Thanks for your reply Juan Unfortunately there are no Children's hospitals in my region. Out of the four PICUs in my area only one utilizes ACPNP, and they work the night shift. The PICUs here are 12 to 14 beds. The hospital I am currently at is working on expanding its PICU and two of the other PICUs are currently taking bids for a new intensivist group which may open up some opportunities. As of now I don't think I would want to work in a PICU, only round on consulted patients due to the limited need for them in the PICU at the moment. As well I have two friends currently in ACPNP programs and a third about to start, if any positions were available they would get to them first. For this reason, I was thinking of broadening my scope with the FNP but also try and specialize if its possible with the FNP. I would love to do the ACPNP, just worried I'll have a harder time finding a job.