Acute Dialysis RN interested to become a Nephrology NP


Hi Everyone!

My name is Kyle and I am a registered nurse with 7 years of experience in Acute dialysis and Apheresis. I am thinking about advancing my career to become a Nephrology NP. My question is, what type of NP degree would I need to take If I want to become a Nephrology NP. Is it FNP or Acute care NP? I hope anyone can help me out. Thank you.

babyNP., APRN

1,921 Posts

Specializes in NICU. Has 15 years experience.

Too many factors, to be honest. It depends on which state(s) you wish to practice and whether you'll be seeing in-patient or out-patient or both. Some states let you do everything on FNP others make you do ACNP in order to do in-patient. Google "consensus model" with your state. We do have a NP here who works with nephrology patients, hopefully she can chime in.

Specializes in Nephrology/Dialysis/Apheresis. Has 10 years experience.

Thank you for the response babyNP. Personally I really dont see myself dealing and providing care with pediatrics that's why I chose the acute care adult NP path. I am currently practicing as an RN in NY and I can see myself practicing as an NP in nephrology in this state. I really love nephrology especially the acute and chronic dialysis portion of it. In the hospital that I am currently working for, most NPs I see that work in the nephrology department have FNP degrees but I am not sure if they manage acute inpatient renal patients.

aok7, NP

117 Posts

Has 14 years experience.

If you want to work in a hospital you should go the acute care route. Beyond getting hired, you need to get credentialed, which can take 3-4 months+. I have seen a former RN who was hired after graduating from FNP school as a hospitalist start training while waiting to be credentialed. She did not pass credentialing because the larger system implemented the consensus model guidelines. Devastating. She moved on and found a job in a clinic.

I am a nephrology nurse practitioner and I work in a CKD clinic 50% of the time and dialysis the other half. I am adult primary care and was careful to have a nephrology clinical my final NP semester, basic steady work history and references, a year of internal medicine as a NP, as well personal experience and interest were the main factors that I was told I hired. You know nephrology is like a subculture little family, so your background and interest is so valuable.