Texas ACNP vs FNP practice

Specialties NP

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Specializes in Advanced Practice Critical Care and Family Nursing.

Since the consensus model is state by state, and this topic is an ongoing debate in our profession, please give input regarding Texas practice. Specific to hospital based NP providers, which training is more sufficient?

Several hospitals where I live have either released their FNP's, refused to hire new ones, or given the existing FNP's 2 years to complete additional acute care training in order to remain employed.

My personal opinion is both are more than qualified. However, Texas is conservative and has adopted the 2008 Consensus Model which defines the practice setting for ACNP's hospital based and FNP's clinic/ community based.

I find this interesting food for thought and would like your experienced opinions. Thanks.

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Specializes in APRN, ACNP-BC, CNOR, RNFA.

I've seen it in action for hospital employed hospitalists, but other specialties continue to hire FNPs (i.e. internal medicine, neuro, cardio, nephro). I think it's still a matter of supply vs demand.

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Specializes in Neurosurgery, critical care.

I am a newly graduate (tested 10/2013) as a FNP-BC. I work in a busy neurosurgery practice in Texas. I have had not problems with obtaining hospital, insurance, or contract concerns because of my credentials. I have OR as well as SICU/Trauma experience. I am certified neuroscience registered nurse.

If you specialize I think it is best to join an organization that supports that speciality and go to their conference.

Since we have no formal training in specialities a lot of education is after graduation experience. My recommendation is start a log and have your physician sign it. Keep it updated with task, diagnostic studies, new/infrequent medical diagnosis. This can help with additional hospital privileges if needed.

Hope this helps.

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Specializes in ICU, CV-Thoracic Sx, Internal Medicine.

I'm ACNP and practice in both inpatient and outpatient settings.

Training is population specific not setting specific.

OP, I'm familiar with the scenario you are describing. Some Houston hospitals did that a number of years ago, shunning FNP's from inpatient roles.

You're asking for opinions and I also agree with the above responses. I see FNP's practicing in inpatient settings just as much as I see the ACNP's. I am in San Antonio in case you're wondering.

GO SPURS GO!

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