Specialties NP
Published Dec 9, 2015
russianbear
210 Posts
Can family NPs work as hospita lists or only acute care NPs?
Alicia777, MSN, NP
328 Posts
Depends on your states BON and the hospitals regulations but in most cases, yes.
elkpark
14,633 Posts
The small community hospital in which I am based is basically run by FNP hospitalists.
twozer0, NP
1 Article; 293 Posts
My facility is much like Elkparks. We also have FNP's working in specialty groups.
Dranger
1,871 Posts
Depends on location. We have a few but they are being told to get their ACNP cert or find another place of employment. ACNP only for hospitalists admitting to step down or ICU
WIBound
40 Posts
Most places I have seen FNP
rninme
1,237 Posts
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.
evolvingrn, BSN, RN
1,035 Posts
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
TicTok411
99 Posts
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.
Larry3373
281 Posts
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?