RN-CEN TS

You must be a board certified nurse practitioner who has worked for 2000+ hours in the emergency setting. See the following website for specifics. The ENP-BC is a secondary certification by portfolio once you have already been practicing as nurse practitioner. Emergency Nurse Practitioner Eligibility Criteria Hope this helps.

In my ER which has an MD residency, all physicians have rotating shifts, attendings and residents alike. I don't think it is uncommon for ED providers to do so based on the hours they work (few in comparison to other specialties) and their high level of compensation (compared to most other specialties). I would think it would be common for midlevels as well, but probably contract dependent and what the use of midlevels revolve around in their ED.

1. I would suggest you site your references before posting a hastily made reply as YOU are "nor" (I believe you meant "not") even an NP yet. 2. Secondly, I said "roughly half the states do not allow NP's to prescribe schedule II medications." You are correct concerning the ability to prescribe schedule II, In my mind I was thinking without restriction such as amount, doses, or ability to give refills. If calculating completely unrestricted states it would be close to "roughly half". But like I said, any ability to prescribe schedule II INCLUDING SET LIMITS WITH RESTRICTIONS, your statement is correct. Here is my resource: http://www.deadiversion.usdoj.gov/drugreg/practioners/mlp_by_state.pdf 3. I should have instead said "some states dictate FNP practice to primary clinics" and I also should have said "MANY FNP practice outside of their scope of practice in those states". 4. If I was practicing in my state (OK), as a AGACNP/FNP (which I am currently not as you correctly assumed) and had a pediatric patient present with an acute complaint I would not see them because I am guided by the law in my state that governs my scope of practice. I would hand the patient over to someone who could see them legally within their scope of practice. Not that a AGACNP/FNP would not be competent to care for this patient, but because it would be against the law, unethical, and unprofessional to violate ones scope of practice. 5. There is no doubt that FNP are the sole provider in many ED's across the country, and as I posted I believe most are competent to do so. The OP had questions about which degree/cert to acquire to practice in the ED/ER. My intentions were to help the OP navigate the perplexity of differences from state to state as evidenced by the different nurse practice acts that guide all ARNP's to get the most accurate and legal answer, and enable her to make an informed, evidenced based decision. 6. The national certification "ENP-BC" is not obtained by a post graduate program specific to emergency care. It is solely by being a ARNP of any kind, that is nationally certified, and providing previous work documentation in the ED. Even the credentialing body states it does not replace your primary test certification by any means. I do not need to finish school to understand, or make more sense of this information. I have researched this topic heavily prior to application and acceptance into my program as these issues will shape my career path. I agree with you nomadcrna that many of these things do not make sense and there should be no differences state to state on how ARNP, or CRNA's practice. Unfortunately, we have 51 sets of rules and currently have to follow them as our guide to how, who, and where we practice. Hopefully in the future there will be finite rules and legislation that provide uniformity across the United States that will eliminate all inconsistencies from state to state. Also, thank you for your concern and well presented post.

My comments for the OP were meant for guidance on where to find the most accurate information regarding his question. I fully understand many ED's utilize FNP. However, in some states FNP's are practicing out of the scope of practice by seeing acute patients, as defined by their state's nurse practice act. On another note, it seems as though it would be difficult to solely run an ED with NP's in any state where they could not prescribe schedule II medications. I know roughly half the states do not allow NP's to prescribe schedule II medications. My post was not to say FNP can not, or are not suitable for the ED. I believe the contrary. Nurse Practice acts change with how the national certifications are changing and to meet the needs of the population of their state. I think it would be wise for the OP to refer to his/her board of nursing and nurse practice act for better understanding. I currently am in enrolled in an Advanced Emergency Nurse Practitioner program. I chose this program because it is dual certification upon completion for Adult/Gero Acute Care NP and FNP. It is twice the amount of clinical hours but well worth the investment. If my states decides FNP should only work family clinic I am covered by the AGAC-NP certification. Not to mention employment opportunities abound with dual national certification. I would not want to risk going FNP for my dream job of an ENP-BC only for my state to say FNP can not practice in acute setting 5 years after I graduate. The ENP-BC is by portfolio with two years of experience documented and a couple other qualifiers. Also, even if you become a FNP who is ENP-BC and your states nurse practice act states FNP can not practice in the ED, you are out of luck and better be happy with moving to a state where you can practice in an ED with an FNP. The ENP-BC is not currently held at the same credentialing level as AGACNP, FNP, etc. It is mainly to distinguish those who work in that specialty.

The one who got in works ED in OKC? If so what hospital? I am looking at going PRN and am considering the OKC area.

Congrats soonergirlRn!!! Let me know if your friends got into AENP or not!

Just received my USA letter in the mail for AENP, will be starting this January!!! Hopefully everyone else gets some good news today as well!

Awesome, congrats!!!! I know it must be a big relief to finally get your letter.

Where do you live if you don't mind me asking?

I appreciate the reply, I thought there might be more since there have been 550+ views to this thread in less than a couple of hours......maybe more people will start to post. I just thought it would be nice to interact with fellow applicants while we wait.

I started a new thread for the MSN applicants seeing as this thread is for DNP applicants and their letters have already been sent. Here is the link: https://allnurses.com/post-graduate-nursing/university-south-alabama-883102.html

I applied for the advanced emergency nurse practitioner program and live in Tulsa, OK, no letter yet.

I just wanted to start a new thread for the MSN applicant pool for the University of South Alabama. The previous thread was for BSN to DNP applicants. I know there are many different MSN programs at USA but you take many of the same core courses. So I figured we could all share what program we applied to, what part of the country we are from, and if and when we get decision letters. Guest to allnurses feel free to make an account and post as well, I know there are many of you checking/waiting as well.

I believe the key that most replies are missing is spelled out in your states Nurse Practice Act. Each state has different inclusions and exclusions that make up your scope of practice as a nurse practitioner. These are to include procedures, as well as differences in prescriptive authority (which schedules/classes of medications you can legally prescribe). All of these things vary by state. Many states dictate that FNP practice in clinic settings only, and you must have a nationally recognized acute care certification to practice in an acute setting. Other make no distinction. If in doubt ask your state's board of nursing. Hope this helps.

I appreciate the update. I guess I can move my chair away from the window that faces my mail box....... I think my mail lady is on to me.....haha