Latest Comments by nikkimarthe

nikkimarthe 1,834 Views

Joined Jun 5, '06. Posts: 26 (0% Liked)

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    sorry i think this post was meant for the original poster rx

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    and as for the male there were half male in my class doubt there will be an issue to that and a I have at least 3 male coworkers too 2 pa one np

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    indomie32 hi, I graduated as ACNP after being 5 years as an RN. I think it depends a lot on how you see yourself in a few years and where you want to work. All my training as an ACNP was in the ICU some I know are not ICU based but mine was. I cover the ICU as an ACNP and very independent. Pay is good. I have been debating ACNP and CRNA before I ever started. One thing I can say with ACNP or maybe all advanced practice nurses it's not as easy to find the right job for you. I like ICU but i am not keen to cover days and nights rotation. I struggled with that. I like being able to perform a lot of procedured like central lines, intubations and etc. You cannot also move to different places like obviously pediatric places. We have PAs in our place equally the same autonomy. It depends on your state and hospital policy. Didn't see difference in work between both. One thing i could say with pa their depth in medical knowledge was more that I did start reading more when i started and I still do on every new diagnosis. Anatomy too wasn't as great. There are also some Nps i have worked who couldn't handle the job and we had to let go and I feel bad as an NP for that one of the reasons there should be mandated in person exam if online is a necessity and more clinical hours and definitey the nurse experience should be at least 2 years.( that's just my opinion)

    I worked immediately in the ICU as a new grad NP. I'm very lucky had a very strong intensivist who trained me in clinicals and a very independent acnp. Main difference too with clinicals with acnp in some programs you can choose your own clinicals and some are not sufficient.

    Pa schools the good one at least have it set up already that i know off and also they had same didactic as medical students but no residency but more clinical hours than np.

    SO i guess bottom line it will vary. Are you a good nurse in your area? and do you want to stay in that area? three Work hard on your master's whatever you choose. I always thought when i was doing clinicals one day I will be managing patients on my own and hopefully with backup and I'd rather be asking a lot now and working really hard and be really good at it if you have strong ICU rns working with you they will make your life hell too if you don't know what you are doing

    Another thing I could also say independence is over rated to me at times esp when I have to cover 25 ICU beds.. I sure am happy my intensivist is around to bounce back things and split work.

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    Feel like a nomad. Have been looking at different cities for jobs ... decent salary, good autonomy not necessarily 100% autonomy like certain states as an advance practice nurse...NP or CRNA but still with great support. Also if you are under nurse practitioner program director or anesthesia department and so forth.

    And Great hospital to work with multiple cases.

    Live in houston currently. City is huge, population is pretty big and diverse but not much outdoor in houston.

    Where you all live and tell me about your work place?

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    which state you work? are you in rural setting or urban? are you in private or academic?

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    Where is the best places for CRNA? I know TEXAS is good. Where else?

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    You can if you have a recent ICU experience even as an NP. I am just starting CRNA as post master's to bridge to DNP. My MSN was in ACNP and working in the ICU.

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    Yes how is UTSCH

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    Congratulations on your acceptance

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    I absolutely agree with Juan about looking at ICU experience is mandated and experience as an NP is preferred. A lot of indendepence in the Critical care units if you want and lots of procedures to learn after graduation.

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    Texas Medical Center hires a lot of acute care nurse practitioner here too but quite saturated. Methodist, Memorial herman, Ut System, Md anderson generally only hire Acute care nurse practitioner. There are different jobs for acnp and they have acnp program in Methodist system. ICU coverage by ACNP is also available but a lot of rotational shifts.

    W

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    juan where are u practicing?

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    hopefully for 2015. very helpful answers!!! thank you so much!


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