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Psychcns 12,094 Views

Joined Feb 10, '06. Psychcns is a Psych APRN. She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'. Posts: 857 (42% Liked) Likes: 786

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  • Oct 18

    the exam is retired, not your credentials. But in my case certain states will not recognize my psych CNS cert to prescribe. I was told I could take either the NP or the CNS exam because I was in a dual program. But now they say I can't take that exam anymore... it's so stupid.

  • Oct 16

    So many of the CNS certs are "retired". Both my adult and now my peds CNS are "retired." How can that be when I have 10 more years to work?

    I absolutely hate this about nursing.

  • Oct 16

    Quote from wtbcrna
    There are approximately 40K CRNAs, and the vast majority of those have at least a Masters degree.

    There are approximately 25% of CRNAs that still identify themselves as only having a diploma or Bachelor degree as their highest degree, but there is no indication if these CRNAs are still actively working or just maintaining their AANA membership.
    When I was in NA school one of my clinical preceptors was a super sharp older gentleman who had been a CRNA since the early 70's. He didn't have a degree in anything. He had a diploma RN and was trained in an 18 month long hospital based certificate anesthesia program. He was a fantastic provider and was the "go-to-guy" for tough cases for both MDA residents and CRNAs. All of the MDA residents learned their open heart cases from him. He also was an instructor in the Physicians Advanced Airway Management course required for solo ER providers.
    He read constantly and had plans on working, at least part time, into his 70's. Also a heck of a nice man who loved to teach.

    To the OP. Remember that anesthesia was a NURSING specialty long before it was a physician specialty. The first MDAs had to be taught by early CRNAs. Never pay any attention to anything said on
    I can't really tell you how MDAs treat CRNAs. If one ever shows up around here I will let you know.

  • Oct 16

    You are there as his guest. If you were staying in someones home or being hosted for dinner would you tell the host they talk to much for your preference?

    You can either keep trying to redirect him and make the most of your experience or convey your concerns to your program (if you think it truly impacting your education/preparation) and ask to be reassigned.

    I think there are many out there that would say if you big complaint is being 45 minutes late then you are due for some harsh realizations in your transition to practice.

  • Oct 16

    Honestly, I would think this is where you can have the opportunity to hone your people skills and re-direct him. We all have patients that talk on & on and we have to find the balance to re-direct the conversation. At least he's actually talking. I've heard from friends who have preceptors that don't have very nice demeanors and they barely speak. Yes, it's frustrating that he talks too much about non-educational topics. However, use this as a chance to start asking him questions that get back to the topic. For example, he's going on & on about the civil war or politics or the weather in China. You can say "that sounds interesting, thanks for your insight. On a different note, I do have a question about the lab values/xray results/diagnosis/etc for Mrs. X. Here's my question..."

  • Oct 16

    I thought the name zenman rang a bell...I've definitely read a post of yours on the student doctor network XD!!

    I'm a HUGE fan haha, it actually helped me discover and begin to consider nursing as a healthcare path.

    Thanks to all of you who take the time out of your busy days to post, us young'uns really do soak it up.

    Keep up the good work!

  • Oct 12

    Q: "Well who is going to train new grad NP's?"
    A: experienced NP's

    I don't advocate for the removal of physicians from primary care. NP's do need either real supervision or a residency period for 1-2 years, but the opportunity for experienced NP's to supervise new grads is reasonable. Beyond 1-2 years supervision becomes entirely about MDs profiting off NPs and the red tape that experienced NPs in supervised states deal with is a detriment to patient care.

  • 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