Nps in the er

PG2018 · May 12, 2016

If it's an academic place, like Trauma said the residents will gobble the procedures.
All hospitals require competency verification and authorize each provider to do X, Y, and Z skills.
You'll usually see them on the intranets. Google and you might see examples. This holds true for employed and credentialed folks.
I recall the FNP doing some kind of oral surgery draining this abscess at the very back of a kid's gums with some kind d of special suction tubing. Boy, that kid bled but felt I immensely better. I'd see her take off toenails, and she'd was very aggressive about lancing, incising, and draining. Saw her reduce dislocations. Interpreted her own xrays. Sharp cookie. Thougjt Buspar was a good drug thought, lol.

Horrible smartphone typing.

PG2018 · May 12, 2016

It caught my attention because I thought it said "Nips".

ERs are cold...

Nice screen name, btw.

NSC Nursing · May 12, 2016

Nips and Naps, two of my favorite things.

Aromatic · May 19, 2016

nips and naps are hard in the cold ER. No time to sleep, and shirt piercing nips, you know, since its so cold.

We can do all the basic procedures, depending on what your comfortable with. Usually if its something procedural the docs will show us how to do it so we can do it next time. I stapled some guys head last week, sutured a simple lac, glued some kids forehead, helped with a reduction, push propofol, intubate sometimes if the doc isn't available, and all the basic minor procedure stuff like wound approximation, etc.

more invasive stuff like central lines, chest tubes, etc requires some sort of skill competency thing where you have to do so many. Not really worth pursuing where I am since the docs can do it all and are usually available. Its pretty cool though, just wish we got paid more lol.

NSC Nursing · May 19, 2016

nips and naps are hard in the cold ER. No time to sleep, and shirt piercing nips, you know, since its so cold.
We can do all the basic procedures, depending on what your comfortable with. Usually if its something procedural the docs will show us how to do it so we can do it next time. I stapled some guys head last week, sutured a simple lac, glued some kids forehead, helped with a reduction, push propofol, intubate sometimes if the doc isn't available, and all the basic minor procedure stuff like wound approximation, etc.
more invasive stuff like central lines, chest tubes, etc requires some sort of skill competency thing where you have to do so many. Not really worth pursuing where I am since the docs can do it all and are usually available. Its pretty cool though, just wish we got paid more lol.

Hey thanks for the great response. What is your masters in? Fnp or acnp

Aromatic · May 20, 2016

fnp, they want fnp usually since we see kids, and a lot of parents bring kids to er for dumb stuff.

NSC Nursing · May 21, 2016

fnp, they want fnp usually since we see kids, and a lot of parents bring kids to er for dumb stuff.

Thats what I figured. So as an fnp in the er is your job any different from a pa?

Aromatic · May 21, 2016

same thing, except our charts don't need cosigning.

nomadcrna, DNP, CRNA, NP · May 21, 2016

I've worked solo ER in Alaska and Montana. I do everything normal FP physicians do in the ER. Chest tubes, sutures, ultrasound assessments, central lines, blocks for fracture reduction and the fracture reductions, dislocations, intubations, trauma, resuscitation and so on. You can do any procedure you can show you have the education and training to perform. I highly encourage any NP working in the ER to become proficient with all of these. Plenty of classes are available.

There are ways to become a board certified ER NP (ENP). One is through ANCC and the other through ANENP (AANP).

turnforthenurse, MSN, NP · Jun 1, 2016

I think it depends on where you work.

The NPs (and PAs) I have worked with in the ER setting worked mainly in fast track and would see ESI 5's, 4's and soft 3's. They would do procedures such as suturing and I&D depending on the location but that was about it. They weren't allowed to intubate or do more complex procedures. If the ER is backed up they would also perform medical screening exams and get things started for patients until they can be brought back to the be seen by the MD.

Rocknurse, MSN, APRN, NP · Jun 1, 2016

Are there any Adult Acute NPs working in the ER? I'd love to work in the ER but I just don't want to see kids. I used to work in an ER that only saw adults as there was a special peds ER next door. It was a perfect environment but it was in another country unfortunately.

turnforthenurse, MSN, NP · Jun 3, 2016

Are there any Adult Acute NPs working in the ER? I'd love to work in the ER but I just don't want to see kids. I used to work in an ER that only saw adults as there was a special peds ER next door. It was a perfect environment but it was in another country unfortunately.

I'm not sure if that's an option. I've worked in a handful of ERs and all of the NPs have been FNPs, not ACNP. They don't have the option to pick and choose which patients they will see. NPs in the ER mostly see level 5s, 4s and soft 3s in a fast track area but they also do medical screening exams in triage at my ER if the main side gets backed up. That means they see everyone, even level 2s, and they're all ages. A lot of pediatric patients tend to fall within the 4 and soft level 3 category and if there is an NP, they will be expected to see them.