Emergency Nurse Practitioner (ENP): Job Description, Salary, and How to Become One

ENPs are advanced practice registered nurses (APRNs) with specialized training in emergency medicine. Careers

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If you're ready to embrace the challenges and rewards of emergency and trauma medicine while advancing your nursing career, exploring the path of an emergency nurse practitioner (ENP) could be the transformative step you've been seeking.

Let your passion for healthcare and dedication to making a difference guide you toward a career that allows you to positively impact the lives of individuals during critical and traumatic healthcare moments.

We've created this comprehensive guide with you in mind—learn all about the duties of an ENP, salary prospects, and how to become one.

ENP Job Description

ENPs are advanced practice registered nurses (APRNs) with specialized training in emergency medicine. In the fast-paced world of emergency care, ENPs are at the forefront of delivering high-quality, immediate medical attention to individuals facing critical and traumatic healthcare situations. By pursuing this career path, you'll have the chance to utilize your expertise and skills in a dynamic environment where every second counts.

Vital in delivering prompt and efficient healthcare during emergencies, ENPs primarily work in trauma centers, emergency departments, hospitals, and urgent care centers. With graduate-level training, ENPs are independent providers, allowing them to assess, diagnose, and treat patients appropriately in urgent or emergent medical situations. Their expertise and ability to make critical decisions contribute significantly to the well-being and outcomes of patients.

As an ENP, you'll work closely with emergency medicine teams, making crucial decisions and implementing advanced interventions to ensure the best patient outcomes. Your comprehensive training and specialized knowledge will enable you to handle a wide range of medical emergencies, from life-threatening injuries to acute illnesses, all while providing compassionate care and support.

Whether you specialize in a particular patient population group, such as pediatrics or adults, your role as an ENP will allow you to make a meaningful difference in their lives.

ENP Responsibilities

Emergency Care: Provide immediate and effective care for patients with acute illnesses, injuries, or medical emergencies, including trauma care, cardiac events, respiratory distress, and other critical conditions requiring acute stabilization.

Rapid Assessment: Quickly and accurately evaluate patients by obtaining medical histories, performing physical examinations, and identifying urgent healthcare needs.

Diagnosing and Treating: Diagnose patients, order and interpret diagnostic tests, develop treatment plans, prescribe medications, and administer appropriate interventions.

Triaging and Prioritization: Evaluate the severity of patients' conditions and prioritize care based on urgency and acuity.

Collaborative Care: Collaborate with interdisciplinary healthcare teams to coordinate patient care, discuss treatment plans, and ensure optimal outcomes.

Procedural Skills: Perform various procedures encountered in emergency settings, such as suturing wounds, placing chest tubes, and advanced vascular access, to name a few. 

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Patient Education: Educate patients and families about their conditions, treatment plans, and post-discharge care instructions.

Follow-up Care: Provide appropriate follow-up care instructions and ensure patients receive necessary referrals or consultations.

Job responsibilities may vary depending on the healthcare setting, facility, and individual scope of practice regulations in the employing state.

Benefits of Becoming an ENP 

Being an ENP offers many benefits, including working on the frontline of emergency medicine and making critical decisions to provide immediate, life-saving care in time-sensitive situations.

This role also has the potential for increased pay, recognizing the advanced education, specialized skills, and demanding nature of emergency care. Additionally, being an ENP fosters professional growth through ongoing education and exposure to diverse emergency cases, enabling you to expand your knowledge and nursing skills. 

By serving as an ENP, you contribute to bridging the gap in emergency medicine, addressing the growing need for skilled healthcare professionals in fast-paced and high-pressure environments.

ENP Salary

ENP salaries vary based on the healthcare setting, work region, and years of experience. The May 2023 report from Glassdoor shows that ENPs earn an average of $141,807 annually, while the following data from ZipRecruiter projects a bit less.

ENP Annual Salary Based on Years of Experience:

  • 1-3 years ENP experience $98,620
  • 4-6 years ENP experience: $106,263
  • 7-9 years ENP experience: $116,845
  • 10-14 years ENP experience: $129,036
  • 15+ years ENP experience: $134,894

ENP Annual Salary by State: Highest Paying:

  • Hawaii: $128,870
  • Nevada : $127,258
  • Massachusetts: $126,597
  • Connecticut: $125,890
  • Rhode Island: $122,405

ENP Annual Salary by State: Lowest Paying:

  • Louisiana: $83,188
  • Georgia: $84,319
  • Florida: $86,318
  • North Carolina: $89,587
  • Alabama: $91,639

The aggregate data regarding state pay is from ZipRecruiter, while the remaining aggregate data above is from Glassdoor. Unfortunately, the Bureau of Labor Statistics (BLS) does not measure ENP average salary separately from other NP specialties.

How to Become an ENP

Becoming an ENP requires a comprehensive educational path and a commitment to continuous learning. 

Step 1: Undergraduate Nursing Education

Start by completing a four-year Bachelor of Science in Nursing (BSN) program at an accredited nursing school. This degree will provide the foundational knowledge and skills necessary to become an RN. 

Step 2: Become an RN

Take the NCLEX-RN to become a licensed RN.

Step 3: Gain Nursing Experience

After obtaining your BSN, work as an RN in an acute care setting, such as an emergency department, intensive care unit, or critical care unit. Aim to gain at least two years of experience to enhance your clinical practice and understanding of emergency medicine.

Step 4: Obtain a Graduate-level Nursing Degree

Research and select reputable universities or institutions that offer family NP programs with a concentration in emergency medicine. Then pursue a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP) degree specializing in emergency care.

Program length can take 2-4 years, depending on your previous education and the program you choose, and clinical practice hours to graduate will range from 600-1000 hours.

Related: 11 Best Family Nurse Practitioner (FNP) Programs in 2024

Step 5: Obtain National APRN FNP Certification

After completing your master's or doctorate program, you can take the national APRN FNP certification exam. 

Step 6: Obtain National ENP Certification

Here your pathway to becoming an ENP can vary a bit. If you attend an ENP-focused program, you can sit for the ENP-C immediately. 

Per the American Association of Nurse Practitioners (AANP), if you are an FNP that did not graduate from an ENP program, you can work to obtain 2,000 hours of emergency care experience while completing 100 hours of emergency CEUs over five years. Alternatively, you can complete a post-graduate ENP program or an approved emergency medicine program.

Step 7: Apply for NP State Licensure

Once you have obtained your national FNP certification, you can apply for a state APRN license in the state where you intend to practice. You will be eligible to apply for your NP license immediately after passing the FNP national certification and may choose to obtain your license before taking your ENP certification.

Your path to becoming an ENP may vary slightly depending on your location and the specific requirements of the institutions or regulatory bodies governing nursing practice in your area. It's advisable to consult with academic advisors, nursing associations, and licensing boards to ensure you meet all the necessary criteria and stay informed about any regulation changes.

Exploring the path of an ENP offers a transformative opportunity for RNs passionate about emergency and trauma medicine to advance their careers and positively impact the lives of individuals during critical and traumatic healthcare moments. With specialized training and a commitment to continuous learning, becoming an ENP opens doors to a dynamic and rewarding career on the frontline of emergency care.

Edited by Erin Lee

Editorial Team / Admin

Erin Lee has 12 years experience as a BSN, RN and specializes in Critical Care, Procedural, Care Coordination, LNC.

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Specializes in AGNP. Has 8 years experience.

I am an AGNP and thinking of switching to ENP...any insight or advice?