LadysSolo 5,653 Views
Joined Dec 17, '06.
Posts: 268 (70% Liked)
She is going to do it anyway. She came here to get us to say what she was planning is a good idea. We don't, (we who are NPs with actual real life NP experience,) so she keeps trying to refute what we say. She is just annoyed that we don't think her high-dollar school can make up for real-life nursing experience. The only thing I will say (and I mean this totally sincerely) is I hope she does not kill or seriously damage someone due to lack of real-life nursing experience. We all make mistakes, but experience can allow you to mitigate those mistakes somewhat.
I travel to nursing homes and see patients there. I have a scribe a few days/week, but I still have to read the notes (at least I feel I do if I am signing them, although she is excellent I DO find typos) and sign them off and bill them out. Some days I have home visits and I have to see a certain # of patients/day to "deserve" a scribe for that day. I see between 16 and 40 patients/day, and if no scribe, with travel time and typing my notes it makes a 12-13 hour day. When I see 40, even with a scribe I am on the road 10 hours, and reading notes and signing off and billing takes at least 8 more hours depending on complexity, much longer if they are new consults. Then if I am covering for someone on vacation too, all bets are off. I may have to travel 2 hours one way to cover another provider's patient. And I am on call for my patients 24/7/365.
NOT Ohio - 12 years experience an a NP and making $82,000/year (yes that's average for this area.) Granted benefits are included but pay still sucks.
The reason it is better to have nursing experience is that patents have not "read the book" - "normal" is not always what the books say it is. If you have a patient come in whose blood pressure is 200/100, and functioning with no headaches, no deficits, no issues, are you going to realize that this is normal for this person right now, and if you drop their blood pressure to normal they will have headaches, pass out, never trust you, and not be back. You need to bring it down slowly over several months. Or if you have a COPDer in what we called the 50/50 club (50% CO2, 50% PO2) and you raise their oxygen saturation too much you will shut down their drive to breathe, that the blue complexion is normal for them. That normal is what is normal for that person, and you need to experience a range of normal before you will know what to treat and what not to. I always recommend 4 years med-surg experience when asked by prospective NP students.
Nursing school ER triage in August - guy came in to ER with a rash (very hot August day.) How long have you had this rash? "Since November." And this is an emergency today why?????? End of the triage line.......
Makes me laugh - my mom used to tell me I wasn't a caring enough parent because when my son fell and skinned his knee (or whatever) I would tell him "It's a long way from your heart" and send him back out to play. Funny - he's now a fully-functioning adult that has been to ER once in his life (he was in a car wreck and the paramedics took him.)
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