NP's working at teaching hospitals

[cardschicarn]

How is the role of an NP at teaching hospitals? I currently work at a teaching hospital as an RN and I do not see many NP's hired due to the abundance of interns and residents. If they were hired I am guessing they would get little respect and get the brunt work.

So, my question is, do any of you have experience with this? Do you know of any NP's, or are one, in a large teaching hospital??

[dissent]

The new work hours could really be an asset to NPs/PAs. The demand is going to go up. The ACGME (the people who run all the residencies) is planning on trimming the hours even further in the coming years. So in areas where residents are picking up the slack, that is going to have to be filled by others... which means more jobs for NPs/PAs

In my experience at a major teaching hospital in Baltimore, the NPs/PAs tend to be more ancillary, functioning similarly to interns or 2nd year residents. They sometimes do minor consults (following up on chest tubes for the thoracic service), run the floors (for renal transplant) and monitor post-cath patients

[Corey Narry, MSN, RN, NP]

Sorry to be technical but they are 16 hours (and were 30 hours). These hours are currently only for interns. Residents still do 28 hour shifts.

Right. I should have clarified that but I did mention it in my subsequent post. 16 hours is the maximum continuous hours allowed only for interns, PGY-II's still do the 24 hour call with an additional 4 hours for non-call related activities. What I'm seeing where I am in some of the in-patient services is a move towards 12-hour shifts to maintain compliance with the new hours and keep a regular pattern of service coverage combining both interns/residents and non-physician providers. I'm sure it's different in other parts of the country where staffing patterns are not similar to ours.

[CCRNDiva, BSN, RN]

The residents in our facility are moving to 12hr shifts as well, usually 7-7.