiting for that. Nice try at a dig. I have a thick skin. So here you have someone who: 1. Has a doctorate 2. CRNA and FNP certification 3. ER education which includes a 2 year certificate program taught through a medical school. Students are MDs, PAs and NPs 4. way over the requirements. Anotherwards score high in all areas but one (exemplar telling how good you are). 5. Way, way over the requirements for semester hours, ceus and even public service years. yet you say this test validates you as a ER provider? You seem to have your feelings hurt because I posted my experience with the process. I think people need to know and understand the process and what it's deficiencies are. This is how it will change and improve so that it will actually validate us as emergency medicine providers. We are being laughed at by the MDs and yes even the PAs who have to validate by taking a test. Have you been through the process? Do you have any vested interest in the process? If you have been through the process, we can debate the pros and cons. It is very black and white in my eyes. we need to do what is best for our profession. I am very passionate about this. This validation process hurts us more than helps.
    I'm sorry you thought it was a dig. That was not my intention in any way. You seem well qualified, so the only assumption I can make us that you didn't present these qualifications clearly enough for the reviewers.

    Do I think some things could be tweaked, yes. Do I think these tweaks invalidate the process, absolutely not.

    I have been through the process and present this and all of my certifications proudly. This certification will be sought after by managers and employers much like CEN and other certifications are for RNs.

    I would like to see what specifically the outline is asking for that you think aren't important parts of being an ENP? That probably needs it's own thread as we've sort of derailed this one.
  11. 0
    Happy to oblige when I get home and off this ipad.
    no offense but your previous post in another thread made me think that you did not really understand the process. Would you mind if I verify your ENP certification? You can pm me if you like.

    on the managers looking for a portfolio assessment. It will probably help bit to the the uninformed but to our peers, other nps, pas and md, they will know it for what it is. It is NOT an objective test that measures your knowledge.

    Anyway, more when I get home


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