Thank you, OldIsNew. I appreciate your candor.
I've been looking around, and almost every APRN job posting in the area wants NPs, not CNSs. The rare CNS posting has nothing to do with ER. I don't want to leave the ER.
My facility is part of a small system, and they do not have any CNSs, as far as I'm aware. They like NPs, and we have many. I honestly doubt I could convince our ED higher-ups that they need a CNS in the ED. We have several big academic systems nearby, but, again, they want NPs.
It's a shame, really - the CNS could be so helpful to our healthcare system nationwide, but I think poor understanding of the role has made it difficult.
I appreciate and will take your advice about ED NP. I still have some soul-searching to do to see if I want to go that route. Thank you again!