das264

I understan this is late but wanted to chime in with my experience. My background has been critical care, ED and Flight nursing as a RN. wanted an advanced practice job and after a large amount of research and thought, many of what has already been posted I choose to enter a FNP program.. We don't have and ENP program in my area, I wanted to be able to take care of all age ranges, and the closest ACNP program is a state away... I got a job immediately in the ED.. we take care of ESI triage category patients 2 in collaboration with the physician and ESI category 3-5 independently. We staff both the main ED and "fast track" or UC. Our medical director will not hire ACNP or ANP due to the inability to care of for kids.... we see about 30000 ED patients a year so a little community ED that is busy. We have been proven to be cost effective only due to the APP (advanced practice professionals). In our health system our ED looks the best budget wise and we are staffed the best. I am hoping that there will be a certification/validation of knowledge test coming soon for us.... I love my job D Steele...

I thank you for your response. I have just seen so many different examples of what is actually seen in these departments I was wondering if I could get my hands on some actual department guidelines. Some departments won't have lacerations sewn in fast track, some won't see vag d/c etc.. and then some do..

I am an FNP and have a strong emergency background. I have been tasked with looking into setting up a fast track or express care concept in the emergency department. I am interested in getting others triage guidelines or patients evaluated in this type of system. Any help would be greatly appreciated... If I could get actual guidelines I would greatly appreciate it [PM Member] David RN, MSN, FNP-C