Latest Comments by OhTheHugeManatee

OhTheHugeManatee 410 Views

Joined Feb 19, '08. Posts: 4 (25% Liked) Likes: 1

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    brendajb likes this.

    Quote from danceluver
    What is the scope of the ANP? I understand you can only provide care to individuals 12 or 13 and older.

    But can an ANP provide full GYN care? For example if i wanted to work in whnp capacity of student health clinic or planned parenthood? I understand that OB care is very limited if at all, correct?

    What sort of practices hire ANPs? Can they be hired in urgent cares or Fast Track ERs (understanding they can't see peds under 12)? Specialty practices?

    I also understand that is there a huge revamping of ANP curriculums soon. What does this entail? More Gero? Anything else? What extra clinical hours have been added?

    Are there any ANP/WHNP practitioners out there? How have you been using both certifications in practice?

    Thanks in advance!
    I'm an Adult Acute Care NP, not an Adult NP, but I may be able to answer some of your questions.

    Our scope of practice is pretty close to what you describe. I don't know of a hard and fast age cut off but I and the ANPs I know avoid kids like the plague. The youngest patient I've ever seen was 17.

    Our OB/GYN training is close to nill. I consider myself an advanced practice provider for acutely ill adults but when it comes to kids and women's health, I consider myself a nurse. My training on OB/GYN matters was so abbreviated that I don't feel I could safely practice as an NP in that area.

    I don't expect the new Gero thing to really influence anything. To be honest we were always gero focused. Now we simply have it in our name.

    As for who hires us, that gets complicated. I'm an acute care variant so we usually work with various inpatient practices. I do some ED/Hospitalist work. Some of my colleagues work with cardiology practices. Others do ICU. In general we cluster around specialty practices where you're guaranteed to avoid kids. ED stuff is actually really tricky for Acute Care NPs because we don't get a lot of primary care training and close to 90% of what we see in the ED is really primary care. We're also competing with FNPs and PAs who are perfectly trained to do urgent care work and don't carry our restrictions against seeing kids.

    EDIT: Wow. My spelling is awful at the end of a night shift.

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    It goes away with time. Sorry.

    When I started in health care this happened every night. Even when I fell asleep, I'd be in this half-awake state where I knew I was at work and there were things I had to do. I could see and hear my coworkers asking me why I was trying to sleep when there were things to do. I would check and re-check everything I did.

    Ugh. Not fun stuff.

    After about 3 months it went away, in part because I had better sense of what I was doing and I walked away from my shifts confident that I hadn't missed anything. Now that I'm in school and working long clinical shifts, I find I don't have any trouble sleeping. Exercise and hobbies never helped me, but confidence solved the problem.

    Good luck. This is something I think a lot of people hesitate to bring up but almost everyone experiences when they start working.

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    That weather thing was sarcasm since I wasn't sure how heavily I would get into bashing my school. I have a distinctive enough writing style so that any one of my classmates or professors could probably identify me right away. I also know a few of them read these forums. Um, hey guys.

    And yes, many of the same teachers hop between undergrad and graduate studies, although I know we've got some NP instructors I haven't met. Our faculty really isn't all bad - our PharmD is absolutely fantastic and one of the reasons I didn't bail out of the program after first semester. We have another pediatric specialist whose ADD/OCD approach to all things pediatric means one of her lectures is equivalent to nearly ten hours of regular class time. The problem is, those are the two really good main teachers we have left, and most of the other decent ones I've talked to have hinted they are headed out in the near future.

    The students by and large are a pretty good bunch. Apparently the class before ours was a bunch of evil cutthroat fiends, but we're a pretty inclusive group. Depending on who you hang out with, things can range from mildly competitive to pretty laid back. Again though, I'm in undergrad, so I don't know if things take a turn for the worse in the PNP program. You can expect the usual obsession with grades, but since we massively inflate everyone's grades anyway, most of the whining is minimized.

    There is also a definite focus on research. Sorry. There is a huge drive for improvement and progress and all the wonderful things that involve slinging buzzwords over a conference table until you hurl. From what I've been exposed to, it is almost entirely focused on nursing theory, teamwork theory and health care systems. You can look forward to having the words Evidence Based, Critical Thinking and Quality and Safety crammed down your throat until the winds change and we get a new set of slogans. Again, actual medical and technical details we apparently leave for other schools.

    If I wanted to be an MSN or NP so that I could do research and try to change nursing as a profession, Emory might not be so bad. If I wanted to be an NP who was medically proficient, I'd go to a different school and try to get them to poach our PharmD.

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    I'm at Emory Nursing right now for undergrad. How can I say this... I hear the weather is really nice around Johns Hopkins.

    Emory's nursing school is very expensive at all levels and the program does not, in my opinion, merit the cost. You get a great hospital system to play in but you enter in to a program that has a lot to work on. The nursing school really struggles to maintain good faculty. We have a handful of awesome instructors but we also have a great number of theory-obsessed types who think the coolest thing in the world is to discuss the proper model for the development of a plan for analyzing the patient's developmental level to allow for an intervention to be placed on a care plan with quality and safety taken duly into account. If that sounds like something 8 steps removed from something useful, it is because it is. Too much of our instruction is centered around the "right" way to think about things rather than having actual knowledge.

    Look into Hopkins. I know that I want to head for NP after a few years of experience and the only way I'd return to Emory would be if they paid me.



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