Education and training for APNs used in this role should be negotiated.

Unless the hospital specifically hires critical care nurse practitioners, the nurse practitioner who has been moved to this role should immediately have the opportunity to participate in grand rounds and participate in multidisciplinary teaching and education sessions. And, the educational component of this practice should be incorporated into the nurse's position description. Likewise, should a nurse practitioner or clinical nurse specialist who has been moved into this role choose to go back to school to obtain acute care nurse practitioner specialty certification, the hospital or health institution should be required to pay for the courses necessary for specialty certification.