Jump to content

RN to PA

Advanced   (10,823 Views | 47 Replies)
by RNPA93 RNPA93 (New) New

559 Profile Views; 6 Posts

Has anyone ever thought about doing a PA program or is anyone doing a PA program? This is what I really want to do and I even moved two hours to the town where the school is to do this. Im still in the process of RN to BSN as a bachelors degree is necessary to do the program but I was wondering if anyone had any tips or advice or if they could share their experience? Thank you!

Share this post


Link to post
Share on other sites

Jules A is a MSN and specializes in Family Nurse Practitioner.

2 Followers; 8,863 Posts; 47,523 Profile Views

I don't have any first hand experience but work with a PA who was a RN. They work as a hospitalist, are very good and seem to fit in better with physicians than many of the local NPs.

Share this post


Link to post
Share on other sites

casias12 has 30 years experience and specializes in Cardiology nurse practitioner.

101 Posts; 2,913 Profile Views

You are much better off going from RN to NP. A nurse practitioner will always be a better degree. PA's will never operate independent of physicians in any state.... ever. NP's, on the other hand, have independent practice in many states now, and will gain ground in others. NP's can do everything a PA can do, but with more autonomy.

Share this post


Link to post
Share on other sites

ICUman has 5 years experience and specializes in Cardiac Cath Lab.

1,656 Posts; 54,103 Profile Views

I would still become a PA over an NP even considering the autonomy. They are more thoroughly trained and can switch specialties easier, and receive more clinical hours in their programs. If I don't do CRNA I'm definitely doing RN to PA like you are.

Also, this will vary on region, but consider job prospects for PA vs NP. NP's at times have trouble finding employment, and when they do, it can be at quite low pay. PA's seem to somehow avoid these issues for the most part.

Plus PA's don't have to deal with all the extra nursing DNP fluff. They have a good strong solid master's degree based in science.

Share this post


Link to post
Share on other sites

matthewandrew has 7 years experience as a MSN, RN, NP and specializes in Family & Palliative Nursing.

313 Posts; 10,048 Profile Views

I would still become a PA over an NP even considering the autonomy. They are more thoroughly trained and can switch specialties easier, and receive more clinical hours in their programs. If I don't do CRNA I'm definitely doing RN to PA like you are.

Also, this will vary on region, but consider job prospects for PA vs NP. NP's at times have trouble finding employment, and when they do, it can be at quite low pay. PA's seem to somehow avoid these issues for the most part.

Plus PA's don't have to deal with all the extra nursing DNP fluff. They have a good strong solid master's degree based in science.

NPs are able to attain full practice authority because their advanced education and training is based on a specific population and focus. This is very different from PAs who are trained as generalists... hence, the required physician supervision/collaborative agreement. NPs not only have graduate degrees "based in science" but they are also able to build their knowledge from their previous hands-on nursing experience. From my experience, NP graduates have far superior clinical knowledge/experience than their PA graduate counterparts in the specific specialty focus of their education/training. The DNP degree is a relatively new degree meant to replace the MSN. I don't think anyone is really qualified to refer to DNP courses as "fluff" unless you have the "DNP" initials behind your name.

Share this post


Link to post
Share on other sites

babyNP. has 12 years experience as a APRN and specializes in NICU.

2 Followers; 1,842 Posts; 28,139 Profile Views

I agree that PAs have an advantage over NPs for certain aspects. To play devil's advocate, one thing that doesn't get mentioned much is that it's harder for PAs to practice overseas- even doing volunteer medical work. Doctors without borders won't accept them at all, for example.

That being said, you'll probably find better information on a PA forum. This is an advance practice nursing forum, after all ;) Best of luck to you.

Share this post


Link to post
Share on other sites

casias12 has 30 years experience and specializes in Cardiology nurse practitioner.

101 Posts; 2,913 Profile Views

I would still become a PA over an NP even considering the autonomy. They are more thoroughly trained and can switch specialties easier, and receive more clinical hours in their programs. If I don't do CRNA I'm definitely doing RN to PA like you are.

Also, this will vary on region, but consider job prospects for PA vs NP. NP's at times have trouble finding employment, and when they do, it can be at quite low pay. PA's seem to somehow avoid these issues for the most part.

Plus PA's don't have to deal with all the extra nursing DNP fluff. They have a good strong solid master's degree based in science.

You are entitled to your opinion, but you are wrong on a few key points. How do they say it? You don't know what you don't know?”.

Anyway.

Training is only a tiny portion of becoming an advanced clinician. PA's are presumed to hit the ground running”, because their schooling is more focused. I agree that a lot of NP education is garbage nursing stuff. I used to find LPN's to be better nurses early on, and some became better than RN's overall because they were very task-oriented. But they had limits in their scope of practice that required an RN to do some of their work, and ultimately pushed them out of almost every hospital I know of. Why choose a degree that has more limits than the alternate choice?

PA's are having the same job issues as NP's, although they have still managed to hang on to a small pay advantage in most areas. In Florida, there is a shortage of jobs for both. Many postings are for NP/PA, but a wise physician will tell you they prefer an NP because of the autonomy.

As for changing specialties, NP's can work wherever their scope allows. Primarily, adult (now adult-gerontology), or FNP (all ages). I happen to be an adult ARNP, and have found absolutely zero limit as far as changing or considering changing specialties. The only limit I have is not treating under 18, which is fine by me. But I could add a post-master's certificate for family NP if I wanted it.

In the real world, I just trained with a PA, and interviewed another PA who will be making exactly the same as the NP's in our company. I know many NP's who are functioning in roles that a PA could not do. But I don't know any PA's functioning in a role that an NP couldn't do.

Share this post


Link to post
Share on other sites

12 Posts; 1,055 Profile Views

There were 3 nurses in my cohort (PA). One failed out in the second semester, one graduated but had difficulty the whole way through, and one was a rock star; one of the smartest people I know. For the two the passed, their background helped and hurt them...it is hard to break bad habits/assumptions.

Just know the with a BSN, you will still need do a lot of extra courses to be eligible to apply. Good luck.

Share this post


Link to post
Share on other sites

ICUman has 5 years experience and specializes in Cardiac Cath Lab.

1,656 Posts; 54,103 Profile Views

NPs are able to attain full practice authority because their advanced education and training is based on a specific population and focus. This is very different from PAs who are trained as generalists...

Really? Then what does that make an FNP? A generalist. Yet...they don't require physician supervision?

Hmm.

Share this post


Link to post
Share on other sites

ICUman has 5 years experience and specializes in Cardiac Cath Lab.

1,656 Posts; 54,103 Profile Views

The DNP degree is a relatively new degree meant to replace the MSN. I don't think anyone is really qualified to refer to DNP courses as "fluff" unless you have the "DNP" initials behind your name.

Touche', however, there are countless beyond countless posts on this website from NP students claiming how useless DNP fluff and nursing theory classes are, and how they'd much rather it be clinically based. PA's aren't subjected to that. They have the benefit of all those extra clinical hours. But yes, RN experience can make a NP/PA much better versed in their specified field of practice.

Share this post


Link to post
Share on other sites

ICUman has 5 years experience and specializes in Cardiac Cath Lab.

1,656 Posts; 54,103 Profile Views

a wise physician will tell you they prefer an NP because of the autonomy.

A bold comment to think you can speak for what so many physicians prefer.

You realize many physicians check the NP's orders before signing off in many practices? The same that they do for a PA. So really, the extra autonomy depends on the practice setting.

Share this post


Link to post
Share on other sites

ICUman has 5 years experience and specializes in Cardiac Cath Lab.

1,656 Posts; 54,103 Profile Views

I know many NP's who are functioning in roles that a PA could not do. But I don't know any PA's functioning in a role that an NP couldn't do.

Please share a specific example of this.

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.