Is it OK to go to NP school with only 2 years of nursing?

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How do I know when I should start NP school?
I've been a nurse for two years. I've worked in a level 2 Trauma Center in the ICU for one year and I've been working as an OR circulator for the past year. I'm also currently working on my BSN and I plan to graduate this fall. I kind of want to go straight into the FNP program, but I'm very worried that I'm not prepared, but part of me wants to not stall and go straight into it and then learn as I become one. I'm currently preparing for a wedding in January 2026 and so I really don't want to put in peace school on the back burner too much. I would love to work in the OR as a first assistant as an NP. It's my dream job. I just feel guilty working in the OR right now but I've been the happiest I've ever been going to my job every day. I dreaded going to the ICU, but I've learned a lot of things. I guess what I'm trying to ask is if it's OK for me to head straight into NP school as soon as I'm done with my BSN? 

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4 Answers

Specializes in Tele, ICU, Staff Development.

For most NP programs, at least 1-2 years of clinical experience is ideal. Since you have a year each in the ICU and OR, you likely have the clinical foundation to jump straight into NP school, especially if you feel confident in your skills.

If you want to specialize as an OR NP, you're on the right track with that surgical experience.

You are very clear on your career goals, and there really is no good reason to wait.

Very best wishes,

Nurse Beth

Specializes in Vents, Telemetry, Home Care, Home infusion.

Upon completing your BSN, one can complete education to become a Registered Nurse First Assistant without being a Nurse Practitioner.  My local Delaware County Community College has been educating RNFA's since 1985. They require CNOR certification (which requires 2yrs OR practice), 120 hrs with surgeon in your area as part of coursework, hybrid program with just 5 days on campus.  Several programs like them exist across the US.  Since you're planning a Jan.2026 wedding, this type program might be good for you to consider, allowing time to adjust as newlywed and grow in OR knowledge then add NP school.

Having had several surgical procedures including a scary unable to intubate one, we need to develop more OR nurses who's a patient advocate and LOVES the OR.

Specializes in Post Acute, Home, Inpatient, Hospice/Pall Care.

I'm so glad this question was asked. As an APRN I feel well qualified to answer. You should not plan to become a NP with 2 years experience, nor do you need to be a NP to be first assist, that's a seperate thing you can pursue.  I don't work in the OR. I, like the majority of NPs work in primary care, you can specialize as well with the right mentor. As a provider who is working to the full extent of their license NPs assess, diagnose and treat patients with acute and chronic illnesses.  One should feel proficient as an RN before even considering becoming a NP.  Research shows that this landmark is reached around year 5 of practice.  I am not sure what the rush to become a provider is, the pay isn't that much more but the responsibility is. Enjoy the role you chose to pursue, learn all you can as a RN before jumping to that hire level, your co-workers and patients will thank you. Best of luck on your upcoming nuptials and your evolving career!

Specializes in FNP-C, CCRN.

I think continue working in the OR, become proficient at both scrubbing and circulating, get your RNFA, and then after your wedding and settled think about NP school if you want. Then, as an NP you can first assist and round on the surgical patients and perhaps get a job with a surgical group. NP is pretty stressful with a lot of responsibility but I think it brings more opportunities in the long run.  Good luck and have fun. 

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