Outlook for ACNP and CNL

Published

HI, :oI was wondering if there are any nurse Acute Care Nurse Practitioner (ACNP) out there that can tell me what kind of settings and what is the job outlook for this specialty? the same for clinical nurse leader (MSN)

thanks

Up Vote Up Vote ×
Specializes in Nephrology, Cardiology, ER, ICU.

These are two distinct MSN routes: the ACNP is an advanced practice nurse, the CNL is not. I had call over the weekend and went to a different ER to see a patient and found two ACNP's working as staff nurses because there are no positions of any kind for them. They both would like to get into the ER but that is not going to happen.

The college of nursing that I graduated from last year decided against a DNP program and instead went with a CNL program. They are using their CNLs in the affiliated hospital as the "clinical expert" on several of the medical floors. In the end, they expect to have these CNL's on nearly every floor.

I was at a meeting of our local APN organization and there is much concern that these CNLs will work for less than the APNs and take the APN jobs. There is some validity to this: I worked at a hospital for 10 years before getting my APN. They were willing to hire me as a new grad APN but with a significant cut in pay. However, CNLs seem willing to work for less. Again, I only speak for my small part of the country.

At any rate, I always advise nurses wanting to pursue an advanced degree to ensure they do their homework: what type of jobs are available in their area, what is the pay, the expectations, etc..

Up Vote Up Vote ×

thanks, I will do that. I would like to specialize in something but do not want to waste my time by not finding a job after school.

thanks again

Up Vote Up Vote ×

Hi do you know if there are any Advanced practice nurse careers (MSN) that are in demand? I am having a hard time finding any info online I am looking into relocating to the south Florida area. I would really like to work in a hospital 12 hour shifts so I am trying to figure out which Advanced practice nurse careers (MSN) work in hospitals?

Up Vote Up Vote ×
HI, :oI was wondering if there are any nurse Acute Care Nurse Practitioner (ACNP) out there that can tell me what kind of settings and what is the job outlook for this specialty? the same for clinical nurse leader (MSN)

thanks

OK I'll bite. What the heck is a CNL? I understand CNS and NP but where does a CNL fit in? Does this preprare you for a nurse manager postition?

David Carpenter, PA-C

Up Vote Up Vote ×
Specializes in Critical Care, Emergency, Education, Informatics.
http://www.aacn.nche.edu/CNL/
Up Vote Up Vote ×
Specializes in Critical Care, Emergency, Education, Informatics.

Directly to the white paper

http://www.aacn.nche.edu/Publications/WhitePapers/ClinicalNurseLeader.htm

Up Vote Up Vote ×
Specializes in ICU, ED, Trauma.
Hi do you know if there are any Advanced practice nurse careers (MSN) that are in demand? I am having a hard time finding any info online I am looking into relocating to the south Florida area. I would really like to work in a hospital 12 hour shifts so I am trying to figure out which Advanced practice nurse careers (MSN) work in hospitals?

I live in Florida. Know that the legislature is not our friend. They have yet to give us full prescriptive powers and, in fact, just passed a law that we cannot pronounce a person dead or sign a death certificate. Imagine... It is not likely, that there is much reimbursement in this (as the person cannot be billed anymore) not to be crass, so I wonder at the sense of it. But then such things were surely thought of to make people who ponder such, giggle...

I "hear" that there are lots of jobs for ARNP's, one just has to look for them. I do not find that the specialty matters so much, as what experience one brings to the table.

ACNP (acute care)could work as a hospitalist, but would be precluded from the ER, because the ages of 0-12 are not in the education plan. FNP however can work in both areas at this time. Scope is the issue. One can always get a post masters certificate.

South Florida has a higher billing rate and it is very expensive to live there. In fact, property values tripled last year due to a huge influx of retirees looking for homes. As a result, everything went through the roof and the average person living here can no longer afford to buy. AS a result, it is a buyers market, but the real estate seems inflated.

In Ocala, I was told they start ARNP's out at 50 and hour. But the average salary is anywhere from 50-100 K, depending on what, who, and your experience. Etc... Rn's only get paid about 18-25 on average an hour, some may be as much as 30.

Good luck.

Up Vote Up Vote ×

I am a CNL student and trust me - we even have a hard time explaining the CNL role. Its a very new position and there is a lot of debate about it. According to the AACN ... "The CNL evaluates patient outcomes, assesses cohort risk, and has the decision-making authority to change care plans when necessary. The CNL is a leader and active member of the interdisciplinary health care team."

The CNL exists to coordinate patient between all healthcare disciplines and to incorporate a bit of epidemiology if you will. An example: A floor with a lot of pressure ulcers brings in a CNL. The CNL collects data and works with the entire healthcare team to decrease the amount of pressure ulcers on the floor. The CNL will work with individual patients to better the overall outcome of the unit.

Hope that helps explain it a bit!

Up Vote Up Vote ×
+ Join the Discussion