Quote from WitnessRN
Thank you for all your thoughts! I believe I would like to continue in the ER as a nurse practitioner or work as a hospitalist. We have a residency program here that is highly competitive that is a hospitalist for NPs. They used to take FNPs but now are requesting ACNPs. I do not want to work in ICU or do ICU things. I really do not like the ICU. I love the ER and anything heart related.
Do you believe if I did the FNP track that I could be in the ER or a hospitalist??
The fact that you said the local residency program for NP's in Hospitalist Medicine now require ACNP makes me suspect an underlying BON restriction to FNP working in a Hospitalist-type of role in your state. The other explanation could be institutional policy. You should clarify this and find out which is the case to better plan your strategy.
In my opinion, ACNP's are poised better for assuming Hospitalist-type roles because that's exactly the kind of training you get in such a program. However, the field is split into adult and peds so there is a restrictional boundaries that must be maintained. It also does not mean FNP's could not be trained on the job for the role barring any BON or institutional restriction preventing that from happening.
Your experience as an RN is in ER. I think you have an edge as far as securing ER jobs as an NP in the future because of your experience. However, bear in mind that unless you go to big urban centers, the majority of ED's would want an NP to see patients of all ages. This is why many recommend FNP if you plan on working in the ED as an NP. True, you don't learn acute care skills (intubations, lines, chest tubes) but some NP's in ED's work in lower acuity areas in the ED so those skillsets are not necessarily helpful.
BTW, I'm an Adult ACNP working in Adult Critical Care for what it's worth.