ACNP jobs

Neuro Guy NP, DNP, PhD, APRN · May 25, 2015

Hello there! I'm a brand new ACNP and I'm actually headed to residency program for neurosurgery. I'll start this September. I'll be learning first assisting skills in OR as well as other neurosurgical skills, procedures, and techniques. The residency of course includes pre and post op management in the ICU and the floors. I'll even get to train in the Neuro ER. Responsibilities include one night per week of overnight call, responding to neurologic emergencies, inpatient consults, etc. I'm really excited. Personally, I'm glad I chose the ACNP path.

JE, MSN, RN, CCRN, CNRN, ACNP-BC

doctorwhofan · May 25, 2015

I'm an ACNP. I worked trauma for a while and did nights, then days, weekends, holidays, 12 hour shifts.

Now I work for general surgery. 4 10s, no call, no weekends, no holidays. Sometimes my 10 hours is a little longer than planned but it's not that big a deal.

I see new consults, post op patients, and new admissions. I don't regret choosing the acute care path. I've kept in touch with a few classmates that also are in the acute care field. One works for a trauma/burn unit, one works on a rapid response team and also covers the icu, and one works for the cardiology team.

I'd also like to mention that there were several positions at my hospital that won't even consider an FNP for an acute care role. (SICU, trauma, or NICU). Nothing wrong with the family care practitioners, but there is a difference in the scope of acute and family when working in a speciality. I, for one, would be lost in a clinic setting treating the general public for "every day" things. I have the utmost respect for my FNP friends.

littlepeopleRNICU · May 25, 2015

Hello there! I'm a brand new ACNP and I'm actually headed to residency program for neurosurgery. I'll start this September. I'll be learning first assisting skills in OR as well as other neurosurgical skills, procedures, and techniques. The residency of course includes pre and post op management in the ICU and the floors. I'll even get to train in the Neuro ER. Responsibilities include one night per week of overnight call, responding to neurologic emergencies, inpatient consults, etc. I'm really excited. Personally, I'm glad I chose the ACNP path.
JE, MSN, RN, CCRN, CNRN, ACNP-BC

That sounds like such an awesome and exciting opportunity! Congratulations!

littlepeopleRNICU · May 25, 2015

Thanks, everyone, for responding! I'm glad to see there is more of an ACNP population here than I originally thought. ðŸ˜Š

Nurseboy1 · May 27, 2015

I'm an ACNP. I work inpatient cardiac ICU. I work with STEMIs, Heart failure, ECMO, impellas. We also take overflow from the MICU and any other general ICU patient needs.

Dranger · May 28, 2015

Anyone else here do a residency after their ACNP program?

I was looking at hospitalist or nephrology residencies post-graduation.

Trauma Columnist · May 29, 2015

I work nephrology in a large (19 MD, 6 APRNs/PAs) practice and we have a six month orientation that includes didactic instruction from the nephrologists as well as clinical time with the APRNs/PAs and MDs

TraumaMurse · May 31, 2015

traumaRUs, Do you mind me asking where you work? You can message me at [email protected] . I am an ACNP student graduating in spring and I have been looking for a nephrology practice and yours sounds great.

Chris

SamanthaRN1989 · Jun 1, 2015

I am starting the dnp program (acute care) and have a very hard time finding other acute care students or practitioners on here! From what I've researched and talked to other NP's about the topic of fnp vs AGAC , I have been under the impression acute care allows more opportunities for a variety of positions. Being on this website though I have noticed most NP students / practitioners are fnp. The acute care program is a few credits more than fnp at both schools I applied/got accepted to.. So I know it's a little longer but can anybody tell me why the vast majority choose Fnp?

synaptic · Jun 1, 2015

I'm not an acnp but I do work as an fnp for the hospital group taking care of inpatients. We see children also though. Acnp would probably have been much more helpful in the start but I didn't plan on working hospital and after a couple years I feel fairly comfortable. Of course I'm not just in the Icu either but we do usually take call for a panel of icu pts. We do have pulmonolgy back up though

Neuro Guy NP, DNP, PhD, APRN · Jun 1, 2015

ACNP is a fairly new specialty compared to the "established" FNP. While there are many FNPs working in acute care, and are very competent mind you, the Consensus Model will have a large impact on this. For example, Georgia Board of Nursing recently issued an official opinion on FNPs working in acute care. Many other states and organizations are voicing the same opinions or regulations.

I think there is also a misconception that ACNP means only working in the hospital. It doesn't. While this certainly is part of the role, the ACNP cares for patients with a variety of acute AND chronic serious health deviations, to include caring for patients in outpatient specialty practices. It's in our role delineation as part of the consensus model and all that other stuff.

Neuro Guy NP, DNP, PhD, APRN · Jun 1, 2015

Also, anecdotally many that I've spoken to chose FNP because of "being able to all ages." My only thing about this position is that unless you are actually working family practice, usually you'll see one population or the other ie adults or pediatrics (especially if you are doing specialty/acute care). It would be very rare to being seeing simultaneously adult AND pulmonary patients, adult AND pediatric cardiology patients. You'll see one or the other. So generally, "limiting yourself" to adolescent/adults as with ACNP usually isn't an issue.