Content That Psychcns Likes

Content That Psychcns Likes

Psychcns 11,839 Views

Joined Feb 10, '06. Psychcns is a Psych APRN. She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'. Posts: 849 (42% Liked) Likes: 780

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  • Jul 30

    nothing wrong with online as long as tests are proctored... and actually challenging/ relevant. I think the bigger problem is we really need all np schools to have on campus physical exam components and proctored standardized patient exams. There is no point in going to lecture if you don't have to, but some of these online for profits don't even have proctored exams lol. So how do people even know if somebody knows the information, I mean you can pay people do to your homework.

    Some of the better online schools do have I guess webcam proctoring though, which seems pretty legit as long as it is enforced.

  • Jul 30

    I agree online vs brick and mortar means very little imo. I have taken many online classes that were hard and some brick and mortar where half the credit is showing up to class and trying (statistics...). Online is a great way to make school accessible to the working family raising nurses looking to better themself. Hell in med school there are note taking services so half (what Ive been told from two MDs) the student sont show up to their superior vrick and mortar anyway.

  • Jul 30

    I currently am not an NP but am planning on applying for fall 2017. I am currently enrolled in an RN to bsn program. I absolutely agree that nursing curriculum, especially NP, should have courses such as biochem. I feel lucky to be enrolled in a school that has a curriculum that is constantly being tweaked to be ahead of the game. In this bsn program we had to take a pathophysiology course and a genetics and genomics course, which I found to be amazing and essential, especially considering the impact that genetics has on medication metabolism. Hopefully other schools will follow.

  • Jul 30

    Quote from NRSKarenRN
    Carolyn Buppert RN, JD has been providing expert Legal and Professional Issues for Nurses advice at Medscape Nurses for several years.

    Some of Carolyn's articles I've read that are helpful to NP's:


    Buppert is an excellent resource for NPs who plan to start their own business. I just bought the 5th edition of Nurse Practitioner's Business Practice and Legal Guide. Small areas of it need to be updated...(i.e. encouraging practitioners to advertise in the Yellow Pages). But overall it contains all the important stuff that one needs to know in order to run a business as an NP. It is an expensive book, but worth it. In the past she has done seminars within NPACE conferences for people who are interested in starting their own business. She is excellent. I don't do the NPACE conferences anymore though because they've gotten way too expensive now and they are now charging extra to attend the training sessions within the conference. But, I recommend the book, which also has a section on how to negotiate employment contracts.

  • Jul 30
  • Jul 30

    This is a bit OT but Jules is right. My class (various NP tracks) was very good about sharing job offers and negotiations. The FNP's were getting offers from 70k to 120k.
    A local facility offered a male FNP 100k and a female FNP 90k for pretty much the same position and they had similar experience as RN's. My job lowballed me below the FNP's (I am a Psych NP). I negotiated hard and had another offer in hand for 25k more at another facility. I did my homework and knew my worth, they ended up offering me 130k with an excellent benefit package.

  • Jul 30

    Quote from Conqueror+
    Could you explain what you mean by the reap what we sow comment ? I honestly don't understand.
    Sure. My opinion is that many nurses? women? tend to have little interest in treating their career like a business. They have minimal knowledge of how businesses operate, how to negotiate and even things as simplistic as the the implications of working 1099 vs as an employee. They want "mommy friendly" jobs, are willing to work for low wages in the interest of "getting their foot in the door", work late without compensation or take work home because they spend too much time doing additional duties that are not their responsibility all the while whining about how mean the physicians are and how hard they work. They are willing to accept whatever compensation is offered, many not much more than RN rates, which drives all our wages down. Many are not willing to discuss their salaries or contracts with peers which serves only to keep us in the dark. If I had a dollar for every time a codependent nurse justified their crappy salary or stifling working conditions I'd be able to retire a year sooner. I feel they have reaped what they sowed.

  • Jul 18

    Quote from BostonFNP
    I tried one time to take a NP student for clinic from one of the more notorious online programs and after the first half-day I sent him home and cancelled the preceptorship because he had never had a provider level physical exam course and couldn't negotiate a basic H&P. I now only take students from two local schools I trust or students I know personally or professionally. We only hire NPs from one local program. I am not surprised larger companies are doing this.

    That being said, as a profession, we should crack down on this ourselves and not force the market to do it.
    Wow, that is a shame. He didn't even try to fake it? (kidding).

    Full head to toe exams as an FNP student saved me from listening to the biases introduced by other providers or the patient themselves. (i.e. "I have a history of diverticulitis and my belly hurts," or "They're just drug seeking."—in both cases I found something completely different. One was pancreatitis (the first) and the second was a perfed bowel.)

    FWIW, I went to an online school, but my excellence is on me and not specifically reflected on the school. I wholly feel that the practitioner gets out of their education what they put into it.

    And Boston is one of my forum crushes here, and I admire his opinion and expertise. But I have to say, it's too bad your first online FNP preceptee was your last.

    Having said that, however, what you impart does make sense. I guess I am an exception to the rule

  • Jul 17

    I'm probably older than all of you, and it's an issue I've been thinking about...do I really want to spend all that time and money at this stage of my life.

    I start my 1st class next month

  • Jul 17

    Yikes thats low. The % of billing folks here are getting 80% now from what I hear, physicians 85%. I agree with you and prefer hourly for OP but will do productivity on an inpatient basis.

  • Jul 15

    There are some interesting parallels between the transition of for-profit nursing education and that of medical education.

    In 1910, Abraham Flexner published the Flexner Report which essentially defined what would become the modern medical education system. This document established recommendations for standardization of entry and curriculum. At the time, medical education was an unstandardized mess of mostly for-profit institutions.

    Flexner had this to say, "such exploitation of medical education is strangely inconsistent with the social aspects of medical practice...the medical profession is an organ differentiated by society for its highest purposes, not a business to be exploited".

    This philosophy holds true today. My understanding is that there are no for-profit degree granting allopathic medical programs in the US. This is because the Liaison Committee on Medical Education, the accrediting organization for medical schools, strictly says that schools should be non-profit. I think this reflects a value in the medical community and an understanding that medical education represents a social benefit that should not be profit driven or beholden to shareholders. I wish that our nursing accrediting bodies were as forward thinking.

  • Jul 12

    If your story is true, then no - you are not overreacting.

    Seek a lawyer's advice. Sexual harassment is fiendishly hard to prove. It's also a huge liability issue for business organizations and they all have mechanisms to address it. They have a vested interest in suppressing and discouraging complaints, though, so you need someone on your side that they can't control.

    The first priority is your safety. Has he threatened you or your job? If so, get out!
    Is it possible to transfer out from under his direct supervision?

    Have you told him to stop? That needs to be your first move. You need to say it directly and preferably with witnesses. If you don't, when you report him, he'll simply claim that he "misunderstood your signals" and didn't know his advances were unwelcome.

    Have you kept a journal of incidents or related them to anyone on or off the job? Has anyone else witnessed this behavior or been subjected to it themselves?

  • Jul 12

    What if closure is a myth? What if finding meaning and a deeper level of understanding about yourself and your nursing practice is the best you can hope for?

  • Jul 10

    Quote from Lisa.fnp
    If you really want to go the easy route become a PA or a Psychologist.
    As an RN and the mother of a fourth year clinical psychology Ph.D student who has been working her tail off for 8 years post-high school and still has several years to go before she has completed all of her requirements, I can say without reservation that there is nothing "easy" about becoming a psychologist.

  • Jul 8

    Thanks so much for your validation! I did speak to the director and she assured me that I was not being transferred, rather that was an option available to new nurses. She also advised that the night shift had no actual preceptors, unlike days and explained her decision to place me there. She registered me for a class on the charting system and suggested I just shadow for a month. I think this is a communication issue between leadership and nights and there is no set orientation protocol in place. This unit apparently hasn't hired a new graduate recently. Also, each nurse has 11 very acute patients so not a lot of time. If anyone has a suggestion or a reasonable idea of how orientation typically progresses, I would appreciate the feedback. It looks like I am going to have to create my own process as I get assigned different staff every shift...I just need to know what is reasonable to expect in terms of responsibility. I told the nurse I worked with last night that I would take 3 patients and that he would have to administer meds with me watching. He was way cooler and really did help a lot.


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