Have you considered a CRNA? Certified Registered Nurse Anesthetist? I've been in the OR 10+yrs at 3 separate institutions and have never met a NP. RNFA's yes but never a NP. Many institutes hire RNFA's to assist surgeons especially when it is not a teaching facility with residents. Other RNFA's are "free lance" and get paid by insurance companies. I think it's a better choice to work for the hospital and not have to worry too much about malpractice insurance, billing, etc. What ever you decide, the OR is a great choice.