The most common way of getting both is in this manner:
1. Choose one - if you choose FNP first, you can get post-master's certificate in ACNP.
The problem lies in clinical time if you were to try and do both. All of the prerequisites are the same... the difference lies in the last year or so of school. I am doing an ACNP program right now.
Despite what people will tell you... I dont know what state you are in... but FNPs are NOT trained for inpatient care. I have talked with the president of the BNE and also went to a seminar where this was discussed in depth, with GREAT controversy. They say that the way FNPs are getting around it is by taking care of MED SURG only patients... as if they were in the clinic. From what the regulating boards have said, they will be reassessing FNPs as inpatient caregivers and not allow them to continue without getting ACNP cert.
I am also interested in the ACNP as hospitalist role. However, I am worried because the hospital I want to work for does not employee NPs in that role at the present time... mostly because the hospitalist role is still new. They are still trying to figure out what they are capable of, etc. So, for an NP to come in and try to do that will take some work. I have an advantage in pursuing this in that I will get to help design the job description, pay, scope, etc... but the doctor that is over the hospitalist group I want to work for said it will be an uphill climb... but it can be done. I'm hoping to talk with larger hospitals regarding their use of NPs in the hospitalist role, job descriptions, develop a portfolio type of presentation to give to the hospital board, keep a log of all my clinical experiences to support my abilities, and just see what happens...
I think I'll start a thread about this... I ended up getting WAY off track.
Back to the topic: I have been an ER RN most of my career and may end up reverting back to that when I am done with school if my other plan doesnt work out... but to get the most use out of that position, I will have to do one of three things... 1) Get my post masters FNP, 2) Get my post masters PNP (to care for pts under 12), or 3) Get my ENP - this is probably what I would do. This is not a certificate program... you sit for the ACNP board when you are done (which I would have already done), but you are trained ONLY for working in the ER, so I would have both ACNP and ENP... which would give me the lifespan courses I'd need to be in the ER.
Lots of options... its just tough because you have to pick... I still wonder if maybe I should have gone FNP and then post masters ACNP, but I'd rather just do ACNP and see what happens. I know what I am capable of... its just convincing everyone else...