Emergency Nurse Practitioner programs? - page 3

Hey all, I'm beginning to get the itch to do something more with my BSN. I really like the idea of being an ENP, but I haven't found too many schools offering it specifically. So far:... Read More

  1. by   Bidwillty
    I am currently an ER nurse and have 10 months left till graduation as an FNP, many of the docs I have worked with have offered me a job, even though I would be the first NP, (they currently only have PA's), I know the offer was made based on my ER and critical care background. You have to market yourself and also FNP lets you see all ages as well as ob/gyn, you canot do that with ACNP for the most part. Hope that helps.
  2. by   traumaRUs
    My nursing exp is mostly ER also (10 years in level one trauma center). However, they have a huge ER residency program so do not hire any mid-levels. I am currently an adult health CNS who is returning to school in August for the peds/family CNS in order to be more marketable.
  3. by   ANPFNPGNP
    Quote from ktrees
    hello everyone,

    I need your help I am completing my DNP. I am a ER Np - I have a FNP, WHNP and CNM.

    I am doing a needs assessment. I want NP's and PA input.

    1. How many NP ER programs are out there? I see Jacksonville, Emory, Vanderbilt and Alabama? are there more?


    2. NP's working in ER setting what would you have liked to have seen in your program that would have helped you to work in the ER

    ie.... ortho, cardiac, opthamology rotations


    I hear that you fear being isolated to ER so maybe an FNP with a Concentration in ER

    any other thoughts that need to be assessed let me know


    Karen
    I definitely needed more experience in ophthamology and ortho. I trained with internists and family practice doctors and they did not suture or perform many procedures. They were also very weak in reading x-rays. In Texas, only Acute Care NP's can work in the ER setting. However, FNP's can work in the fast track...we take care of those people who shouldn't be in the ER. So, anything cardiac related goes directly to the ER.

    I completed close to 1500 clinical hours, since I certified as a GNP, ANP and FNP. I'm absolutely astounded that FNP programs don't require a MINIMUM of 1,500 hours! The most clinical hours I've seen is 800 and that is NOT even close to enough. FNP's should be mandated to do pedes, ortho, surgical and OB rotations - most family practice docs in larger cities do not treat kids or pregnant women. I know several FNP's who never assessed a pregnant woman or small child during their rotations. The ANCC and AANP need to double the clinical hours for each specialty. In fact, it would be awesome if the FNP was the starting point and then people could complete further education and clinicals hours in the various specialties - just like doctors do!

    Also, UT Health Science Center in Houston had an ER/FNP program, but some of their students weren't able to get licensed in some states, even though they were board certified as FNP's. I believe that's the reason they closed it down - what a shame. Aren't there ER programs in California?
  4. by   intown
    This has been great reading! I am an FNP with a psych (have a psych CNS), women's health, primary care and college health (similar to urgent care) and would like to work in an ER. Since I have not worked much acute care, employers have been reluctant to hire me.
    I thought about trying to look in to programs, but after reading all these postings, that does not sound like a wise use of time and resources. I am wondering if my background makes me suitable for fast track.
    Any suggestions how to build skills that would help an FNP get her foot in the door of an ER?
    Thanks --
  5. by   Jan_80
    I'm a new staff nurse in the ED and I have a high interest in becoming an NP within 1 or 2 yrs from now. So, does anyone know any Emergency NP or Critical Care NP programs in NYC? Thanks!
  6. by   s.foster,rn
    I too am looking into the ENP program (at Vanderbilt). I read the others' posts, and I have not researched the sources from which they provided, but according to the Vandy program for ENP, it sounds the best. It is a combination, or dual degree, of FNP and ACNP. It is ideal for ER, ICU, or clinics. It is broad because of the FNP, but focused with the ACNP to allow job opportunities (not to mention the challenge and excitement) in almost any acute/critical care settings. The trauma nurse certification I reasearch at other facilites seemed to be what others were saying about the ENP, in that it is the narrow focus of only that area (which is similar to the ACNP if sought independently) and would limit your scope and practice. I don't think Vandy even offers that one.
    Regardless, I hope this helps and my best advice to select the school(s) you would most likely attend and research their specifics on what each program is because apparently they vary between schools. Again, if you are looking at Vandy, I am going to try to seek the ENP route because it definately sounds like what I want, and probably you as well. Good luck!

    Thanks,
    s.foster,RN
  7. by   APNgonnabe
    If places are doing a dual degree why would a PNP not work instead of a FNP? ACNP are for adults w/ both chronic and acute so I would think that would work for adult edu needs.
  8. by   traumaRUs
    In my area, the ACNP and ACPNP or PNP are the way to go in for ER jobs.
  9. by   ERandAestheticFNP
    Hey you, I am an ER RN, waitting to pass my AANP exam AGAIN, just failed it yesterday and I will be an ER FNP! I was hired through CEP. California Emergency Physicans
  10. by   DuluthMike
    I realize this is an older thread but I would just like to throw my advice in as I have been traversing deciding between an ACNP/FNP and PA for working in the ED. The scope of practice, overall, is going to be the same between the two so long as you can be trained in the procedures.

    The problem therin lies in recieving training in procedures as a ACNP/FNP. Because of this you are extremely limited. Does this mean you can't run codes as a NP? No, it just means that acquiring the training to do this is extremely hard. Whereas PA's have a linty of options including PA residency's where they have the same scope of practice and responsibilities as PGY1 EM Residents. PA residents do the same cycle through various services, ie general surgery, telemetry, ect. This gives the PA a huge leg up in their scope of practice. PA's can also do ATLS certification, whereas I believe NP's can only do the nursing equivalent.

    If your passion is emergency and you want a large scope of practice you can surely do it as a ACNP/FNP. However you will have a very hard uphill battle as opposed to the PA who has a similar interest in an expanded scope of practice. Both will have to work extra to gain that scope of practice, the ACNP/FNP must jump through so many more hoops and requires so much help that is outside of their power to control. They must find an employer that wants to invenst heavily in their training as well as taking on a high degree of liability. Whereas the PA who is motivated has a litny of options for easily expanding scope of practice.
  11. by   ERandAestheticFNP
    I think it also helps who you know. I was an ER RN for 6 yrs in the ER prior to becoming an FNP in the ER. I have amazing trainning. I know a great deal and I am proud to say I am an NP and not a PA. Yes we are similar in the ER. yes they come out with extra procedure trainning, but its not like I can't learn it or did not learn it on the job

    Best of luck
  12. by   ktrees
    Craig,
    I agree with the last post, you will be cornering yourself by going ENA. 75% of care in the ER is primary care with a paradigm shift of the ED setting towards this level of care due to a lack of primary care providers. Also, the boards for an ENP are the FNP boards since currently there are no ENP boards. Do not get me wrong. I agree that Emergency NPs need specialized training but if you decide to leave, say after you become burned out, then what will you do. I have currently worked in the ED setting as an NP for the past 5 years and have a private practice on the side. I believe it is this mix of care that keeps me from getting burned out.

    Elle
  13. by   NHGN
    Hi!

    Okay this thread is a little in the past, but is relevant to some questions I have (and posted in another thread, but makes so much sense here, so maybe you past-posters can help).

    I was under the impression that NPs can only work in the urgent care setting of the ED, but the way this thread has gone, talking about suturing chest tubes and intubating, it sounds like this isn't the case?
    I am a SICU RN starting to apply to schools (I am thinking FNP), and was told about a brand spanking new emergency-concentration from UMDNJ that would prepare the practitioner to work in all areas of the ED, which, according to them, is a brand spanking new change in practice. Maybe it's not so new?

    This interests me (though I am thinking I'd like this at a level III, not the level I currently downstairs from me!), though I don't see how I'd be competent to take on this role with three years' more education (and actually they said the ED part is simply three more classes in addition to the FNP part)...sounds a bit scary???

    Are the other schools mentioned here - Vandy, Houston, etc -- offering the same sort of program/cert?

    It also interested me b/c I'd have the FNP aspect covered, but would get more critical/emergency care that would give me options to (a) work in the ED or (b) work somewhere else but be more knowledgable (sorta just for kicks!).

    Really quite confused now, so thanks for your thoughts!

    Edit: I had a thought - maybe ENPs will be hired for the main ED but won't take trauma rooms? So, they would mainly deal with the "primary care in the ED" that it sounds like the demand for NPs in the ED originated??
    Last edit by NHGN on Aug 7, '10

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