some additional information about NP/PA , if not interested don't
read--long email
This is the California version
NP programs are affilitated with schools of nursing and most (but not all)
programs are on the master's level
PA programs are affilitated with medical schools. Some PA programs come
with college degrees, others come along with certificates--although there
is a national board.
In California (and there may have been some changes), clinical time for the
PA program is 2000 clinical hours. clinical time for NPs is 500 hours.
(Remember that NP programs frequently also have other coursework that goes
along with master's degree, and entry into a NP program requires a RN
first).
In California some of the PA programs offer a combined PA/NP program, so
that if you are a RN already you can complete the paperwork to get both
certifications. And I forgot in what areas, but actually some agencies
reimburse PAs better than they do RNs. (One reason why sometimes there is
a preference for PAs). There are also rules in California as to
supervision of PAs.
PA programs are geared toward all ages (family practice) but some NP
programs are quite specialized (FNP, woman's health, occupational health,
psych, peds, etc.--and the training is specific to that specialty).
At my facility we use a lot of NPs/PAs, and the hospital has multiple
physician residency programs. And there are feeder programs from 2 PAs
schools and a couple of nursing schools for NPs. It is a lot more
competitive to get into a PA program than it is to get into a NP program.
The "mid-levels" work in ED, trauma service, neurosurgery service, ortho
service, and are also hired in outpatient settings in primary care
(internal medicine, family practice, OB/GYN, etc.).
Multiple EDs in the Fresno, California area use NPs/PAs in the ED.
Usually the type of patients in those practices are more of the urgent care
type--although one of the hospitals does have it's mid-level providers see
some emergent patients--but usually medical/women's health. What the
mid-levels see is usually a combination of what the doctors are willing to
give up, and what they are willing to supervise or not supervise. Some ED
practices can be aggressive in what the mid-levels see, and then others are
quite the colds and back pain. The ED physicians guide and supervise the
practice. At this point, mid-levels are hired through physician groups for
the local area EDs. In some other settings, the NPs/PAs are hired by the
hospital (Kaiser).
Currently there is a master's level ED NP program that includes major
procedures in its training (chest tubes, advanced suturing, etc.) and this
program is located in Texas (University of Texas?) and run by Dr. Frank
Cole. Most NP programs don't usually teach a lot of the major procedures,
but many of the PA schools foster that training. (Another reason why some
MDs like PAs better).
I'm sorry for the long note, but if you still have more questions that I
could try to answer for you please contact me directly (so the rest of the
list serve doesn't have to suffer this).
Thanks,
Patricia Wong, RN, A(adult)NP
Clinical Nurse Specialist
University Medical Center--ED
pwong@communitymedical.org
(559)459-3740
"Kate Curtis" <gkcurtis@bigpond.com>@mailman.listserve.com on 02/19/2003
01:35:08 PM
Please respond to traumanurses@mailman.listserve.com
Sent by: traumanurses-bounce@mailman.listserve.com
To: <traumanurses@mailman.listserve.com>
cc:
Subject: [traumanurses] Re: ED nurse practitioners
Is anyone going to submit an abstract on this for the 4th International
Conference for Emergency Nurses in Sydney? It would be great to have
this perspective, PA vs NP, NP in fast track etc.
Cheers
Kate
-----Original Message-----
From: traumanurses-bounce@mailman.listserve.com
[mailto:traumanurses-bounce@mailman.listserve.com] On Behalf Of Lygas,
Marjorie
Sent: Wednesday, 19 February 2003 11:51 PM
To: traumanurses@mailman.listserve.com
Subject: [traumanurses] Re: ED nurse practitioners
We employ nurse practitioners in our ER both in minor trauma and fast
track and we also have nurse practitioners and PAs on the Trauma Service
to augment the service with the declining residency hours. On the
Neurosurgery service we use both nurse practitioners and PAs. It works
very well in all areas and provides great continuity of care.
-----Original Message-----
From: George Van Denburg [mailto:gvandenburg@earthlink.net]
Sent: Monday, February 17, 2003 5:35 PM
To: traumanurses@mailman.listserve.com
Subject: [traumanurses] Re: ED nurse practitioners
yes we employ nurse practitioners in the emergency department.
George VanDenburg RN, BSN, PHN
Trauma Resuscitation Coordinator
Desert Regional Medical Center
Palm Springs, CA.
760-323-6251 ext. 6014
----- Original Message -----
From: Kate Curtis <mailto:gkcurtis@bigpond.com>
To: traumanurses@mailman.listserve.com
Sent: Monday, February 17, 2003 2:33 PM
Subject: [traumanurses] ED nurse practitioners
Hi all
Could any of you tell me if you have nurse practitioners in your ED? Do
you know of any countries other than England, Australia and the US that
employ ED nurse practitioners?
Cheers
Kate
Kate Curtis
Trauma Coordinator
St George Hospital
Sydney
(See attached file: C.htm)
Is anyone going
to submit an abstract on this for the 4th International Conference
for Emergency Nurses in Sydney? It would be great to have this
perspective, PA vs NP, NP in fast track etc.
-----Original
Message-----
From:
traumanurses-bounce@mailman.listserve.com
[mailto:traumanurses-bounce@mailman.listserve.com] On Behalf Of Lygas, Marjorie
Sent: Wednesday,
19 February 2003
11:51
PM
To: traumanurses@mailman.listserve.com
Subject: [traumanurses] Re: ED
nurse practitioners
We employ nurse
practitioners in our ER both in minor trauma and fast track and we also have
nurse practitioners and PAs on the Trauma Service to augment the service with
the declining residency hours. On the Neurosurgery service we use both nurse
practitioners and PAs. It works very well in all areas and provides great
continuity of care.
-----Original Message-----
From: George Van Denburg
[mailto:gvandenburg@earthlink.net]
Sent: Monday, February 17, 2003 5:35 PM
To:
traumanurses@mailman.listserve.com
Subject: [traumanurses] Re: ED
nurse practitioners
yes we employ nurse practitioners in the emergency
department.
George VanDenburg RN, BSN, PHN
Trauma Resuscitation Coordinator
Desert Regional Medical Center
Palm
Springs,
CA.
----- Original Message -----
Sent: Monday, February 17, 2003 2:33 PM
Subject: [traumanurses] ED nurse practitioners
Hi all
Could any of you tell me
if you have nurse practitioners in your ED?
Do you know of any countries other than England, Australia and the US that employ ED
nurse practitioners?
Cheers
Kate
Kate Curtis
Trauma Coordinator
St George Hospital
Sydney
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