efy2178

Really? I thought this was a nursing forum not a bash nursing forum. You have nothing positive to say about nursing so why are you on this board? Who needs this? I agree with Tammy-- I think it time to find a forum where I can get support and a healthy exchange of ideas without the negativity.

I think I gained 20 pounds getting my masters!!! All day on the computer for work and then all evening. Not nearly enough exercise. Now I am paying for it.

Thanks--I it sounds as though it is open to interpretation. Fortunately, I work in a state that purposefully keeps the language vague so opportunities are kept open. Iowa does not require a collaborative agreement, however , the hospital I work in does if you are working in a specialty area. Iowa allows FNPs to work in the ED or anywhere else. ANPs can work anywhere as well. In fact, most of the NPs I know and work with are either FNPs or ANPs. Almost all of these NPs had many years experience in the hospital setting before becoming NPs. Many worked in the ICU--specifically the CVICU. I came from the OR/ cath lab/ EP lab environment and most recently worked in a clinic. The one ACNP I did clinicals with worked in a cardiology office. We also had one ACNP in school to get her FNP since she wanted more primary care experience. Unfortunately, there is only one ACNP program in Eastern Iowa--it is fairly new and not yet well developed.

I did find a very good article about the role of ACNPs: http://ajcc.aacnjournals.org/cgi/reprint/14/3/211

Do you have a reference for this comment? I didn't realize that any state specified what kind of NP could practice in the ER.

I worked 1/2 time and it was doable. Tough but doable.

I did Barkley and the one thing that he suggested was to form study groups. That is a difficult thing to do when yo live far apart fro others. So do what we did. Study the material--he sugests not memorizing it but to ask questions about the material and be able to know the answers. Our group got together and formed questions and posted them in e-mails to each other. That way you have an opportunity to really know the material. each person takes a topic and develops questions and you have to learn the answers. We all passed. Try again.

Absolutely an ANP can work in an ICU. You may be trained for primary care but in an inpatient area you will most likely have a collaborative agreement and with trainig you can work in this area. I don't think there are any states that ban this. I am an ANP an am working in an inpatient area as a hospitalist.

This is the report you need to look at: http://www.pearsonreport.com/

Very well said!

Good point. I just got hired as a NP hospitalist in Cardiology. There is a collaborative agreement and I will work with physician hospitalists. But when NPs can't get admitting priviledges, it would be nice if they could admit to NP hospitalist especially if for something general. Like IV antibiotics for cellulitis.

I am finding this thread very unproductive. This debate has become NPs vs Physicians. I work closely with physicians and will continue to do so. If in primary care I decide when I need to collaborate with a physician and I often do. I very much appreciate their input. BUT I GET TO DECIDE!!! and sometimes I am right and the physician is wrong. Stating that NPs are incapable of deciding if they need to collaborate on a particular case is insulting to our abilities as practitioners. I wonder, do you med students ever ask nurses for their input when you are on the floor? If you consider them so beneath you then you are missing our on a valuable resource. That kind of arrogance will get you into trouble in life.

The difference might be that they are referring to themselves as being a nurse--NPs are stating they have a doctorate--they are not calling themselves a "physician" so this is not the same thing.. You seem to think that NPs will intentionally mislead patients. I have not seen that happen.

Its probably true. And if you work in an endoscopy lab you are probably infected with H-pylori--there is research about that.

I work in a hospital--cardiology. Not boring.