The RN and APRN are two very different roles. It does not mean that the RN is less educated than the APRN. You can have an MSN and not be a practitioner. APRNs, in my opinion, do not provide nursing services, they provide medical services, and we are lucky to have them to do so. The fact remains, however, that the core of nursing was never meant to include writing prescriptions and making medical decisions-that was left to the physician staff. When APRN practice began, they shifted from practicing nursing to practicing medicine. I agree that there is a difference between an RN and APRN, but disagree in the titles, and the statement that they have more education, because that may not always be the case. In fact, if you had a certified wound care RN discussing a patients plan of care with an ER APRN, the RN would be the more advanced clinician here. They would have more working knowledge of the situation than most ER APRNs, so the fact that the APRN has "more education" to me is an invalid point......their education is different. I think most APRNs would agree that they are practicing medicine, not nursing. Nursing is at the bedside for hours during the shift (the NPs are usually only at the bedside for a few minutes). Additionally, the RN staff is coordinating procedures, meds, etc, which the APRN is not doing......instead they are writing admission and discharge orders, consulting with cardiology, etc......which are all aspects of practicing medicine, not nursing.