Can an ACPNP work in a clinic setting?

  1. Hello!

    I have been thinking way too much about becoming a NP. I currently work in the NICU and babies are all I've ever worked with. Anyways, I am having a very tough time choosing between FNP and ACNP. I know both are very, very different. Sometimes I feel that I would be happy working with babies and children, but I am very scared to work only in the hospital setting. I originally had given thought to go the FNP route, but then, I have never worked with adults.
    I already had an interview for an FNP program in the city where I live, but I am required to find my preceptors. The problem is not finding a preceptor, but I would need to precept a pediatrician (ok, no problem), a women's health NP, and an Intensivist! How will I ever find those preceptors if I only work with neonatologists and very seldom do I see a pediatrician.....
    On another hand, the ACPNP only requires to precept with pediatricians and pnp's....but then, I would no enjoy very much having to work those 24hr, weekend, and holiday schedules....

    Is it possible for ACPNP to work in a clinic setting, maybe something like 4 10hr per week, no weekends, or holidays? That would be great, but jobs like that exist for ACPNP?

    I just feel like I am about to pull my hair out

    Comments, opinions, and thoughts are welcome...

  2. 4 Comments

  3. by   nomadcrna
    You do not need a women's health np, pediatrician and intensivist for FNP rotations.
    Just find a family practice NP or physician. You can get everything you need.
  4. by   ElisabethPRN
    Hi Papoya,

    I just came across your post and wanted an update. I am going thru this same struggle. My background has always been Peds hospital but I am very much interested in going back to school but would like to get out of the hospital setting. I thought FNP was the route I would take so then I could still care for Peds but with a clinic schedule. Have you found an answer to your above question? Would ACPNP be the better route for a clinic setting or could FNP but used in a Peds clinic?
  5. by   newFNP2015
    From my understanding, PNP programs are dwindling with more focus being placed on FNPs in all clinic type settings. I know at my school, only FNP, NNP, and AGNP (Adult-Geri) are now offered. Many other schools are following suit in my area as well.

    Also, I believe there are specific programs if you wanted to work in a clinic setting as a PNP (i.e. primary care vs acute care). In general, acute care will not work in a primary care setting such as a clinic and vice versa. There are exceptions, but less so nowadays with clearer lines being drawn for scope of practice for NP specialties.
    Last edit by newFNP2015 on Dec 10, '13 : Reason: add info
  6. by   rnmindy
    Have you looked into a primary care PNP program? There is one that I applied for at the University of South Alabama. Everyting is online but you do have to find your local preceptors. I have heard great things about the program and I liked that they had a seperate acute and primary option. I am interested in peds only as well so FNP was not an option for me. I also don't want to do 12 hr shifts on a unit so I chose the primary care route. Look into it, it may be what you are looking for. Either way, good luck