Hi everyone! I am a soon to be BSN graduate with plans to start off in a larger trauma Emergency Department in Nashville. I will also be starting an FNP program that I will be able to complete in about two years in the fall of 2019. After that, I plan to make an attempt at an ENP (emergency NP) at Vanderbilt as a postmasters student. I know that the FNP is the foundation for NP usefulness in the ED but I feel that this program would prepare me to take on a more acute role, at least from what I have heard from former students/ ENP's in my area. After completing the FNP and ENP, I will have obtained an FNP, ENP and AG-ACNP (I believe it is part of the ENP at Vandy? and if it is not then I would also do this cert) certs. I also may do a two week Paramedic program for usefulness (there are a couple of these I have seen already.) My biggest question is: is anyone an Emergency NP (doesn't matter what certification) and what type of acuity/ situations are you able to see in the ED. I know some are stuck back in the fast track and see very low acuity (particularly at our HCA facilities in the Nashville area) but are there ED's where they do more? I'm talking intubations, chest tubes, LP's, I&D, suturing, central line insertions, art, PA and CVP or any combination of them? I also wonder how often they are able to run codes? I work as a nurse intern in a decent size urban hospital (550 beds) and it is not uncommon for an NP to run a code on the floor but I am unsure if they intubate/ insert central lines in these situations. I understand that some flight NP's do these procedures on a regular basis? My primary reason for asking is that I have a real interest in being able to perform these occasional invasive procedures and if that is not the case then I seriously will consider CRNA school after a couple of years in the CVICU (another offer on the table for me) as I love this part of medicine.