family NP or Acute/crital care NP

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Any opinions on job opportunities for FNP VS. Acute/Critical Care NP? I live in MA. I would like to know if one offers a wider range of opportunities than the other. Is there a site out there that lets you know what job prospects would be in a certain place (that is accurate) I have looked at classifieds but I am not sure that gives an accurate scope.

Thanks!

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

i am glad that i have been able to get my brain going again, start school next week - needed a workout. :cry: this summer was the first time i have had off since my son was born in june of 2006. i have been in classes (on campus or on-line) since then. while i loved every minute of the time i had in school it was so wonderful to be with my two little men all summer, i am never going to get this time back and it was great. but i am so ready to go back, my family is great but it doesn't complete me, at least not in the way it does my homemaker friends. i give them and anyone who stays at home and tends to the house and family a lot of credit cause i could never do it. i can't wait for my first day home from school next week, my kids will actually of missed me(i hope???) their smiles will make it all worth while.:heartbeat

yes, those smiles..........priceless!!!!!!

good luck with your school year.

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see i took it as them saying an aprn is broken down into domains not subspecialties
exactly.

there are only four "domains" of apn anywhere in any state:

  1. np
  2. crna
  3. cnm
  4. cns (in your state, the bon clarifies this as psych-mental health cns)

the bon is not addressing the domains with your question to them:

my certification is in a specialty different than the job i am working in, is that okay?
they will not answer your question regarding specialties of the apn for your bon does not address specialty areas. only domains.

so if say you are an np and want to work as a na you have to be able to answer yes to the questions they list.

no, the na (crna) is a domain, not a specialty area for the apn.

but i think it falls alot onto the judgement of the individual.
that's exactly what your bon is stating when they pose these 3 statements. it is up to you as the apn (the domain) to determine if you are willing to take the responsibility and practice out of your certification (specialty area):

  • whether you are competent to provide services to a population different than your certification
  • whether you are willing to assume accountability for the outcomes
  • whether you are in collaborative relationship with a supervising physician who holds the proper credentials to care for that population

i am getting way off track here and i am so sorry if i am coming across insensitive (i am so not trying to do that)
not at all insensitive. you are seeking clarification/direction before making a decision about your career path.

i think it just goes on my list of things i wish were different in america. people might be able to point the blame a little less if there was clearly defined expectations out there that did not rely on a persons opinion that they are competent.

like maybe yet another test (ugh) you want to work in a different area, take a competency test of some kind. prove to your self as well as the employer. protect yourself from litigation and from possibly having to live with a costly mistake that could have been prevented for the rest of your life.

i agree. but, your bon is not outlining about the (specialty) of the np specifically. my bon does. it strictly addresses each specialty area of np and cns and the guidelines for each one that's recognized.

again, good luck with your new school year. i wish you well...

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Specializes in Acute Care - Cardiology.
when i become an np and want to work... preferrably with children. so i was thinking that acnp would be the way to go. but at the same time after working for 10+ years i might want to slow down and have the opportunity to work for a practice. can you do that as a acnp?

as pinoy stated, there are 3 types of "acute care" nps including adult, pediatric, and neonatal... with adult, i am only allowed to see ages 12 and up. pediatric acnp is what it sounds like you would want (to do kids in the hospital)... but then after reading your job listing, it sounds like you'd rather do neonatal. the problem with apn programs is that you have to choose. i sacrificed caring for children to do adult acnp. i do not know the specifics regarding ages, etc. for neonatal vs. pediatric. perhaps you could post a new thread to talk to pnps/p-acnps/nnps. as for the experience required, sometimes your rn experience is sufficient... but sometimes it's not. you'd have to ask them. i gotta get to the clinic, but i'll try to post again later.

hope you are finding some answers...

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Thanks do much for your kind and useful help, it means alot. I am interested in pediatrics, I was just grabbing a classified from this weeks Masslive classifieds...In retrospect it probably would have been smarter to use one for a job I might actually be interested in. Hope all is well at your clinic today!

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Thanks!!!!! Good luck with all that you do too.

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