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Maryville AGACNP: a hospital preceptor, and time for the hospital's process

Maryville's Adult-Gerontology Acute Care NP is the one Maryville NP track that trains in the hospital. You need a board-certified acute care NP or physician on a hospitalist-type service for 750 hours across three practicums, and the hospital's own student intake runs alongside Maryville's approvals. Start earlier than a primary care student would.

Plan your AGACNP placements

Tell us your start term, the hospitals within reach and your next practicum. A placement advisor replies about acute care preceptors who fit Maryville's rules.

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750AGACNP clinical hours across three practicums
4Maryville approvals needed before any hospital shift
AGACNP: preceptors and hospitals. 750: AGACNP clinical hours across three practicums; 4: Maryville approvals needed before any hospital shift.
750: AGACNP clinical hours across three practicums; 4: Maryville approvals needed before any hospital shift.

AGACNP at Maryville, in brief

Maryville's AGACNP is an online MSN concentration: coursework is 100% online, no campus visits are required, and your clinical hours happen in a hospital near you. It's 47 credits, 29 in the core and 18 in the acute care concentration, and full-time students can finish in as little as 20 months, with part-time study running 28 to 32 months, the same range as Maryville's primary care tracks.

Maryville's AGACNP landing page lists six entry points a year, and the MSN page's 2026 dates run from January 12 to October 19. To be admitted you'll need an accredited BSN, a 3.0 GPA, an unencumbered US RN license, a year or more of professional nursing experience and, per the catalog, a current RN job. The admission list Maryville publishes doesn't mention critical care experience.

Three acute care practicums

Each AGACNP practicum runs with a Diagnosis and Management course. The table is the short view; the course page covers the catalog records and why the numbers sometimes carry a C.

AGACNP practicums at a glance
PracticumTaken withPatients the catalog describes
NURS 641NURS 640Acute care practice settings; the first hospital practicum
NURS 643NURS 642Complex, acute and critically ill patients
NURS 645NURS 644The same population; the final practicum

The three share 750 clinical hours, and Maryville doesn't publish the split. A 2023 Maryville webinar gave the older AGACNP curriculum 830 hours over four semesters; anyone admitted in or before Fall 2023 keeps that plan unless they choose the current one. Because NURS 641 needs all three NP core courses finished, the first hospital placement follows them directly.

The preceptor and service AGACNP calls for

Maryville said in 2023 that acute care students need "some type of hospitalist type setting", in contrast to the primary care rule for its family, adult primary care and pediatric tracks. The person precepting you still needs Maryville's baseline credentials: APRN, MD or DO, board certified, licensed without encumbrance in their state and at least a year into practice.

That baseline can trim your hospital list. PAs, in Maryville's 2026 wording, "don't typically qualify", and in 2023 a Maryville speaker said no specialty accepted them, so a service whose advanced practice staff are mostly PAs may leave you without an eligible preceptor. Look for services where a board-certified acute care NP or a hospitalist physician would be your day-to-day preceptor.

Plan for more than one preceptor. A Maryville presenter said in 2023 that they thought AGACNP students were capped at 250 hours with a single preceptor, sounding unsure, and no current page confirms it. Asking the Online Clinical Team early costs little; finding out during NURS 643 can cost a term. Preceptor requirements lists the other limits.

Your hospital job: a head start with conditions

If you already work in a hospital, it's natural to start the search there. A 2023 Maryville webinar allowed an employer site when there's no conflict of interest with your present role and you aren't working during the practicum. Hours you're paid for don't count, and hours at work can't be counted toward clinical time in another setting either.

Maryville's 2026 guidance adds the people rules: nobody who supervises you, reports to you, works beside you directly or evaluates your work. In a hospital, that often points to a different unit or service from the one you staff. Expect the education office to run its student process for you even as an employee; some systems, as the examples below show, give employees priority. Clinicals at your employer goes through how to set it up.

States: New York and Louisiana closed, Oregon unclear

Maryville's June 2026 licensure grid marks the AGACNP "Does not meet" in New York and Louisiana, and "Meets" in every other state and territory it lists. The certificate, DNP-NP and BSN-to-DNP grids show the same two states for acute care.

An older State Authorization Status page, last modified in 2020, lists Oregon among the states where Maryville couldn't enroll AGACNP students, and says it couldn't enroll Washington residents in its online nursing program at all. The 2026 grid marks both states "Meets". It also notes Maryville's NC-SARA participation, under which it may place students in clinical practica in member states. If you live in Oregon or Washington, get Maryville's answer in writing before you apply. You'll also need an unencumbered RN license in the state where the hospital is; out-of-state clinicals covers the rest.

How hospitals take NP students: Missouri and Kansas City examples

Hospitals run their own intake for advanced practice students, and the rules vary by system. These examples from Missouri and the Kansas City area show the range; none of them is a statement that a system hosts Maryville students.

  • Saint Luke's Health System (Kansas City): an Advanced Practice Provider/Graduate Nursing Student Clinical Placement form, with first priority for Saint Luke's employees and Saint Luke's College students, and onboarding documents collected on its Clinical Student platform from June 1, 2026.
  • University Health (Kansas City): a Graduate (APRN) Nursing Placement Request form with a Letter of Good Standing, though its undated page limits current placements to University Health employees.
  • The University of Kansas Health System: the school, not the student, submits every request through the MOKAN platform, and some campuses pair preceptors centrally, so students shouldn't contact preceptors there directly.
  • CoxHealth (Springfield): an annual application plus a request for each rotation at least 30 days ahead, with an active affiliation agreement required.

The lesson is to expect a system-level application, sometimes one the school must submit, on top of Maryville's own review. St. Louis and Kansas City sites covers more of the region's systems.

Timing: two clocks, Maryville's and the hospital's

An AGACNP planning sequence
WhenWhat happens
During NURS 611, NURS 612 and NURS 615Pick target hospitals and ask each education office how it takes NP students and whether the school has to submit the request
The semester before NURS 641Maryville sends its preceptor qualifications and qualifying site types; Exxat access follows, roughly three to four months ahead of that first clinical term
Once a preceptor agreesSubmit the site and preceptor request in Exxat; check Maryville's OnBoarding Information List and file an Onboarding Request Form if the hospital is on it
Before the first shiftAll four approvals: compliance, the request, hospital clearance and course faculty; ask about a photo ID only after final Exxat approval
During the termReorder a background check or drug screen through Exxat if the hospital wants a newer one, and keep every item current

Hospital onboarding doesn't replace Maryville's approval, and Maryville's approval doesn't clear you with the hospital. Onboarding requests explains Maryville's form.

Why acute care students plan with us

An acute care search has to line up three things at once: a qualifying preceptor, a hospital that takes NP students from outside schools, and an intake timeline that fits your term. That balancing act is what we specialize in. The placement desk searches near you for board-certified acute care NPs and hospitalists on services where one of them would precept you day to day, raises each hospital's intake questions early, and prepares the preceptor's credentials and CV along with the agreement and onboarding contacts.

Maryville and the hospital sign off separately; we make sure each one has what it needs from you, in the order it needs it. If an intake timeline runs long for your term, you hear it from us early, with another hospital already in view. If a preceptor drops mid-rotation, we look for another on a similar service. Tell us your start term, the hospitals within reach and which practicum comes next, using the form below.

Questions Maryville students ask

Do I need ICU experience to get into Maryville's AGACNP?

Maryville's published admission requirements are a BSN, a 3.0 GPA, at least a year of professional nursing experience, an unencumbered RN license and current work as an RN. Critical care experience isn't on that list. Hospitals set their own placement criteria, though; one Missouri children's hospital, for example, lists the student's skills among the factors it weighs.

Can I do Maryville AGACNP clinicals at a hospital in another state?

Possibly. The state has to be one Maryville's licensure grid marks "Meets" for the AGACNP, which excludes New York and Louisiana, and you need an unencumbered RN license valid in that state. The hospital must agree to take you, and Maryville must approve the site and preceptor in Exxat. Check whether that state's board adds rules for out-of-state programs.

Does Maryville have hospital partners for AGACNP students?

No named placement partner or preceptor network appears in Maryville's public materials for its online NP programs. The hospital partners Maryville lists, such as Barnes-Jewish and SSM Health, belong to its on-campus pre-licensure BSN. Online students arrange their own preceptors, with Maryville's placement assistance available as a fallback rather than a first resource.

Can AGACNP clinical hours be done virtually?

Maryville hasn't published a rule on telehealth or simulation hours for any NP track. Its 2023 guidance described acute care placements as hospitalist-type settings, and the catalog describes complex, acute and critically ill patients. Raise it with course faculty first, and keep their reply.

How long does hospital onboarding take for an NP student?

Maryville doesn't publish a figure, and each hospital sets its own. Missouri examples vary: CoxHealth asks for each rotation request 30 or more days ahead, while SSM Health's policy sets a 21-day lead for the school's formal request. Ask your target hospital's education office for its lead time and add it to Maryville's review time.

Hand us the search. Keep your start date.

Tell us your Maryville track, your county and your next start. We look for a preceptor and a site that fit what Maryville approves, and help you get the Exxat request right.

  • Matched to your track's population and setting
  • Checked against Maryville's preceptor rules before you submit
  • In person near you, or a virtual option where your course allows it

Start your placement plan

A placement advisor replies with what a Maryville-ready preceptor and site look like for you.

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