Acute Care NP to Adult primary care

Posted
by Sun1 Sun1 Member Student Pre-Student

Specializes in N/A. Has 3 years experience.

Can an acute care NP start working in adult primary care without having to go through any post master's certificate program?  

Are there any legal implications in terms of scope of practice? billing issues?  one would have to worry about?

Thanks for all your suggestions.

NPOaftermidnight

NPOaftermidnight, MSN, RN, NP

Specializes in Pediatrics, Women’s Health. Has 9 years experience. 148 Posts

Primary care would be out of scope for an acute care NP. However, I know plenty of FNPs working in acute care so ??‍♀️

Sun1

Sun1

Specializes in N/A. Has 3 years experience. 136 Posts

1 hour ago, NPOaftermidnight said:

Primary care would be out of scope for an acute care NP. However, I know plenty of FNPs working in acute care so ??‍♀️

Thanks for the comment....can you please share your thoughts on the other parts my query as well?

aok7

aok7, NP

Has 13 years experience. 116 Posts

I am adult primary care and avoid considering urgent care or family practice because I do not have training (or experience) for ages < 13 or obstetrics.  You will be well-equipped to work in outpatient specialty practice.  I work in a nephrology clinic and there is a lot of overlap with internal med (cardio-renal, liver disease, diabetes, urology, etc.).  I did apply and was eventually given an offer in an internal medicine office where it was outpatient "adult" medicine, but was actually seeking specialty practice from an internal med/geriatric base of practice.

It is important to consider whether you will be credentialed where you do get an offer.  Acute vs primary (adult) have basically the same base training but acute directs more toward procedure and ICU-level.  You would be an asset in specialty but just as I find you will find limits in UC or family practice.  On the other hand, many hospitals are no longer credentialing NPs who are not acute-trained.  

Sun1

Sun1

Specializes in N/A. Has 3 years experience. 136 Posts

On 9/11/2021 at 10:19 PM, aok7 said:

I am adult primary care and avoid considering urgent care or family practice because I do not have training (or experience) for ages < 13 or obstetrics.  You will be well-equipped to work in outpatient specialty practice.  I work in a nephrology clinic and there is a lot of overlap with internal med (cardio-renal, liver disease, diabetes, urology, etc.).  I did apply and was eventually given an offer in an internal medicine office where it was outpatient "adult" medicine, but was actually seeking specialty practice from an internal med/geriatric base of practice.

It is important to consider whether you will be credentialed where you do get an offer.  Acute vs primary (adult) have basically the same base training but acute directs more toward procedure and ICU-level.  You would be an asset in specialty but just as I find you will find limits in UC or family practice.  On the other hand, many hospitals are no longer credentialing NPs who are not acute-trained.  

Thanks for your comments.