NP's in the EM Department

ckh23, BSN, RN · Feb 26, 2006

I have heard of NP programs that are designed to specialize NP's in Trauma/Emergency Medicine. Does anyone know if those NP's have the same scope of practice as an EM Doc, or are they basically used to treat those patients with "minor" problems that basically waste the docs time from treating the high end trauma cases?

We have a NP in our ED, but he is always in fast track

Rio, ASN, RN · Feb 26, 2006

we have a fast-track FNP(or PA) and another FNP(or PA) assigned to the main ED wtih one MD. The mid-levels' times overlap somewhat and they are on during peak times, starting about 10AM and going to 1AM. Our docs encourage the mid-levels to take all acuity levels when working the main ED. Albeit the higher the acuity the more closely they are supervised.

Trauma Columnist · Feb 26, 2006

Loyola has an emergency med/trauma NP program. However, the problem becomes that the ANCC doesn't have a trauma certificate so I'm unsure what test they are taking and therefore what cert they obtain.

At any rate, I live in central IL and at our hospital we don't have mid-levels because we have an ER residency program and the residents need the experience. However, other hospitals do employe mid-levels. Good luck.

BTW I went to CCSN for my LPN and worked at Sunrise Hospital. Did some clinical time at UMC - this was back in the early 90's. Hot, hot, hot.

ED RN 911 · Feb 28, 2006

Our ER used to have 2 NP's and a PA and they slowly weeded them out and hired four Physician-Extender Paramedics to do the same job. They are not limited to who they see and see every type of Pt that comes in. And I am quite impressed on how intelligent these Paramedics are.

ED RN 911 · Mar 1, 2006

Our ER used to have 2 NP's and a PA and they slowly weeded them out and hired four Physician-Extender Paramedics to do the same job. They are not limited to who they see and see every type of Pt that comes in. And I am quite impressed on how intelligent these Paramedics are.

ED RN 911 · Mar 2, 2006

WHY ARE MY POSTS NOT SHOWING UP IN THE FORUM????:angryfire

ednurse63 · Mar 3, 2006

in the ed i work they hired RNP's last year..compared to the PA's the RNP's are poorly educated. I have to tell them thnigs..have they forgotten their roots of being an RN. basic things are forgotten..why you need IV hydration for a kidney stone that is vomiting..when drawing blood on a PED you always grab a blood culture because you know they will order later..but some how they forget the basics of nursing..it's now beneath them the empty or put someone on a bedpan,need another B/P check, or even get the pt up and walk it yourself..the RNP's that work in our ED..have not had any formal ED clinical teaching from a specialized ED RNP program..so it's gets frustrating form the nurses who have to work with these folks..you seem to always going 2 steps backwards...oh yeah..why don't they discharge these pt's..or take orders from the attending on the phone..we are a non-teaching hospital..well they are nice people but it tough on very busy nights..i work 7p-7a

Trauma Columnist · Mar 3, 2006

RNP - registered nurse practitioner?? Unsure of the abbreviation. May I ask if these are ACNP (acute care nurse practitioner) or FNP (family nurse practitioners)? Sorry you are having such a difficult time. I would think that some ER experience would be required.