I'm a hopeful candidate for FNP program in Houston, TX for the fall 2009. A friend and also hopeful stated the other day that she felt that she may be "limited" selecting FNP as her master's choice. To me, FNP is totally me...I'm med/surg/oncology, hands on and like the clinical aspect. I don't know if I'll really end up doing "womb to tomb" but at least I have numerous options to persue. I feel that I can go into multiple aspects including management and teaching. Basically, I want to set up my future!
The "limitations" she brought up where that: 1. You can no longer work the floor/unit when you are an FNP (I guess money is a concern) 2. The course work...I'm not sure that she will be able to pull it off. Plus there could have been some other concerns that didn't spark as true problems to me...
What is your take on this?
Thanks in advance!
Apr 26, '09
Quote from core0
While that may be true in your area, since the OP is from Texas, I will point out that Texas BON interprets scope of practice issues very strictly. They regard an FNP certification as qualification for ambulatory, outpatient primary care medicine. This will limit or exclude an FNP from working in an inpatient setting or even some ED settings. Their discussion can be found here (especially the second section of the FAQ):
David Carpenter, PA-C
It would seem that some programs are trying to adapt to states such such as Texas where the BON is restricting practice. At least two programs I know of, here in Georgia, are in communication with a program or programs in Texas; basically the communications has helped shape the FNP programs that have acute care and/or ER training involved... Maybe not a bad thing market demand and the state response to those demands especially since technology does usually move faster than law.
Factors so many factors:
- In hospital or not (office, clinic, floor etc., etc....)
- Private, state, federal job
- Schools programs and how they are shaped
- BON what are they going to do in the future.
I don't know how Texas made its decision to limit NPs in the hospital but I would guess it happened after there were more than a few working in the hospital envrionment.
Last edit by JDCitizen on Apr 26, '09