Content That FNP2B1 Likes

FNP2B1, BSN, MSN, RN, APRN, NP 8,682 Views

Joined: May 4, '10; Posts: 123 (76% Liked) ; Likes: 378

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  • 2:45 pm

    Quote from BruinAGNP
    Appreciate all of your comments/advices .

    I have decided to take the Primary Care Clinic in LA. This organization is part of HPSA score of 14, so comes with loan forgiveness program which I'm sure I'll take advantage of as I can potentially receive up to $50k. Also, this organization is reputable, supportive and academically-focused, thus I have no doubt that I will learn a great deal from the Medical Director who just loves to teach. I never wanted any contract-based jobs that is not consistent or unstable but with much higher pay as a new job, it isn't always about the money. I want to work at an environment where I can professionally grow in a supportive, evidence-based focused practice. One of my colleagues took the job as a new NP making $50/hr, then quit and took the job that was giving him almost double the rate, but miserable because of work load, poor leadership & management and not very supportive.
    I mean best of luck, but I make 50 an hour as a RN in Seattle. I don't even know how you could live off that in LA.

  • May 22

    I fail to see how taking more fluff courses such as Foundations and Essentials of Doctoral Study in Nursing; Theoretical and Scientific Foundations for Nursing; Methods for Evidence-Based Practice; Transforming Nursing and Healthcare Through Technology; Organizational and Systems Leadership for Quality Improvement; Best Practices In Nursing Specialties; Epidemiology and Population Health; Evidence-Based Practice I: Assessment and Design; Healthcare Policy and Advocacy; Evidence-Based Practice II: Planning and Implementation; Evidence-Based Practice III: Implementation, Evaluation, and Dissemination; DNP Project Mentoring; DNP Field Experience; DNP Project Completion; Doctoral Writing Assessment will bring any further respect to our profession. If NPs want to respected in the medical field, them maybe the curriculum should be more medical field focused.

  • May 22

    Quote from Jules A
    I wonder if they even care about the current state of NP education. It sure doesn't seem like it and there is the ever present cash cow of keeping students enrolled. Even the well respected brick and mortar universities have jumped on that band wagon. It is a sad state of affairs.
    Thank you. And it is awful.

  • May 22

    Quote from broughden
    ^ This. And until the get a handle on all the fly by night for profit online programs, not sure they will implement this.
    I wonder if they even care about the current state of NP education. It sure doesn't seem like it and there is the ever present cash cow of keeping students enrolled. Even the well respected brick and mortar universities have jumped on that band wagon. It is a sad state of affairs.

  • May 22

    Not sure how this is feasible, since plenty of MSN prepared people barely make a living.

  • May 22

    Sure make the DNP a requirement while for-profit online schools run rampant and entry qualifications wallow in the basement of clinical academia. Makes sense.

    Nursing loves to project their it's with degree inflation.

  • May 18

    Quote from FullGlass
    What evidence do you have to support your position? We have a largely free-market capitalist economy and competition is its driving force. When labor markets are distorted, as the AMA did by severely restricting the number of MDs, needlessly high costs result. That is why PAs and NPs became increasingly popular. Now the medical profession is working to increase the number of med school grads.

    Let's do a thought experiment: we magically restrict the number of new grad NPs and PAs to increase their compensation. This works in the short-term, but in the long run it will backfire. Organizations will now have an incentive to train lower-level healthcare workers, automate, and outsource. Here's how that could work:
    1. An "RN Plus Specialist" with limited diagnosis and ordering capabilities.
    2. Increasing the move to develop healthcare AI that can be used by trained healthcare technicians to diagnose and treat simple conditions - this is already in development.
    3. Using cheap foreign healthcare workers, including MDs, via telemedicine. This is already happening in radiology.

    Right now, we have a distribution problem, not a supply problem. There are plenty of places with a shortage of primary care providers of all flavors, and these areas pay quite well. It is incumbent on job seekers to go where the jobs are.

    Professionals at the top of their game are not afraid of competition. I don't hear lawyers, accountants, business executives, and top technology talent complaining about too many new grads.

    Personally, I think our society should be striving for universal access to affordable basic healthcare. We have a long way to go and a lot of unmet demand.
    You lost me at lawyers....cmon now.

  • May 18

    Bulling is hard to combat, but I truly believe the burden falls back on the parents of both involved.

    Most of my students I am concerned about have trauma in their lives coming from the home, and no matter how much we do to support them here, if they aren't getting what they need at home, no long term changes happen.

  • May 18

    Quote from FullGlass
    Professionals at the top of their game are not afraid of competition. I don't hear lawyers, accountants, business executives, and top technology talent complaining about too many new grads.
    Seriously, lawyers? You aren't aware of the difficulties with the glut that significantly altered their profession?

    Google "lawyer bubble" About 2,170,000 results

  • May 17

    Lol I make more than that as a RN and I don't even live in SoCal. These wages are a joke at this point. This is the direct result of over supply and bad negotiation...

  • May 17

    Blew past the 2015 mark pretty easily. Until I see AANP or ANCC commit to make that entry for exam certification, I won't believe it.

  • May 17

    Quote from BruinAGNP
    After multiple unsuccessful attempts, I feel as if I need to be less picky about terms as it is my 1st position and start somewhere to build experience.
    That is what employers are counting on and with NPs it often seems a fruitful strategy, sigh. I would have continued working as a RN until I found a position that would pay me according to my education and the level of responsibility being a NP entails.

    Something few seem to realize is your entry salary largely dictates your pay trajectory. If you start now at $50 an hour your next opportunity will expect you to be grateful for $55 or $60 an hour and so on. Business acumen really should be taught in advanced degree programs. Med schools are reported to be lacking in this area also although it seems MDs are more likely to know their value and be willing to push their weight around when needed.

  • May 16

    You can't change or fix everyone. You can't force someone to take a medication or participate in a therapy regimen they aren't interested in. Being ok with this is the first step. The only advice I have is to document the hell out of it and educate each and every time. Sometimes it's a matter of finding the right piece of information that hits it home... Other times there will be none. Perhaps there are underlying mental health issues helping them not place value on improving (or even managing) their health.

  • May 14

    Quote from FullGlass

    What I have an issue with is that there is a lot of negativity on this forum that can be very upsetting to NP students and new grads that does not accurately reflect reality.
    For many, many people it is reality. There's no debating that.

  • May 12

    Quote from ICUman
    Maybe because she and many others are concerned with the health of the profession they practice in and want to be involved? But you don't understand that because you are a brand new NP and haven't seen the changes that have rapidly evolved in the NP profession in the last decade.

    Why should it matter to you that people take active interest with that issue?
    Yup my interest lines in my gross income and ability to support my family which are being destroyed as new people come in willing to work for less than established rates. I'm good at what I do but not so good that my employers will continue paying me $50,000-$80,000 more a year than the crop of new graduates who are flooding my local market willing to work for low wages.


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