Clarification: CNS v. NP (sorry to repeat!)

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I know that there are many threads asking for distinctions among the various mid-level positions (CNS, APN, NP, PA, etc), but I'm looking for some specific clarification, so please read on.

*From what I've read, it seems as that CNS positions can be more restricted (e.g., not recognized as APNs and/or no prescribing authority in some states) but can have many more facets: educator, administrator, researcher, etc. Would it be safe to say that the NP is more strictly related to primary care?

*I'm currently in IL, and I know the roles are pretty similar there, but I'm not sure where I'll wind up. Would it be safer to go with an NP program because the CNS title isn't recognized in some states?

*Also, is APN an umbrella term for both (and other) specialties, or is it something else entirely?

Thank you for any replies, and sorry if I'm repeating other people's questions!

P.S. I think I want to work in an ICU, if that helps narrow anything down. Thanks!

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hi. I graduated from a psych cns program but work as a psych np in private practice. I am self-employed( administrative), I teach my clients extensively (educational) and read a lot of research so I am fulfilling the role in private practice as an np. different states call nurse practitioners different things, in fl. it is arnp and there are specialties (as above, I am psych). hope that helps. deb

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Specializes in Education, FP, LNC, Forensics, ED, OB.

Hello and Welcome to allnurses.com

Good to have you!!

Here is a thread where some distinctions are recognized:

Different roles for CNS's??? Come on guys share what you do!

As you've probably researched, some states do not recognize the CNS. It all depends on where you practice.

APN encompasses the following areas only:

  • CRNA
  • NP
  • CNS
  • CNM

Good luck with your research and we hope you enjoy allnurses.com

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Specializes in Nephrology, Cardiology, ER, ICU.

I too live and practice in IL. I'm currently an adult health CNS working fulltime in nephrology and part time in an ER. I am going back to school in the fall for a pediatric CNS. IL recognizes the APN's as those listed above in Siri's post and doesn't differentiate in the roles/responsiblities. However, it is important to understand that this is not the case in all states.

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