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Arkansas State University

How to Become an Adult Gerontology Acute Care Nurse Practitioner: Skills, Careers and Steps to Get Started

Growing healthcare needs across adult and senior populations have increased demand for nurse practitioners with the clinical skills required to manage acute medical conditions. Hospitals, clinics and other healthcare facilities depend on adult gerontology acute care nurse practitioners (AGACNPs) to provide medical care for the increasing number of adult and geriatric patients with acute or complex medical conditions.

Through Arkansas State University’s online Master of Science in Nursing – Adult-Gerontology Acute Care Nurse Practicioner (MSN-AGACNP) program, nurses can acquire the skills and knowledge needed to advance their clinical practice and specialize in this in-demand area of healthcare. Learn more about the educational requirements for AGACNPs, key skills, salaries and employment growth in the field.

What Does an Adult Gerontology Acute Care Nurse Practitioner Do?

AGACNPs care for adolescent, adult and geriatric patients with chronic, acute and critical illnesses. While family nurse practitioners (FNPs) provide primary care across the lifespan, AGACNPs focus on care for adults with complex, chronic or acute health conditions.

Specific responsibilities vary, but AGACNPs are generally responsible for evaluating high-risk patients and treating existing conditions. Unlike adult gerontology primary care nurse practitioners (AGAFNPs) who focus on preventive and continuous medical care throughout the lifespan, AGACNPs manage patient conditions in a range of care settings, from admission to discharge.

Most AGACNPs practice in high-acuity environments, such as intensive care units, emergency departments and trauma centers. Some also work in urgent care or specialty outpatient clinics. They may also specialize in cardiology, oncology or pulmonary medicine. Typical daily responsibilities include:

  • Diagnosing and managing acute or complex conditions, such as respiratory distress, heart failure, trauma or post-surgery complications
  • Completing detailed patient histories and physical exams for acute and complex conditions
  • Ordering and interpreting diagnostic tests such as laboratory studies, imaging and hemodynamic monitoring
  • Prescribing and administering medications and therapeutic interventions
  • Coordinating care with physicians, nurses and other healthcare professionals

Essential Skills and Qualities for Success as an AGACNP

AGACNPs must possess advanced clinical and critical thinking skills so they can make sound decisions around patient care quickly and accurately. The following qualities help AGACNPs successfully care for patients in high-pressure environments:

  • Clinical skills: Strong clinical skills enable AGACNPs to assess complex health conditions, develop treatment plans and implement necessary interventions. They draw on their knowledge of pathophysiology, pharmacology and evidence-based guidelines.
  • Communication and interpersonal skills: By providing clear communication to patients, families and other professionals, AGACNPs support collaboration and informed decision-making.
  • Critical thinking and decision-making skills: Since AGACNPs often work autonomously and in acute clinical settings, strong critical thinking and decision-making skills enable them to provide safe, evidence-based interventions.
  • Compassion and patience: With an in-depth understanding of social gerontology, AGACNPs are able to ease stress for patients and families during critical scenarios by demonstrating empathy, integrity, patience and compassion.

Educational Path and Certification Requirements

AGACNP preparation includes advanced education, certification and ongoing professional development. Understanding these requirements helps prospective learners plan their academic and professional paths. Educational and certification requirements for AGACNPs include:

  • Obtaining registered nurse licensure: Future AGACNPs begin by completing an approved nursing program and passing the National Council Licensure Examination for registered nurses (NCLEX-RN), which serves as a prerequisite for registered nurse licensure in the state where they plan to practice.
  • Completing a Bachelor of Science in Nursing: A BSN is a typical admissions requirement for MSN programs. Some nurses complete their BSNs before becoming licensed RNs, but RNs who have an associate degree in nursing generally must complete a BSN to satisfy MSN admissions requirements.
  • Gaining clinical experience: Many MSN-AGACNP programs expect one to three years or between 1,500 and 5,000 hours of RN experience. Professional experience with adult or geriatric patients in hospital or acute care units strengthens readiness for graduate-level studies.
  • Pursuing an MSN with AGACNP specialization: In an online MSN-AGACNP program, students complete graduate coursework in advanced health assessment, pathophysiology, pharmacology and acute care management, along with supervised practicums focused on acutely ill adults and older adults.

Before applying to an MSN-AGACNP program, applicants should check to make sure the program is accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN). Accreditation verifies that the program’s curriculum meets standards for advanced practice and licensing and equips nurses with required competencies.

After completing an MSN-AGACNP program, graduates can pursue national certification through the American Nurses Credentialing Center (ANCC) or the American Association of Critical-Care Nurses (AACN). Once certified, nurses can obtain licensure as advanced practice registered nurses. AGACNPs must also renew their certification every five years by completing varying combinations of practice hours, continuing education and examinations.

Career Outlook and Opportunities for AGACNPs

Nurse practitioner roles across specializations rank among the fastest-growing professions, with the U.S. Bureau of Labor Statistics (BLS) estimating 40% employment growth by 2034. AGACNPs are in particularly high demand, mainly due to an aging population with longer life expectancies, and a growing prevalence of complex and chronic health conditions.

Nurse practitioners also earn competitive compensation, with median annual salaries of $132,050, per BLS. Salaries vary by region, sub-specialty, experience, workplace setting and other factors.

Within the adult gerontology acute care nursing practice, nurses can develop more specialized clinical skills and work in settings such as:

  • Intensive and critical care
  • Cardiology and pulmonary acute care
  • Oncology and hematology inpatient services
  • Trauma and surgical services
  • Hospital medicine and acute internal medicine
  • Specialty acute care clinics

AGACNPs can also advance to positions such as clinical leader, educator or acute care service coordinator, enabling them to contribute to systems-level quality initiatives. In states that permit full practice authority, nurse practitioners may establish independent practices in acute or transitional care.

Advance Your Nursing Career With an Online MSN-AGACNP From A-State

AGACNPs enable the healthcare system to better address the evolving needs of an aging population. Their advanced clinical expertise contributes to positive patient outcomes among adults with acute or complex medical conditions.

By earning an online MSN-AGACNP from Arkansas State University, nurses position themselves for specialized roles in one of the fastest-growing and most rewarding specializations in nursing. Graduates complete the program equipped with the clinical expertise needed to excel in high-acuity care environments, pursue competitive salaries and improve the health of people in their community.

Learn more about A-States online MSN – Adult Gerontology Acute Care Nurse Practitioner program.

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