Quote from nursecutie
hi. i'm a rn who works in icu (trauma, neuro, surgical, medical, ect). currently i'm traveling. i enjoy the icu setting but am ready to go back to school for a higher degree. i am debating on which track to take acnp or fnp? i would like to perform advanced skills but don't want to be in the hospital the rest of my career. i also want a sense of autonomy as a healthcare professional . as a acnp could i go into a specialty such as neurology or surgery in a outpatient setting? i want to be able to get a job out of school too. everyone says go with fnp....what do you think?
[font="comic sans ms"] i feel so loved around here!! *hehe* 92mxmom, the last week went great, thank you for asking! actually sqeaked out 2 a's!! woohoo!!! started my new job last week, but thats a whole other story in itself...
mvanz... *lol* sorry i kept ya waiting for so long!
these credentialing applications for the hospitals are um... witches! hehe (and i have 3 to do!).. and congratulations, by the way!
and pinoy, you were right on! it's been crazy the last couple of weeks... but its over! (until boards...)...
okay, so... nursecutie... i really think that pinoy did a great job at breaking the differences down. it truly does have to be a personal decision. i chose to do acnp because i did not want to get suckered into just working in a doctor's office. granted, i know an fnp working for a hospitalist group right now... (out of scope???
) but its not the wave of the future according to the bon pres.
i do like the hospital and i like the higher level of acuity of my patient population. i enjoy consults in the icu, etc. the job i took is with a cardiology group and i will be doing both outpatient follow ups and inpatient consults/new admits (whenever i get the stupid credentialing apps done!). eventually, i will be supervising stress tests and interrogating devices as well. i do not mind the overlap between outpt/inpatient.
as an acnp, i had to do an internal medicine rotation... thus, i am qualified and "legal" to go to work for an im office, granted there are no preggos or children. that would be an option for you, if you only wanted outpt. you will also, as you said earlier, be able to find specialty work as an np. i would suggest looking into the job market of your area and calling around... keep in mind that just because an ad says, "family nurse practitioner wanted for neurology group" doesn't mean they won't hire an acnp or vice versa. also, call about pa positions. some employers simply dont think about alternatives. i have found this to be the case a lot around my neck of the woods.
as for skills, you get more "critical care" skills as an acnp, like pinoy described. just because you are capable doesn't really mean you'll get to do them though... i wouldn't get your heart set on being able to do so unless you know without a doubt that your area is progressive enough to allow it. my hospitals are quite antequated (sp?) when it comes to what i can do vs. what they'll let me do; it's geographically specific.
best wishes to you cutie!!