wavecharging-rn

Sal, your experience at bed side sounds impressive, but you are correct to pause and assess what the correct decision is for your new case management career. On one hand, familiarity with one hospital culture is an advantage, knowing your floor, MD colleagues etc. On other hand, a good orientation to take you to that next level is really important. Large institutions might pay for hospital criteria Milliman training. In addition to join a reputed institution would increase your marketability as an RN CM even further, plus if it's a tertiary institution like mine trauma, cancer center, peds, med school. I am only 3 years at my place, everyone seems to have gotten comfortable w/ me, me with them MDs, floor RNs, cafeteria staff you name it LOL. Of course, my institution does have a culture of kindness program, so you should assess offer no. 2. As you can guess from my userid, vibe is important.

elle604...that's a good question, depends on what your goals are. Per my post to bbnfp, some NP's including myself are interested in ortho. As for me, my specific interest is ortho sports med, so to treat age range like teenage sports and etc. in ortho makes sense to do FNP w/ some type of surgical qualification to assist a surgeon. If you are interested solely in working as staff in OR hospital side, I would guess you would only need RNFA.

bbfnp...Professional territorialism-RN conservatism politics of the OR specialty is my possible assessment. This may not be unique to nursing, as MD specialties tell that this exists with them too. I am interested in ortho nursing myself at the APN level, and sense that the above rigidity-setting back could be occurring, and yes would be regressing surgical nursing. I would acknowledge patient on the table is always a risk, for postop infection, and mortality so I would still tip my hat to any seasoned staff CNOR nurse who as earned her/his right to work table side there. If concern for CNOR staff nursing opportunities-job security is present-there should still be plenty of work for us all given the graying of our USA. Ortho by itself is predicted to have 6 fold increase in joint repair cases. My colleagues say I'm great with my patients & are supportive of my interest in APN ortho nursing, so am headed down a similiar path. I was lucky to find this forum, thanks to my colleagues who inputted. Good luck with your ortho endeavour:)