I recently posted re: information on which path to follow as I pursue my NP. After several months of reflection, and two years in pedi home care, I am toying with the idea of entering a RN-NP program versus getting my BSN.
I would really enjoy pursuing something surgical in nature, but have been told that I should become a PA instead of an NP if that is the case, since most surgical jobs are geared towards PA's. Is this true? What about getting my FNP and then doing a post-masters certificate in acute care? And then a first assist certificate? What RN experience, if any, would that require me to have - the nursing market here around Boston is bleak at best...especially without a BSN.
I have tried to do extensive research and have found almost nothing on this subject so any advice would be helpful!
NPs may be involved in surgery in some cases, but I think the PA training is far more geared towards that and if you know you want surgery it makes sense to pursue PA school.
The PA that works in my Cardio Surgery ICU has helped out with the heart surgeons as she had experience from a prior job, and if there's an emergency open chest scenario it's the PAs that would open while waiting for the surgeon, not the NPs....though they do otherwise perform identical jobs in the 24/7 running of the unit.
Trying to get FNP and ACNP certificates seems like a waste of time and money - it's generally done if you do one and discover your dream job requires something else or your interests change. I'm doing FNP with the hope of doing outpatient specialty. As this "straddles the line" of the intended population for the two certs I wish you could double-board without an extra year of clinicals, but even then you have to accumulate practice hours to retain your certification (or retake the board exams). I know I need to just decide - am I doing cardiology or do I still want the options of work in dermatology or allergy etc. If I focused on one job type my certification decision would be made. Really you need to figure out where you want to work, then talk to people doing it to decide what the best path is.
Last edit by Adenium on Nov 26, '12