ktrees

That is great, but I must ask respectfully if you love them, please do not insult them by using the term mid levels. My state license has on it Advanced Registered Nurse Practitioner. My degree no where states that I am a mid level provider. Does that mean that physician providers are high level providers and that nurses are low level providers? This is a physician, derogatory driven term, why do you use it? Paraprofessional and physician extender fall in the same category. I am not less than professional nor am I a physician extender. I work independent and in collaboration with other professionals. Thank you for your post. It has allowed for a new conversation

I am a professional, and I have a professional quest that I am on. Unfortunately, you do sound a bit angry. Good luck, I hope you find what you are looking for. Elle

No, that is okay you call it what you want. You have every right to express your feelings. I feel sorry though because you are so unhappy in the profession. If you see the extent of your job as only patient care then you are not fully participating in your professional duties. May I suggest to you one of two options: 1) you have so much anger that it is time for you to get out. Maybe this is not your calling in life? Your work should blow wind up your skirt. 2.) You need to continue on and get your NP or DNP so that you may be fulfilled and transported to new levels of involvment. Good luck Elle DNP, ARNP-BC

Craig, I agree with the last post, you will be cornering yourself by going ENA. 75% of care in the ER is primary care with a paradigm shift of the ED setting towards this level of care due to a lack of primary care providers. Also, the boards for an ENP are the FNP boards since currently there are no ENP boards. Do not get me wrong. I agree that Emergency NPs need specialized training but if you decide to leave, say after you become burned out, then what will you do. I have currently worked in the ED setting as an NP for the past 5 years and have a private practice on the side. I believe it is this mix of care that keeps me from getting burned out. Elle

hello everyone, I need your help I am completing my DNP. I am a ER Np - I have a FNP, WHNP and CNM. I am doing a needs assessment. I want NP's and PA input. 1. How many NP ER programs are out there? I see Jacksonville, Emory, Vanderbilt and Alabama? are there more? 2. NP's working in ER setting what would you have liked to have seen in your program that would have helped you to work in the ER ie.... ortho, cardiac, opthamology rotations I hear that you fear being isolated to ER so maybe an FNP with a Concentration in ER any other thoughts that need to be assessed let me know Karen