eg1014

Hi! Thank you for your reply… that’s the line of thinking I was going for. I’ve also found a lot of other AGPCNP’s in my area who work in the field, so that helped too. Thank you again!

New AGNP with a question... Can an adult-gero primary care NP work in a plastic surgery office seeing post-op patients? No, there would be no rounding in the hospital. No, there would be no stepping in the OR -- strictly in the clinic seeing post-op patients, and doing injectables (this part I know I can for sure do). I will also be contacting my BON for clarification. Thanks in advance!

New AGNP with a question... Can an adult-gero primary care NP work in a plastic surgery office seeing post-op patients? No, there would be no rounding in the hospital. No, there would be no stepping in the OR -- strictly in the clinic seeing post-op patients, and doing injectables (this part I know I can for sure do). I will also be contacting my BON for clarification. Thanks in advance!

In my opinion, the aesthetics industry has a lot to do with networking, and being persistent. If you are not currently in the field or have a solid amount of experience, I have found that no one will teach you anything for free (unless a practice hires you and trains you for free) or let you shadow -- everyone charges a pretty penny to show you what they do and teach their skill. So I highly recommend that you definitely attend a course and get a certification at least for now -- and start driving out to practices to try and network. I have been trying to get into this field for some time now, and this year I decided a different approach -- so, I got certified in February and I recently started training as an injector -- but I had to network, because submitting applications and asking around to shadow was not getting me anywhere. It is a TOUGH field to get into -- but you CAN do it. Best wishes on your journey!

It's funny you mention travel and aesthetics -- I just saw an assignment posted on Medely for a need for an injector in CA. Might be worth looking into! I myself do per diem travel contracts, and am currently training as an injector -- but it is tough to find a flexible gig where I can have the best of both worlds. I want to still be able to take on travel assignments whenever I want, while still work on the side as injector..

There was no assumption that the RNFA role is an advanced practice role. I know what the credential is and how the role works when an RN is certified to be a first-assist. I just didn't word the original question correctly and I think it confused many and rightly so, so I apologize for that. My question was more in line with the latter part of your response, where you're doing cases in the OR (not only as a first-assist, but also doing cases ALONE without the surgeon in the OR for that procedure) and rounding in the hospital and seeing patients in a clinic. I've talked FNPs who do this in some states since I've posted this question, but I believe my state (Georgia) is requiring an acute care certification as an NP to be able to function in this way. Thank you for your response!

Right.. but here we are specifically referring to FNPs. The ones you are referring to are most likely acute care NP's. But I've also seen FNP's in some states who function this way as well. As others have responded.. looks like it varies from state to state.

Yes, I knew an RN can be a RNFA.. but I have seen PA's and NP's doing procedures alone (kidney stone removal/stent placement, TURP's, etc.), with no surgeon present. I don't think an RN can do something to that capacity, as far as I know. So I'm curious if the FNP would be able to work in this capacity..

Is this possible? An FNP also functioning as a First Assist (ex: in an outpatient surgery center)? Would this not be considered acute care or a role only for an acute care NP? If an FNP can function as a first assist.. in what setting would this be possible? Thanks!

AMEN. That is all.

The moment patients and their families became "clients".. that's where it all went downhill. I love taking care of people, but I don't get paid to be cussed at, spit on, bitten, strangled by my stethoscope, or sexually assaulted by a patient or their family member. I miss being in critical care, but I don't miss the BS of that hospital life.

Yes, thank you!

Yikes.. the last part of your statement. I always wondered how unsafe it felt to go into random people's homes..

I'm also curious to know how paramedics or other EMS personnel feel about this newly implemented position for NP's? Feel free to drop a comment about your thoughts!

Thanks so much for your input! I had a strong feeling they were using FNPs for this, especially considering the fact that they'd have to treat anyone in the population. I just didn't know if this would be an environment that the "consensus model" didn't necessarily agree with, considering it is a more acute care setting.. but I can see how it is now trending towards ENP's, as you said. Seems like a really interesting field and I also hope we have some more input from anyone out here working in this field. Thanks again!