Depends on the state practice act. FNPs here can work in ED, urgent or convenient care. Hospitalist positions are usually filled with MD, DO, PAs or ACNPs. I am sure there are still a few FNPs working in hospitalist positions, but not sure if they were grandfathered in? Our class recently met with the BON - and were told that FNPs could not work in acute care inpatient settings as it was outside scope of practice. I have seen job openings looking for FNPs to fill a hospitalist position in this state - but I would be leery of accepting one. The hospital may say -- oh, it's ok but the BON may have other ideas.
The practice statements are out and regardless of what state you are in, a family NP should not be working in acute care. If they are it is considered to be outside of their scope of practice and leaves them vulnerable in a liability case
A fundamental premise of the Consensus Model is that CNP competencies are not setting-specific. Historically, the acute care CNP practiced predominantly in the hospital and theprimary care CNP practiced within a community setting. These setting boundaries oftenoverlap, however. It is inappropriate and restrictive to regulate acute and primary care CNPscope and practice based on settings. Regulation should be based on educational preparation,certification, and scope of practice.
At on of the hospitals I work for (in Mississippi), FNPs work as hospitalists, but they can't follow patients in ICU. They also work in the fast track part in the ER. I personally believe that if you want to work acute care, you should get the acute care cert. imagine if you had to go in front of the board of nursing for practicing outside your scope. Why risk it?
russianbear
210 Posts
Can family NPs work as hospita lists or only acute care NPs?