Southern Illinois anyone? - page 2

by Noimanurse

No, not Peoria, I'm talking Southern Illinois. Anyone from Effingham, Salem, Marion, Carbondale, Anna, or Cairo? Just wondering about any issues from our part of the state? I work in a small community hospital, yes, small, we... Read More


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    lol! I live in 309 and my husband lives in 618. We have a commuter marriage at the moment. I work in the 309 area code but work in a wide area - I travel about 300-500 miles/week for work.

    What type of APN are you doing? Don't do what I did: did an MSN in management and leadership, didn't like management, did an adult health CNS but needed to be able to see kids, so did a second post-MSN certificate as a peds CNS. I'll be paying my student loans till I'm dead!
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    I have been trying to decide between CNS or NP route. Just wondering how you feel, what you've seen, etc., as far as your CNS route? Any certain advantages to the CNS over NP? Do you wish you would have done the NP, as well (other than more student loans)?

    To me, I seem more interested in the CNS route, yet my experience is limited, so I am unsure. To me the CNS route would be able to still be important at the bedside and be important in education to patient and staff. While the NP is certainly important in the clinic to patients and education of patients in the clinic, it just appears from my limited experience that the CNS may have a bigger role in more of a hospital setting? Am I wrong here? Does it just matter on the facility more than anything?
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    I'm struggling between the adult and family NP. I'm not real comfortable with kids almost my entire backround has been with adults. I believe I'm more marketable with the FNP. SOme of the NP's I know have gone back and obtained there FNP.
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    To give my 2 cents worth to Malenurses. Why not become an Acute Care NP and work as a CNS. Sometimes when Hospitals down size its the education areas that are eliminated. Then you have a more diversified degree to fall back on.
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    Thanks Bob, that is certainly one thing I have thought about, whether it be downsizing or just a bit more job flexibility in a rural area or in the case of a re-location down the road.
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    In IL, the CNS and NP have the same practice act. Yes, I do wish I had done the FNP as it would give me more leeway and latitude in jobs. HOwever, I've made my choices, so that's it - lol.

    At least in my area, the CNS/NP roles are very blurred. I work in a large 15 MD, 5 mid-level practice. Of the 5 mid-levels, 2 are FNPs, 2 are PAs and then me, a CNS. We all do the same job.

    Even if you are not comfortable with kids, after school, you can choose a practice area where you don't see kids or see kids only once in awhile. So, you would have more options.

    I have a friend who is a GNP and couldn't find work, so teaches at the GNP program where she graduated.
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    Well, I figured I would go ahead and ask the age old question that seems to often dominate allnurses.com, but I want to pose it to those nurses in southern Illinois. I work at a small critical access hospital in the med-surg unit as a floor nurse (RN). I work at least 3-12 hour shifts a week as a full-time employee. I have 1 1/2 years experience as a nurse, all of it at this hospital, I have a good work record. My nursing degree is a ADN and I have a BA in biology. My pay is just under $19/hour base pay. Does the pay sound fair?


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