I just graduated from an ANP progrom 3 weeks ago and had a question for all you practiting NPs. Were you hired before passing your test and gaining licensure or after gaining licensure? Also, how long was it before you were able to take the ANCC test after you had graduated? I am discovering that finding a job has been rather challenging since I haven't even taken my test and I don't have my license yet. Is it just me or does this process take forever?
Between the horrible job market right now, no employers showing any interest at all and waiting to take this test, things can be kind of discouraging.
Sorry for the delay in replying. I haven't had time to check in very often lately
In my situation the insurance carrier I used, Marsh, allowed me to get NP insurance as long as I had met the requirements for state licensure and expected my license within a month. Otherwise they suggested I get RN malpractice insurance for the time being and would upgrade my policy to an NP policy when I was actually an NP.
Long before I was officially an NP I also started the credentialing process at the hospitals in my area. Since the reference checks can take 6 weeks or longer, they were more than willing to begin the process. I was not able to actually be credentialed until I had my license, NPI, insurance, etc. Actually, I am still waiting to get credentialed at one hospital though everything has been in for months now.
Keep us posted!
Thanks for replying though you must be busy!
I expect my license in two months...did you speak with a representative to decide? Also, is your policy occurrence or claims based? (Occurrence is the one where even after you've stopped working at a place you are covered as long as it occurred during your employment). Debating between MARSH and NSO now. Any opinions?
Before you were credentialed as an NP, what role did you have in the hospital? RN physician extender? That's the application they gave me, but I wonder if it's safe; ie. they may accuse me of practicing above my scope if the MD has me do rounds.
So many questions. The process seems super long; Well, thanks and would love to hear insights!
i did speak with a marsh representative online and by phone. the one month timeline was recommended by the online rep, the phone rep recommended that i obtain the rn ins. and upgrade only once i had my license. i applied for the insurance early july to be effective 7/15. i ended up being licensed a couple days before then so it was a non-issue.
my marsh policy was exactly the same as the nso policy i had. it is occurrence based. in my state, nso lost money so they were now transitioning into "excess lines" policies here. i don't know exactly what that is, only that it is not the best thing. i saved a few hundred dollars and ended up with a normal policy by switching from nso to marsh. i had posed a question here before i switched and the few replies i got all recommended marsh.
i had absolutely no role in the hospital before i was credentialed. they only allowed credentialed folks and students to see patients. it was completely non-negotiable. am i remembering correctly that the md wants you to follow him as an orientation? i can't see how following him would be out of your rn scope. until you have the np license though, you are required to practice as an rn. if an rn can't do it, neither can you! no medical diagnosing, ordering tests, prescribing, etc. for me, i felt like my scope was much smaller than it was as an np student.
however, things may be different in your state if the hospital is going to allow you to be credentialed before you are even licensed.
Thanks for all of your help :). I have spoken with Marsh today, and will also start with an RN malpractice insurance policy, and upgrade to NP once I'm licensed.
Thank you also for reminding me of the RN scope of practice. I'm going to just go to the hospital to shadow the MD and learn how to use the computers initially.
Specializes in ICU, CV-Thoracic Sx, Internal Medicine.
You can practice as an APRN in Texas as a new graduate. A request for interim approval must be submitted to the board before practicing though. The interim approval is granted so long as all required documentation supports that the individual is eligible to test and likely to pass the certification exam.
I actually called NSO last week regarding student NP malpractice insurance and asked how it would change when I graduatae this December. The rep on the phone said that NSO would change my policy to a full NP malpractice insurance when I notify them of graduation. I would pay the difference between the 2 policies though of course. I guess it depends on the state and if it recognizes the new grad as an APRN before cert.
Darling927
6 Posts
Thanks for replying though you must be busy!
I expect my license in two months...did you speak with a representative to decide? Also, is your policy occurrence or claims based? (Occurrence is the one where even after you've stopped working at a place you are covered as long as it occurred during your employment). Debating between MARSH and NSO now. Any opinions?
Before you were credentialed as an NP, what role did you have in the hospital? RN physician extender? That's the application they gave me, but I wonder if it's safe; ie. they may accuse me of practicing above my scope if the MD has me do rounds.
So many questions. The process seems super long; Well, thanks and would love to hear insights!