FNP no longer allowed to practice inpatient

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I live and work in Oklahoma and I am currently in NP school. A lot of the NPs I work with in the ER and hospital setting are having to go back to school in order to maintain their job. I am not finding any legislation saying FNPs cannot practice inpatient, where is this coming from? Is it federal or Oklahoma legislation that changed?

On 7/5/2020 at 9:43 PM, phil1968 said:

Can anyone list what states enforce the consensus model? What is driving this? Medicare? States? BON?

I'll tell you what is driving it...malpractice attorneys. If you are a licensed FNP and you take care of a patient in a hospital that is not a primary care level (observation patients are primary care level) and something goes wrong? The first thing they will do is pull up your curriculum and what your professional board has to say about your competencies. Many FNPs are working in areas that they had zero exposure in school and areas where they were not tested on for boards. It's a slippery slope that has got out of control.

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I think the consensus model is one of the more proactive things our profession has implemented. I am in nephrology outpatient clinic and dialysis, about 50/50, and AGPNP-prepared. I have years of inpatient experience as a RN, nephrology experience too, yet I study all the time, always learning and feel in a satisfying place of knowing enough to be well-respected yet always stretching and learning. I cannot imagine feeling this way if I were inpatient. With so many NPs out there representing our profession with every clinical interaction, it is a critical time and we need to consider as in this thread so many have noted the distinction of skill-set and training. It is not personal.

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Specializes in Urgent Care NP, Emergency Nursing, Camp Nursing.
On 6/10/2020 at 6:53 PM, Lipoma said:

Dual FNP and ACNP.

That depends on where you are, and whose pockets various legislators are in. Emergency Nurse Practitioner is a subspecialty of Family Nurse Practitioner per AAENP, but various states and/or health systems want dual certification as an AGACNP.

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