RN to PA...?

  1. Been a critical care RN quite a few years now and thinking of the next step for advancement. I really have no desire to do primary/preventative care but would love to work in a trauma center, ICU or first assist in the OR as an NP or PA. Ive been so torn about what my future holds because although I already have my BSN and it would be the easiest thing to go back for my MSN-NP, I really enjoy the pathology/pathophys and wonder if I would be better prepared for what I want to do by learning from the medical model rather than the nursing model by going through a medical science intensive

    Thoughts anyone? Im sure someone has been in my shoes before : )
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    About cardsicu

    Joined: Aug '04; Posts: 5


  3. by   icecreamcake
    It sounds like PA is the right route for you. Especially if you are wanting to do trauma, surgery, etc.
  4. by   LadyFree28
    I'm not an NP or a NP candidate, however, in my area, NPs are working in CC units, trauma, transplant teams, etc. Admitting pts, writing orders, discharging pts, etc, making decisions, involved as a practitioner on the team. I find no difference in the MD or NP making decisions. NPs sign death certificates in my state, now.

    There has been an increase in positions for NPs for running clinics, hospitalists and RFNAs...it really depends on the area.

    I suggest researching the two programs, the job market, and the opportunities out their nationwide.

    Even though I am not an NP candidate, it is my semi-retirement plan...what I see in my area is wonderful opportunities and scope of practice as an NP.

    Best wishes on your decision!
  5. by   NJprisonrn
    What about Acute Care NP? Aren't there schools that offer this choice?
  6. by   LadyFree28
    NJ, that's correct. Acute Care NPs work in Critical Care and trauma....any acute setting.

    NPs have more scope as well.
  7. by   BostonFNP
    There are pros and cons to both pathways. In the end it's a personal choice, talk to the NPs and PAs on your unit as the state and the hospital system will play heavily on your ultimate job I either role.

    In my opinion: PAs have an edge in the intraop setting. NPs have an edge on the autonomy side.