Decreased Clinical Opportunities for Acute Care PNPs?

[FentyNP, MSN, NP]

Hello,

I'm currently an inpatient acute care pediatric nurse, applying to grad school for summer/fall of this year. I am having quite a bit of difficulty deciding between primary and acute care programs (although I have witnessed both specialty PNPs in action). So far I have applied to one of each and am trying to decide how to divvy up my remaining applications.

My acute care pros: I love the fast-paced environment with higher acuity children. I love working in a hospital, period, but could see the allure wearing off. It's easier to consult with other specialties, there's a lot of interdisciplinary collaboration, and more opportunities to meet people. Also, would likely be paid more in acute care?

Acute care cons: At least in my hospital, the PNPs don't have much autonomy and sadly don't seem to do a lot of hands on work. Maybe it's because I'm at a teaching hospital where residents get all the action? I just don't want to be bored if I choose this route. Also, the hours...

Primary care pros: More scholarship opportunities (let's be real, I already have more than enough debt). I could still work in an urgent care or specialty clinic setting. I might have more autonomy? To diagnosis, treat, prescribe, follow up and refer as needed? (speculation)

Primary care cons: Could end up bored outside of the hospital. Less pay?

Any current PNPs that have insight as to how to make this decision? Also any PNPs (both acute and primary) that can speak to their typical day-to-day in their current setting? Do you feel that it's true that NPs are more restricted in the acute care pediatric setting because children are more fragile and there is less room for error? (For example, are they still intubating, placing central lines and chest tubes like AGACNPs?) Sorry for the plethora of questions but feel free to correct me about any of my speculations/assumptions. I feel like I could truly be happy in either role, but am nervous about making the "wrong" decision because of the time and money commitment. Also I plan on practicing on the East Coast (MA, CT, NY or PA).

[Dodongo, APRN, NP]

Go to a dual PCPNP/ACPNP Program.

I know Drexel University has one.

[traumaRUs, MSN, APRN]

Moved to student NP forum

[FentyNP, MSN, NP]

I do plan on applying to a dual certification program but that only partially solves my dilemma (especially if I don't attend). But oh well...guess I will figure it all out eventually.

[Dodongo, APRN, NP]

I do plan on applying to a dual certification program but that only partially solves my dilemma (especially if I don't attend). But oh well...guess I will figure it all out eventually.

But by attending a dual program, you'll be exposed to each setting in clinicals, and then you can decide which you prefer - inpatient or outpatient. And if you ever change your mind in the future you'll be good to go.