Emergency NP Fellowship

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Specializes in Emergency,.

Hello to AllNurses,

I am starting an Emergency Nurse Practitioner Fellowship.

I will be the FIRST (and only) in the starting class.

I am putting the word our to all of you experienced NPs who have spent time in the ED.

What would you include in a fellowship/residency

What concepts would you put in the forefront?

What skills would you focus on?

I'm looking forward to hearing what everyone has to say!

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Specializes in Emergency,.

How many of the readers work in the ED?

Do any of you work the higher acuity cases?

What about skills? Chest Tubes, Central Lines, RSI?

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I'm finishing up an Emergency Nurse Practitioner Program and here are some of the things beyond the FNP foundation that we did:

ROTATIONS (some only for a few days, others for as many as 200 hrs)

High and low acuity pods of ED as well as trauma

Women's urgent care clinic

Trauma surgery

Orthopedic clinic and surgery

Radiology

Toxicology

Opthalmology

Anesthesiology

In-patient psych

EMS

SKILLS

Advanced suturing

Advanced airway

Chest tube/needle decompression

EFAST ultrasonography

Central line placement

LP

Nail and foreign body removal

Splinting and casting

Joint injections

CERTIFICATIONS

ACLS and PALS

Wilderness life support

Advanced disaster life support

NIH stroke scale certification

Blast injury certification

Advanced trauma life support

Apparently the ENA is coming up with specific criteria to license NPs in the ER. I've heard that will come out in about 9 months (we'll see if that happens).

Hope this helps!

Hello to AllNurses,

I am starting an Emergency Nurse Practitioner Fellowship.

I will be the FIRST (and only) in the starting class.

I am putting the word our to all of you experienced NPs who have spent time in the ED.

What would you include in a fellowship/residency

What concepts would you put in the forefront?

What skills would you focus on?

I'm looking forward to hearing what everyone has to say!

Up Vote Up Vote ×
Specializes in Cardiac, Pulmonary, Anesthesia.

I would do it like below. Total time=1.5 years. Didatic instruction run concurrent with rotations.

Rotation Location Length

 Emergency Medicine 28 weeks

 Radiology/CT/Ultrasound 4 weeks

 Anesthesia 4 weeks

 Pediatric Emergency Medicine 4 weeks

 Trauma 8 weeks

 ICU 4 weeks

 CCU 4 weeks

 PICU 2 weeks

 Orthopedics 4 weeks

 OB/GYN 2 weeks

 Burn Management 4 weeks

 Trauma 4 weeks

 Toxicology 4 weeks

 Blood Bank 2 weeks

 EMS 4 weeks

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Specializes in ICU, Trauma, Emergency.

There aren't any ED Fellowships in Colorado that I have found. Where are you located?

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Specializes in ICU, ER, OR, FNP.

I'm a bit biased as I'm a military NP, but if you could swing a month in the ER in Kandahar - your HR would never get above 60 when back in a stateside ER. When I got back from Iraq the last time, I scoffed at what folks called "trauma". There is no real trauma in the states. There certainly isn't a 24/7 conveyor belt of people missing lings, organs, faces, etc. Just my $0.02.

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What state are you in? There isn't a single NP in an ER in Ca that I've seen or else I just might go that route. Since they aren't here, I'm sticking to my RN

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Specializes in ICU, Trauma, Emergency.

We use an equal mix of mid-levels in Colorado. PA and NP's. In my ER the see both Fast-track (verticle 3's, 4' and 5's) Some of the more experienced MLP will go into the core of the ED and work up more acute patients and collaborate with the docs. I think its a great role. From my own expreience the PA's do have more procedural experience than the NP's but after a few years it equals out. I have see ED Bootcamps that teach suturing for example. I may just have to go that route.

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I would say procedures- suturing, intubation, CPAP, I&D

Radiology- (This was 100% OTC for me)

Psych- meds, emergency holds

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