newboy, MSN, RN 6,938 Views
Joined: Oct 2, '09;
Posts: 391 (67% Liked)
; Likes: 1,204
Psychiatric RN; from
5 year(s) of experience
Mental Health Nursing
they are looking to make the most money...
It seems they didn't look over your records to decide your coursework before you started. I can see where you may need to take clinical related classes (patho, pharm, health assessment) if you didn't already but to take the theory and research again?? As PP's have said I'd look elsewhere.
I would find another program.
Find another program.
There are absolutely exceptions to every rule. It is just tough for me to imagine going through the program and staring farther behind than I already was as a fairly new RN. Now I am curious how the RN thing worked. What did yall do before you took the NCLEX? A down and dirty RN program?? I am not trying to be overly critical...just genuinely curious! How far into the program did you take the NCLEX?
Direct Entry NP here.... At first glance, I can understand how many think you can't be an advanced practice nurse without nursing experience, but in my experience it just isn't that cut and dry. Many factors play into the success (and failure) of students graduating from these programs. My background was 20+ years of laboratory medicine experience before entering my program, so I was not a total health care newbie. My school was a brick and mortar program that accepted less than 10% of those that applied. The students came from a diverse set of backgrounds and experiences, and many of them were so bright that it made my jaw drop. Anything below an 84% was considered an F when it came to grades and clinical evaluations. I have never worked so hard in my life. I did learn patho, pharm, and differential diagnosis. Most of us did more clinical hours than were required in the NP portion, because we wanted to learn and see as much as possible. We were driven and inquisitive. It was not an "easy" way to become an NP, not by any stretch of the imagination. No one failed NCLEX, no one failed their NP boards. Many of us tried to find part time RN jobs once we passed NCLEX, but they were few and far between, so we were not able to get RN experience.
When job hunting I found that most employers didn't give a hoot about not having any RN experience. They were much more concerned about not having any NP experience. My first job was in primary care in a busy urban community health center. It was pretty much all new grad NPs, PAs, and MDs. We all supported each other and learned from each other. Some NPs had boatloads of RN experience, some had none...and you couldn't tell who was who, according to my medical director. In fact, one of the new NPs with years of RN experience couldn't make the transition from following orders to writing them. She could not gather the confidence to think on her own. All of the DE grads there did very well. Maybe it's cause we felt we had to try harder, but we were all successful and our patients did not suffer. We knew how to think critically, how to assess, how to go through the differential diagnosis process, and most importantly, to ask, research, look up, etc, when we didn't know something. My cohort all found jobs quickly and as far as I know, have done well. So, in my experience, not working as an RN has not hindered me. My patient outcomes are good, my colleagues and superiors give me high marks, and my patients trust my care. I have been precepting for several years and have had stellar DE students, lousy "traditional" NP students, and vice versa. I want to teach students who are bright, inquisitive, and who can think critically and draw logical conclusions. You don't have to have RN experience to do that. RN experience is valuable, but so are many other kinds of life experiences. We don't all need to follow the same path to get to the same destination.
Also, I too did not know until orientation that I would have to find my own preceptors. I should have done my research.
A professional license is a privilege, not a right. No one has the RIGHT to be a registered nurse. There are academic and personal standards that are expected to be met to hold such a license; it's reasonable to wonder if, in fact, they have been upheld in this case.
"Paying one's debt to Society". Hmmm....well, IMHO, this means that the person has earned back the right to live amongst Society (as opposed to being jailed in a cage) and NOTHING MORE. One cannot "pay back" every debt that has ever gotten a murderer convicted, as the VICTIM cannot be "paid back". Society may allow this person freedom to move amongst us, but this is not the same as having earned a right to every possible freedom there is.
Some crimes result in the consequence of NOT being able to hold professional licenses, not being allowed to vote locally (depends on the State), not being allowed to participate on a jury, not being allowed to engage in business with the government.
Are we ready to accept that someone who is deemed unworthy of the privilege of voting in a Federal election (as is the case with those convicted of a Federal crime) somehow IS worthy of holding another person's life in his/her hands--- which is the expectation of an RN?
Internet anonymity, and privacy in general: Those who are convicted of a sex crime can expect to be on a public registry, and to have their movements tracked. They are not permitted to live within (or even BE within) a certain radius of a school, children's center, etc. There are many reasons one may end up on such a registry, but the fact remains that once someone is convicted of a crime worthy of that list....there they are.
Are we ready to say that someone convicted of murder (first degree, not manslaughter, nothing 'accidental') is deserving of MORE privacy than someone who has engaged a prostitute? Do we really think that the crime of murder should be made off-limits because someone may RECOGNIZE the murderer?
I am under no obligation to cease discussion of an individual crime of murder because the MURDERER may be inconvenienced, or have their career harmed. I mean, REALLY?? As for her family, while I can appreciate their predicament, it's not their fault, etc etc.... that doesn't change the fact that I wouldn't want this person to be a licensed RN, PERIOD. SHE brought onto her family whatever comes their way, NOT the people in 'Society' who discuss her crime.
Like Mr. Chicago, I'm pretty appalled at the tone of this thread in general. I think a lot of people don't realize how VERY VERY PUBLIC this website is. It's quite likely that, as a result of this thread, this woman's coworkers have now realized who she is and are trying to have her fired.
This thread may have just ruined the lives of an entire family. Possibly more than one family, if the wrong person is fingered. It's the very definition of a witch hunt.
If it was justified self-defense then the individual would not have been convicted. I don't know how an individual is still permitted to be a nurse after a murder conviction, but they should not be. Regardless of age, or what-if scenario, when you are convicted of murder you should not be permitted to practice as a nurse. Call me old-fashioned, but I would not want a convicted murderer working along side me in the hospital or taking care of me or my family.
Good for you! I get very tired of the argument that for some reason nurse practitioners desperately need RN experience, but MDs, DOs, and PAs are good to go. No one is saying it isn't beneficial, but RN experience is in no way necessary to be a safe and effective healthcare provider.
My opinion on NP's, from personal experience is that I do not want them treating me or my family!! Every time I have seen one they just seem inept. Recently, and I have no clue why, I went to see my doctor and an NP came in to see me instead. She had not looked at my history and asked me all kinds of questions about my history and care and when we got down to the reason I was there (Thyroid disease and issues with my medication) she completely contradicted what my doctor and I had previously spoke about. Quite frankly, she made me angry and I told my doctor that I didn't want to see this NP again. Ever.
Again, just my personal opinion, I do NOT want someone diagnosing me or prescribing medications that hasn't gone through medical school and residency.
I do believe that a great deal can be learned through nursing experience, I know I have learned a great deal in my CNA experience but does that mean my 10 years in LTC makes me an automatically knowledgeable RN? No way! I think the same applies for NP's.
I think the blame for this lies heavily with the schools. Of course they are trying to get as many people in the door as they can to keep the funds flowing and there are so many schools offering so many options these days I think the actual education has fallen quite short.
One school I was looking into for my BSN when I finish my RN has students claiming they have finished their Bachelors in 6 months!
It's a competitive world with competitive people all trying to better themselves and their pay grade but what does it really cost some in the end?
ETA: I feel like I should explain my experience with NP's. Perhaps the ones I have seen were not experienced enough with patient care and that is why I felt that they were inept?
Rich, E.R. (2005). Does RN experience relate to NP clinical skills? The Nurse Practitioner, 30(12), 53-56
Sorry, didn't see this until now. Stony Brook. It's in NY.
Oh, come on. You're preaching about RN experience for this, too? I actually have years of inpatient psych experience and still work as an inpatient psych nurse. I know many MDs and I tried networking but there are other variables at play. My school needs to have a contract with any facility I do my preceptorship at; if there is no contract, it can take 6 months to a year to establish one. I wouldn't be here if I didn't try my immediate resources first. It's okay to take a stand about something you feel passionately about, but can you please also look at things more objectively.
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