rninme, MSN, APRN 9,314 Views
Joined Jun 12, '06 - from 'somewhere in Downeast Maine'.
Posts: 1,733 (9% Liked)
Hi there - I live in IL also and nope no problem with you doing that. Is this a nephrologist that you are working with? The reason I ask is that I work for a large nephrology practice and we have 8 APPs (advanced practice providers) rounding on our pts.
Getting credentialed at the big two chronic dialysis units is not much fun either.
I'll be glad to answer your questions about nephrology - its a pretty specialized field which is why I was asking if you were working with a nephrologist.
I also wanted to add that the IL APN Practice Act "sunsets" in 2017 and here are the proposed changes:
We are gearing up for another big push for full practice authority in 2017. We have a lot of work to do and need all APNs in the state to support our efforts.
I just left a position that was managed this way. We had an assigned "supervising physician", who was on paper only.,but my position was managed by the supervisor of case management.
She couldn't grasp the concept that I wasn't a nurse. She would text me to drop by and do "welfare checks" on patients. She expected me to do my own auth for DME, therapy, etc., after I wrote the order for it.
She wanted me to cover the "other nurses", when they went out on vacation or called in.
And, she thought I should talk to the PCP before I ordered anything. Then, she told the nurses it was ok to ignore my orders and ask the PCP if they had concerns. This effectively undermined my position.
No freaking way. I was out of there.
. . . am pleased to announce that I passed my ANCC FNP test today. I was so relieved when the proctor handed me my paper touting my success that I was in tears, and shock. Hours later, though, it's sinking in and I can't stop grinning.
I am pleased to have the support and advice from folks here.
Now to apply for state licensure, jobs, and all the other accouterments that comes with.
You may find yourself very lost in urgent care with no ED experience at first. I had a colleague who only had cardiology background switch over to ER/ urgent care. She lasted about a month, mainly because she wasn't use to the pace, and poorly grasped new things. If I were you I'd start preparing for things you will encounter and how you will treat things. I have a huge amount of experience in urgent care. So you can PM for any help/resource.
Make sure you know how to do basic procedures like I&D and suturing. If you aren't aware look me up on YouTube I demonstrate how to do all these things, just type in TheNP on YouTube and you'll see my channel (same logo as allnurses).
I think it's easy to learn urgent care and it's very fun. This will all be new to you and likely overwhelming especially being by yourself. Just give it time if you take the role.
Just passed the AANP certification exam and scored 697. Just wanted to share my study plan with everyone. I used Fitzgerald review, and Leik. I read the Leik book twice, then one week before exam just focused on the exam tips. I completed the full online Fitzgerald review and all the review/test questions twice. I completed 10 exam edge quizes scoring in the high 500s. I did two predictor exams which predicted I would pass the exam and I did!! I also did the sample test by the AANP and scored an 82. I did not find the test to be difficult or questions challenging at all and I think its all due to good preparation. I studied for 8 weeks straight without breaks at least 6-8 hours a day.
Good luck, Hallimat. If you are able seek a live or online review course through notable companies such as Fitzgerald, Liek, Hollier.
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.
I would say no one is ever really 'ready' to be an NP. What quantifies being 'ready'? Is someone who has 10 years working in a nursing home more 'ready' than a 2-3 yr nurse in a busy ICU? Or is the 3 year RN in the innercity trauma ER more ready than the 3 year suburban ER nurse?
I think it comes down to this; if you want to take the challenge of going back to school and learning new things than go for it. If you want to advance your career and take on the challenges of being the decision maker than go for it. I've been an NP for almost 4 years now and I can tell you everyday I learn something new. Medicine is so vast that you will never be able to learn it all, thus my argument of how can you define being 'ready'. If you want the responsibility of diagnosing patients, ordering/interpreting studies and labs, prescribing medications and creating a plan of care than go for it. You may not know now, but that's why you go to school. It takes a lot of time and sacrifice to complete so I would advise you once you go back to put your whole heart into it.
Ill leave you with a great quote:
You do not go to school and study to pass a test. You go to school to study so that when the only thing between a patient's life is you and death, you will know what to do.
I wanted to make this post for one reason, a positive review. When I was reading about FNP certification there were far more negative reviews than positive. Here is my personal experience. I have a very varied background from ED, ICU, management, to flight nursing. Total of 212 credit hours with MSN and FNP track with certification in AANP exam. Your training and education at your school shall prepare you to test. I attended USI and was well prepared. It is not much different than Press Ganey scores, only the angry patients turn them in. The same could be attributed to the AANP exam as well, and I dare guess the ANCC (although there are theory questions here which I hate). People who have had a poor experience need a venue to vent. I passed this am, 150 questions in 54 minutes. I felt fairly confident. Study prep was only the Fitzgerald online review (most of it), over the weekend and I did take the practice test available through the AANP. This test was very representative of the real test, and some questions were exactly the same. Knowledge is prep, and you'll be fine. I just wanted to be one who posted a word of encouragement to those about the take the test. We always tend to think of those few we know who failed the exam, rather than the many we know who already passed and are practicing. Focus on the positive and not the negative. PS, if you test in Indianapolis stay there the night before, and beware the GPS will NOT take you to the testing center. Good FYI.
Took the FNP exam today and PASSED!!! I graduated in 2010 and never took the boards due to life situations. I honestly studied for 6 hard weeks, last two weeks I took off from work and studied 7-8hrs per day. With a 1 and 2 year old toddlers it wasn't easy but I had a study plan. I used Leik Review book which I highly recommend for the clinical aspect of the exam..read it from front to back 2 times. I also did Fitzgerald online review course and review book, great depth of knowledge. (The questions in her book were very similar to the ANCC questions on the test) I did some of the FamilyNPprep questions which was not reflective an iota of what the real was like. Another book that GREATLY helped me was Windland-Brown review, particularly the Exam portion and Issues in primary care. This book is very in depth and I love that it has rationale which helped me alot especially with the non-clinical portions of the exam. There were a few research questions that asked to rank in order of strongest to least research, pictures of the eyes, hypertensive and diabetic retinopathy and musculoskeletal pics. There were a fair amount on drug safety esp. in pregnant women. The drugs were some of the older, commonly drugs. There were lots of Asthma on the exam and cultural questions. I like the fact that you can mark the questions and go back later to it. I must have marked about 15 questions and change my initial answers after looking at it deeply. Overall it was a fair exam. Not tricky at all. Good luck to all!!!
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
I graduated NP school at 44 after years of being an RN. My advice-- do it now, don't wait.
Here's what I did:
I graduated May, 2016. I took two days off per week from my job to study for boards. I signed up for the ANCC which was a relatively smooth and easy process. I blocked out a calendar to study for approximately 6 weeks. Each day, I reviewed a system/topic and did 50-100 practice questions. I am a huge anal retentive list-maker, so I would check off my progress and this motivated me to stay on track with studying. I then made notecards for my "trouble areas" and things I felt I needed to memorize, such as ABX, Tanner staging, dermatology, etc. I took my test the first week in July and I passed. I took about 6 weeks of studying, therefore I wasn't "cramming" and didn't feel pressure to rush through material I needed more focus on!
Xeno, I am working inpatient acute unit, doing consult liason and carrying a caseload. My collaborating psychiatrist is awesome and loves to teach. For my salary I was lowballed by HR (typical for them) and fought long and hard with the backing of my director and psychiatrist to get a 30k increase. I'm very happy with that.
I worked per diem on this unit as an RN so it is familiar ground, and I do love acute psych. I am also very pleased with having a psychiatrist with decades of experience who is just amazing
I passed my boards for the ANCC AGPCNP exam yesterday on the first try. I used the Barkley Review home study, Fitzgerald NP certification book and the Leik book on the Kindle app on my phone. I listened to the CD's non stop and made flash cards. When I made the flash cards I used all three resources together at the same time and included info from all three. This helped to eliminate incorrect information and bring the concepts together. I bought the Fitzgerald book during my second clinical rotation. The test is 200 questions. When I wasn't studying the flash cards, book or Barkley manual- I was studying the Leik book on my kindle app on my phone. I felt very prepared with these 3 resources. I would recommend visiting the ANCC website, there is a practice test. The main concept that assisted me was mastering the material and not doing question banks. When I had mastered the material I was able to answer questions with great confidence from any test bank correctly. When I sat for my boards, I prayed and prayed and prayed. I would suggest reviewing pictures of skin and eye conditions online. This helped me when answering questions from test banks and during my exam.
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