I really need advice - page 2

After stalking this website for years I've finally decided to create an account and post. I'm currently undergoing my BSN in upstate NY and have one year left until graduation. I've been President... Read More

  1. by   BostonFNP
    Quote from itswild
    I'm leaning towards FNP because I love the idea of assessing and treating patients across the spectrum whether it be inpatient or outpatient. While PMHNP has also interested me for a while, I don't like the idea of losing that stethoscope/touch & feel type of practice we're taught in nursing school.

    I'd be 23 if I graduate with my FNP via this route and would have a little over 2 years of part-time RN experience. Will this make me marketable to employers? Will I even find a job with the way the new grad job market is portrayed on this website? I don't mind moving.
    Deciding between FNP and PMHNP is a big choice, and while you can always post-masters later on, it is the foundation of your practice. From the advice of a number of practicing PMHNPs here on AN, prior RN experience in the psych specific role may be more valuable to you entering practice. Spend some time shadowing if you still have questions about what direction you want to go.

    FNPs are a primary care trained specialty and while many FNPs do work int he inpatient setting (I have as well) there is increasing traction on employers hiring ACNPs for inpatient work, specialty in high acuity settings like the ICU. Consider this as well if you have a desire to work inpatient as you may be better severed by moving to an ACNP program even if it is not at your current school.

    If you are willing to move where you need to, odds are you won't have any real difficulty finding a job. The market is some areas has tightened (and with that employers can be more picky about experience) but in other areas it is wide open, sometimes even with a short commute. Again, put posts in context re: the job market as many opinions are coming from people who aren't looking for NP jobs.
  2. by   umbdude
    I would just add that a 2-year high-quality NP program will not give you a lot of extra time to work as a RN, assuming that you continue to dedicate as much into school work as you did during undergrad.

    Have you tried asking your school if you could "defer" matriculation for a year or two so you can gain some work/life experience? I would think that most schools would be open to that idea.
  3. by   itswild
    Thank you for this. I shadowed a FNP yesterday working at an urgent care for 8 hours and it was so cool to see him walk into the patients room, assess/treat them and then get them on their way. I have a shadow appointment with a cardiacFNP next week in a local hospital which I'm really looking forward to. PsychNP has been tougher to set up but I'll let you know how that goes!! Thanks again
  4. by   itswild
    Iwsoccjs,

    Thank you for your input. By picking the hardest course load do you mean challenge myself now since I have the time and resources? I'm still leaning towards FNP because of the more hands on work they do but PMHNP really interests me as well because I've always been a huge mental health advocate, breaking the stigmas whenever possible. I'll be shadowing a PyschNP soon hopefully. Already have FNP shadowing under my belt.

    Thanks again.
  5. by   itswild
    Thank you for your thought-out response BostonFNP,

    I understand what you are saying, and I am looking for advice- which is exactly why I came onto here. I've always identified myself as a "quick learner" but I'm beginning to realize this won't necessarily be the case when I start working as an RN right before NP school. I'm weighing the pros and cons to each route with 1. being that I go right into NP school while working RN part time and 2. being that I take a year off and work full time RN before going back.

    Opinions like the ones on this thread are exactly what I'm looking for because I believe everyones opinion to be valid in some way, shape or form.

    Best,
    itswild
  6. by   itswild
    Umbdude,

    I have not asked my school this, but I'll keep that in mind when I decide which route I'm going to take. I see how important to some that 1-2 year experience is before starting school.

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