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As a director of an FNP program that is just expanding into a post master's DNP curriculum, I believe that many DNP programs will offer much in the way of advanced preparation for ER NPs. Basically, students will have to work to devise an individualized plan of study for themselves, almost always 500 hours of clinical, focused on the student;s goals and specialty is included. In addition, the DNP program always includes a culminating written project; here the NP can demonstrate his/her knowledge and expertise in the chosen specialty. The professional organizations (in this case ENA) can be a valuable resource to students who are designing their experience, but all-in-all you will be/must be prepared to be at the forefront, an edge runner so to speak.

Geri Budd Widener UniversityNovember 04, 2009
Harrisburg, PA

I am a FNP who is currently working at a rural ER, any ideas where to get some updates, classes, etc to assist with the transition from office to ER??
thanks for any assistance

Melanie  Ludwig September 02, 2009
Nicktown , PA

I am currently responsible for designing the NP position in the emergency department providing care in a Fast Track area.
I would appreciate any feedback regarding credentialing/privileges vs collaboration, hospital restrictions of scope of practice, billing/coding issues, and/or physician acceptance of the NP role, involving hospitalists, ED physicians,and PCP.
Thank you in advance!

Tonya Reddy,  FNP,  Rush Oak Park HospitalJune 15, 2009
Oak Park, IL

Beth,
I hope you have made known to your collaborating physician that your name and DEA should be on prescription pads. You are correct, being able to document patient outcomes treated by the NP is important. The other issue is in a collaborating relationship, collaboration should take place. If the MD is signing everything, I would venture to say you do not have a collaborative relationship.
Catherine S. Bishop, NP
Oncology Nurse Practitioner, AOCNP

Catherine  Bishop ,  NPMay 24, 2009
VIENNA , VA

My first job as an NP in a primary care setting has been equally frustrating. My collaborating physician has his name electronically placed on all outgoing scripts and correspondence.
How can track out positive pt outcomes when someone else is getting all of the credit?
I am eagerly awaitng autonomy for NP's.

beth February 07, 2009

I worked in the Ed of a small hospital for 8 miserable months. The attendings, as well as many of the ED docs, made my life a living hell. If the attendings are not on board with the NP idea, it will fail. Most of these physicians wouldn't see their sick patients, but sent them to ED and then proceeded to complain when "just an NP" saw them. Some even refused to speak with me if their patient needed admision. They wanted to speak to the physician, even when they were told he/she hadn't seen the patient and knew nothing about their case. A couple of the ED docs, who were supportive would inform the attending they didn't know anything and would have to speak with me.

Although this hospital has continued to have NP's off and on, no one stays very long. I hope the rest of you are treated much better.

Laura  Curtis November 21, 2008
Fowler , MI


     

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