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NPs in EM?

NP   (3,409 Views 19 Comments)
by jls485 jls485 (New Member) New Member

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Hi everyone, I hope you guys can answer some of my questions. I'm currently in an accel. BSN program and will be done in Sept. I eventually want to go to grad. school. I looked into emergency medicine and want to know if they use NPs in that area? I've seen PAs but not sure about NPs. If they do use NPs in the EM, what specity of NPs would that be? Family NP?

Thanks.

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traumaRUs has 27 years experience as a MSN, APRN and specializes in Nephrology, Cardiology, ER, ICU.

15 Followers; 146 Articles; 187,077 Visitors; 20,760 Posts

All depends on your area: in my are they use ONLY PAs. You might want to start your nursing career in the ER and see where that goes.

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7,618 Visitors; 369 Posts

I have seen FNPs working fast track and urgent care. There are a handful of emergency room np programs around, and I know of a post masters certificate (for fnps only) in urgent care.

A FNP can probably see the majority of ER patients colds, medication refills, but would probably never be too involved with major trama or similar. Unless you were only provider in a small er.

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15,583 Visitors; 1,812 Posts

I have seen FNPs working fast track and urgent care. There are a handful of emergency room np programs around, and I know of a post masters certificate (for fnps only) in urgent care.

A FNP can probably see the majority of ER patients colds, medication refills, but would probably never be too involved with major trama or similar. Unless you were only provider in a small er.

The ACNP's seem to be positioning themselves to do EM. However, most ER's also want you to be able to do Peds. I have seen some places that use FNP for a dedicated fast track (urgent care).

David Carpenter, PA-C

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sirI has 30 years experience as a MSN, APRN, NP and specializes in Education, FP, LNC, Forensics, ED, OB.

14 Followers; 19 Articles; 136,269 Visitors; 13,008 Posts

Like traumaRUs said, it is area dependant.

I'm OB-GYN and FNP. Take ED call weekly, 24 hour shifts. Been doing this for a few years now. No PAs in my area at all.

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kyboyrn has 5 years experience and specializes in Nurse Practitioner-Emergency Room.

3,098 Visitors; 96 Posts

In the ED where I work, we utilize both NPs and PAs. The NPs have more autonomy in Kentucky. The docs prefer NPs there, because they don't have to sign the NPs charts or Rxs. They have to sign everything the PAs do. All of the NPs are family nurse practitioners. One NP told me he done his specialty in, I think, acute care, which didn't allow for him to see peds patients, so it was hard for him to get a job in a ED. He went back and got his pediactric specialty as well, and then got a job easily. The family practice NPs are allowed to see peds patients. They also work in fast track, but in the main ED as well. They only work the mid-shift when there is triple or double coverage, as they are limited in the patients they can see. They don't see major trauma. They usually see the lower acuity patients, but if a patient turns out to be more complicated than planned, they still continue care, but an MD is there for consultation if need be. Some hospitals in Kentucky still only use PAs though. It depends on the facility. NPs can now get DEA numbers in KY though, and can write narcs with certain regulations. NPs are becoming more and more common in emergency departments where I'm at though.

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1,497 Visitors; 56 Posts

FNP's often work in the ED for the same reason noted above. we can care for all ages, I have a friend that is an ACNP and she had a hard time finding a position in an ED that had peds, she had to travel to an ED that is only adult.

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16,444 Visitors; 2,438 Posts

We have FNPs that run the fast track. Also have ACNPs that provide care on the minor and major sides.

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CarVsTree has 4 years experience and specializes in Trauma ICU, MICU/SICU.

7,351 Visitors; 1,078 Posts

I work in Trauma stepdown in a Level 1 Trauma Center in PA. For years they've only hired PA's (they take trauma alerts at times) but mostly follow patients through their inpatient stay with us. They rotate between peds/picu/trauma-neuro icu/trauma step down. They have just hired there first NP and he is an acute care NP so cannot see the peds patients. As a result, he's thinking of going back to get cert'd for peds or fnp however it works. Sure makes it seem worth it to get the FNP to begin with.

Too bad there are't acute care programs that include the lifespan... or are there?

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1,739 Visitors; 59 Posts

Hi suemom2kay, I'm from Philly area. That's what I've seen as well, there are plenty of PAs work in the EM etc, but not much of NPs. Do you mind telling me which hospital would that be? Just curious since I'm from the area as well.

I work in Trauma stepdown in a Level 1 Trauma Center in PA. For years they've only hired PA's (they take trauma alerts at times) but mostly follow patients through their inpatient stay with us. They rotate between peds/picu/trauma-neuro icu/trauma step down. They have just hired there first NP and he is an acute care NP so cannot see the peds patients. As a result, he's thinking of going back to get cert'd for peds or fnp however it works. Sure makes it seem worth it to get the FNP to begin with.

Too bad there are't acute care programs that include the lifespan... or are there?

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CarVsTree has 4 years experience and specializes in Trauma ICU, MICU/SICU.

7,351 Visitors; 1,078 Posts

Hi suemom2kay, I'm from Philly area. That's what I've seen as well, there are plenty of PAs work in the EM etc, but not much of NPs. Do you mind telling me which hospital would that be? Just curious since I'm from the area as well.

The NP has been a nice adition, BTW. Lots of flight exp.

Lehigh Valley Hospital - Cedar Crest, Allentown

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