Info on CNS-APN is GREATLY appreciated

[Bumex, DNP, NP]

Ok, to start off, I am jumping far ahead in this with the topic in this discussion.

This is a little about myself:

Currently in an MSN-Entry program at DePaul University (advanced generalist)

I am currently in a good position to graduate with distinction

Graduating soon, but still have my internship to go

Deciding between ICU and ER for internship and for profession

4 years CNA/Phlebotomist experience in a variety of settings

Goals:

CNS post grad cert

ACLS Cert

PALS Cert

So, I know that I am just a nursing student, but I would really appreciate honest answers. I know that I am thinking to far ahead, and I plan on getting at least a few years of experience before I jump into an APN program.

First question; for an Adult CNS program, what would be the best experience as an RN? ER, ICU, or combo? I could honestly see myself in either area, I've worked as a CNA on an acute floor and as a Phleb in the ER and ICU in a level 2 hospital for a few years prior to nursing school.

Second question; I have heard rumors that the CNS role is dying, and might be replaced with the CNL. Please, anyone with real input would help put my mind at ease. I'm only worried about this because I really feel like the CNS role is the APN role I fit into. I actually turned down acceptance to PA school (I has already started nursing school) because I realized I don't belong providing primary care. I REALLY love the nursing side of medicine and I would love to provide expert care. I aspire to be the nurse that everyone goes to someday, as well as being able to make patients' lives better by giving them advanced direct care.

Third question; ER or ICU for internship? I actually already have an ICU rotation prior to internship, so I'm leaning towards ER, unless a CNS out there really thinks getting more ICU experience would be better.

Any input would be helpful, thank you all in advance.

[Misskala]

I thought the CNL role was dying but the CNS is utilized ( though in practice differently than originally planned?). Good luck! Oh, ask around the hospital you plan to work to hear how the levels of distinctions are bring used. Might help clarify. I know in general these are both being cut/ reduced because of budget tightening happening everywhere!

[Bumex, DNP, NP]

I hope that is true, but some people have been telling me otherwise. I have seen job postings for CNS jobs everywhere. It just scares me that I might lose the career path that appeals the most to me by the time I am ready to enter advanced practice.

[UVA Grad Nursing]

The use of RNs trained and certified as CNLs or CNSs varies from institution to institution. Some institutions are adding additional CNS jobs, others are eliminating the role. I am aware of one major health system in my state that is eliminating the CNS role because only want APRNs who can bill. Seems a bit short-sighted IMHO.

I would encourage you to go for the role that excites you. It is much better to have a position that you love than one you do not.