Opportunities for an ACNP with RNFA certification? - page 2

I have been examining the various specialties in advanced practice nursing and recently discovered that there are a number of NP programs that prepare individuals to work as ACNP's with RNFA... Read More

  1. by   HenryH
    Quote from SMReichert
    HI Henry,
    If you are already a nurse, I wouldn't waste your time becoming a PA. Better to be an NP.

    I am an ACNP with RNFA certification. I got both at the same time. I had many years in the OR and you need at least 600 hours of clinical for the RNFA.

    I work in Orthopedic SUrgery. Presently I only work managing the patients from the moment they enter the hospital until they are discharged. I can assist in the OR, but there is too much work to do on the floor.

    Orthopedic NPs are usually in the higher end of the payscale. Depends where you work and your experience, but you should expect starting in the high 90s without experience and closer to 150,000 with experience. Depends on volume also.

    GOod luck!
    Thanks. Since you don't do surgical assisting, could you explain how your work managing orthopedic surgery patients as an NP is different from managing them as an RN? Are you essentially used interchangeably with PA's who have analogous roles?

    Also, do those salary figures you quoted include any sort of bonus/OT payment, or are they just base salaries?
  2. by   JenRN115
    HenryH, I am a student in UAB's ACNP/RNFA program at the moment. It is a fantastic program, and I highly recommend it! We just did an on-site intensive where we were introduced to the OR environment by operating on pigs. We also practiced assessments on two "patients" in a clinic and ED setting on campus. The patients are trained well, and I actually felt that I was in an ED/clinic. They have such fantastic resources!
    That being said, I discussed my options with a few people who graduated with this degree or just an ACNP. One woman is working in a hospital in Georgia making $100,000+ in her second year post-graduation. She works in the OR as an RNFA for a week, then works in the ICUs with intensivists for a week. She loves the variety of changing each week. Many of our faculty work mainly as RNFAs but work in clinic settings as ACNPs as well. One woman is working with a renal physician in their dialysis clinic. Some other graduates of the program are working with surgical groups as a combined RNFA/ACNP role. In Alabama, ACNPs tend to start out at $80,000+, depending on the group and specialty. As I am in the Adult/Gero only program, I imagine my options will be mainly a specialty or intensivist work in a hospital, although I do know one who works as an NP with her hospital's hospitalist group. Many, many options truly do exist.
    I believe having the RNFA with the ACNP simply makes you more marketable, if for no other reason than you have a knowledge of intra-op procedures and so more insight as to what could go wrong during the surgery and what to look for post-operatively.
    For this program, you complete two semesters of classroom theory and 180 hours of operative hours for your practicum to become an RNFA, and you pursue the 1000 hours after that to become a Certified RNFA (CRNFA) on your own.
    I am sincerely thrilled with my decision to become and ACNP/RNFA, and I hope you will consider it! It is a small but growing field with many great opportunities, and I only see it becoming more valuable in the future!
  3. by   Rocknurse
    This is a really old thread but it's still great to read as I'd love to be an RNFA too. I have looked into it and once I graduate as an NP I can take the RNFA course without any OR experience, whereas RNs have to be a CNOR. This is exciting to me and I will likely pursue it once I've graduated. Thanks for sharing your experience.