Best Rec NP Route...

Published

Hi,

What would be the best educational route for someone who wants to do two things:

1) Be NP in ER,

2) Be FNP with side clinic of their own (outside of ER)?

Thanks

Up Vote Up Vote ×
Specializes in Nephrology, Cardiology, ER, ICU.

For the ER, I still like the ACNP and PNP - both are necessary to care for the acute care needs of an ER.

Up Vote Up Vote ×
Specializes in ER and family advanced nursing practice.
hi,

what would be the best educational route for someone who wants to do two things:

1) be np in er,

2) be fnp with side clinic of their own (outside of er)?

thanks

fnp all the way (imho). there are er np programs, but most (if not all) are just fnp programs with additional info/training. when you go for your boards, you are doing so for fnp. when you pick your clinical sites, try to do a rotation in an er. there you can work on procedures, etc. i have worked with quite a few midlevels in the er and all were either fnp or pa, but i am speaking anecdotally. ymmv. for the fnp program am in, i did a rotation in the er and it was a lot of fun.

of course, fnp would prepare you for the clinic gig as well.

ivan

Up Vote Up Vote ×

Thanks Ivan,

that seems to be the local (Tx) consensus I'm getting as well, but mostly from RN's.

Thanks

Up Vote Up Vote ×
Specializes in Emergency, MCCU, Surgical/ENT, Hep Trans.

FNP with CEN. I'd have a few years of RN, PALS, TNCC, ACLS, ATLS (audit) behind me. You want to have everthing the staff RNs already have and EMT-B would NOT hurt. You didn't mention if you're already an RN. Work in a trauma unit also might help. You really need a broad based experience to be competitive. Might have to sell yourself to the department head.

I'd also visit the local ERs where you want to work and find out if they are even interested in an NP. Good luck, keep us up2date!

Up Vote Up Vote ×
Hi,

What would be the best educational route for someone who wants to do two things:

1) Be NP in ER,

2) Be FNP with side clinic of their own (outside of ER)?

Thanks

FNP with ER tract.... If I had had access to the programs out there now I would have spent 3-4 years in MSN school: Duel FNP/ER tract than ACNP right afterwards and than buried myself in a trauma career.

Emory here in Georgia has that kind of program looks pretty great on paper has lots of clinicals. I believe there is a program in Texas also since the folks at Emory kept mentioning it...

Up Vote Up Vote ×
Specializes in ER and family advanced nursing practice.
FNP with ER tract.... If I had had access to the programs out there now I would have spent 3-4 years in MSN school: Duel FNP/ER tract than ACNP right afterwards and than buried myself in a trauma career.

Emory here in Georgia has that kind of program looks pretty great on paper has lots of clinicals. I believe there is a program in Texas also since the folks at Emory kept mentioning it...

Huh, I am in Atlanta. In fact I did one of my FNP rotations in the ER at Emory Crawford Long. Small world. If I am not mistaken the Emory ER NP adds a 3 credit hour class. I am not sure how many extra clinical hours it adds.

Up Vote Up Vote ×

Just to say I am not an Emory person "yet"

No really sure about the clinical hours I can't find where I wrote it down.

Class time:

Procedures For ENP I - 1

Procedures For ENP II - 3

Emergency NP I - 4

Emergency NP II - 3

Classes are in conjunction with their FNP classes.

Actually they don't seem to mind if you do more clinicals...

Man lucky you my FNP program refused to allow us to do ER rotations.

Up Vote Up Vote ×
Specializes in ICU, CV-Thoracic Sx, Internal Medicine.

Hey Trauma,

I'm completing an ACNP program this year and have been under the impression that FNP is the way to go for ER work. I was initially interested in securing an ER position after graduation but working with a hospitalist seems to be more of the natural setting. ACNP's see only adults or 16+ y/o individuals and NO pregos. Both are :up: in my book. I don't know kids and don't want to learn more than I already know about pregos. :nurse:

Up Vote Up Vote ×
Specializes in ACNP-BC, Adult Critical Care, Cardiology.
Hey Trauma,

I'm completing an ACNP program this year and have been under the impression that FNP is the way to go for ER work. I was initially interested in securing an ER position after graduation but working with a hospitalist seems to be more of the natural setting. ACNP's see only adults or 16+ y/o individuals and NO pregos. Both are :up: in my book. I don't know kids and don't want to learn more than I already know about pregos. :nurse:

The issue with ER is that there is really no official NP certification that appropriately addresses the complexity and age variation of patients seen in the ED. FNP sounds more of a likely choice because of the ability to see patients of all ages. However, FNP training does not delve into high acuity problems including traumas commonly seen in high volume ED's. ACNP does but then the age limitation makes it problematic for working in the ED with high acuity patients and traumas of all ages. However, I think FNP's are definitely competent in fast-track ER settings and Urgent Care.

Attempts have been made by schools to come up with ENP focused training such as the one at Emory and another one in Texas, I believe. However, the graduates take the FNP certification exam. If certification is a way to validate one's knowledge and skills in a particular specialty field, I think we ought to come up with an ENP subspecialty certificate in addition to the FNP for graduates of the focused ENP programs. ENA is involved in these endeavors, I believe. I also agree with TraumaRUs' idea that ACNP and PNP-AC sounds like a more powerful combination for a high acuity ED setting than ACNP/FNP combo.

Up Vote Up Vote ×
The issue with ER is that there is really no official NP certification that appropriately addresses the complexity and age variation of patients seen in the ED. FNP sounds more of a likely choice because of the ability to see patients of all ages. However, FNP training does not delve into high acuity problems including traumas commonly seen in high volume ED's. ACNP does but then the age limitation makes it problematic for working in the ED with high acuity patients and traumas of all ages. However, I think FNP's are definitely competent in fast-track ER settings and Urgent Care.

Attempts have been made by schools to come up with ENP focused training such as the one at Emory and another one in Texas, I believe. However, the graduates take the FNP certification exam. If certification is a way to validate one's knowledge and skills in a particular specialty field, I think we ought to come up with an ENP subspecialty certificate in addition to the FNP for graduates of the focused ENP programs. ENA is involved in these endeavors, I believe. I also agree with TraumaRUs' idea that ACNP and PNP-AC sounds like a more powerful combination for a high acuity ED setting than ACNP/FNP combo.

Looks like this was a topic in 2006 check the link: https://allnurses.com/nurse-practitioners-np/emergency-nurse-practitioner-189348.html

From what I was told:

- The ENP certification is in the works. How soon is the mystery.

- The ENP part of the program is akin to the ACNP except they leave out some of the long term care principles like maintaining ventilators and such... Probably varies from school to school.

There are also some trauma residency programs out there also...

Up Vote Up Vote ×

If you spend a couple years in the ER and maybe ICU here and there with previous paramedic training and experience would a primary care oriented FNP program suffice for requisite training and skill in the ER?

Up Vote Up Vote ×
+ Join the Discussion