Can an FNP...?

  1. Can FNP's work in outpatient surgical centers (ex: plastics, urology, general surgery, etc.)?

    Many people give me confusing responses. You wouldn't be in a hospital or rounding in one.. and the patients that have surgery in this outpatient setting are relatively "healthy".. Educate me, please lol.
  2. Visit eg1014 profile page

    About eg1014, BSN, RN

    Joined: Jan '13; Posts: 31; Likes: 26

    13 Comments

  3. by   traumaRUs
    Are you assisting in the OR? Doing preop H&Ps? What exactly would your duties be?
  4. by   BostonFNP
    First stop would be your state's practice act.

    Then consider what your personal experience and training is.

    Can FNPs work in out-patient surgical centers? Sure. Can all? No.
  5. by   eg1014
    Quote from traumaRUs
    Are you assisting in the OR? Doing preop H&Ps? What exactly would your duties be?
    It's hard to say. I have not run into a job posting that lists specific duties for the NP. Nor does it specifically say what type of NP they are seeking. So it's hard to see where an FNP could be needed or used when no one specifies.

    I'm from Georgia btw.
  6. by   eg1014
    Quote from BostonFNP
    First stop would be your state's practice act.

    Then consider what your personal experience and training is.

    Can FNPs work in out-patient surgical centers? Sure. Can all? No.
    Well, I'm about to start school and have chosen the FNP track. I'm currently an RN working in the CVICU.

    From my understanding, the state of Georgia was going to essentially stop FNPs from working in acute care, even if they had already been practicing in that arena (even FNPs who worked for, say, a cardiology group and rounded on patients in the hospital).

    I later learned they retracted that statement.. but it is still subject to change in the future.

    I mentioned in the comment above that it is difficult to see where FNPs can work, as I have seen job postings that don't specifically state duties nor state the type of NP they seek.
  7. by   traumaRUs
    Its been my experience that some practices may not be aware of the consensus model and LACE. I'm in IL and FNPs are no longer credentialed in hospitals here. I work in a large nephrology practice and our FNPs are no longer doing hospital rounds. Those FNPs employed by the hospital are okay "for now" but unsure what will come down the pipes in the future.

    Best bet if you want to work in the hospital, do an acute track
  8. by   eg1014
    Quote from traumaRUs
    Its been my experience that some practices may not be aware of the consensus model and LACE. I'm in IL and FNPs are no longer credentialed in hospitals here. I work in a large nephrology practice and our FNPs are no longer doing hospital rounds. Those FNPs employed by the hospital are okay "for now" but unsure what will come down the pipes in the future.

    Best bet if you want to work in the hospital, do an acute track
    Got it. I'm actually trying to avoid the hospital But I will continue to do my research on the outpatient clinic subject. I'm sure they can't assist in surgery, but I bet there are other things they could do within the arena, as someone has stated before.. anyway, thanks so much!
  9. by   DowntheRiver
    Here in FL where I work, ARNPs put in and remove ports/central lines.

    ETA: At an Oncology hospital same day surgery setting.
    Last edit by DowntheRiver on Aug 17 : Reason: ETA
  10. by   Dodongo
    Quote from traumaRUs
    Its been my experience that some practices may not be aware of the consensus model and LACE. I'm in IL and FNPs are no longer credentialed in hospitals here. I work in a large nephrology practice and our FNPs are no longer doing hospital rounds. Those FNPs employed by the hospital are okay "for now" but unsure what will come down the pipes in the future.

    Best bet if you want to work in the hospital, do an acute track
    It seems to me that most schools - FNP programs in particular - are not even mentioning the consensus model to their students. So these FNP grads think they can do whatever they want. It's amazing the lack of self awareness.
  11. by   eg1014
    Quote from Dodongo
    It seems to me that most schools - FNP programs in particular - are not even mentioning the consensus model to their students. So these FNP grads think they can do whatever they want. It's amazing the lack of self awareness.

    Agreed, no one really educates you on what will be available to you after you graduate and get certified.

    I certainly don't think I can do whatever I want as a future FNP. In fact, I chose this track bc I do not plan (nor do I want to) be in an acute or critical care setting. I currently work in the CVICU and I simply don't want to be here or inside of a hospital as an APRN.

    I was just curious as to what all is out there for an FNP to do, since every state varies. Especially here in GA.. probably one of the more stricter states as far as scope of practice and all that goes.

    Thanks for your input!
  12. by   OllieW
    Quote from traumaRUs
    Its been my experience that some practices may not be aware of the consensus model and LACE. I'm in IL and FNPs are no longer credentialed in hospitals here. I work in a large nephrology practice and our FNPs are no longer doing hospital rounds. Those FNPs employed by the hospital are okay "for now" but unsure what will come down the pipes in the future.

    Best bet if you want to work in the hospital, do an acute track
    Two minutes ago i saw a position for hospitalist in IL and it listed qualifications of Adult NP, Family NP....
  13. by   traumaRUs
    Quote from OllieW
    Two minutes ago i saw a position for hospitalist in IL and it listed qualifications of Adult NP, Family NP....
    Perhaps Chicago? I should have qualified my response by saying in central IL at the two large hospital systems FNPs are no longer credentialed for in-pt positions.
  14. by   bbcewalters
    As an FNP in Georgia (Atlanta area), MANY postings for jobs are very specific if they want an Acute NP or not. Many of the Atlanta hospitals are not hiring FNPs for inpatient care unless you have experience or were an NP prior to (I Think) 2015, (not sure where the date comes from, but I guess they think the training has changed since then). Also many job postings that involve hospital rounding with specialty are also requiring Acute certification. The good thing is..... if you don't want to work in a hospital this will not be a problem....
    Good luck to you and make good contacts during all your clinical rotations. These will be very useful once you are job hunting.
    Bobbi

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