Rnis 2,458 Views
Joined Jun 22, '10.
Posts: 84 (48% Liked)
Sorry that sounds miserable. Maybe start applying for new jobs just to see if there are other options?
Why wouldn't you guys just do the pap? Those are guidelines for routine screening, if they are having s/s that would change the situation. I don't know that I would tell them their symptoms concern me for cervical cancer...just that their symptoms warrant a more indepth exam/testing
I have a spiel I give to young girls when I do their pap before they have even got their results. I always say "if your pap comes back abnormal, don't panic. that is not all that uncommon because the majority of us have been exposed to HPV. Often young women's bodies are able to fight and clear the virus on their own so depending on the results we often just monitor you a little closer for a few years. even if your body does not clear the virus, If cell changes are caught early we can stop cervical cancer before it occurs....which is exactly why doing routine screening is so important.
young women especially worry about their health in this area. I try to really focus on the importance of routine screening to nip any issue in the bud quickly. I have found that giving this talk during the pap has stopped panic return office visits the following week when the pap comes back as ASCUS or LSIL.
I went to Concordia. I only submitted my GPA for my last degree (nursing). I would send a letter to Dean Chappy if you have your heart set on their program. Honestly, make sure you are a very good student now if you choose this program. the beginning of the program was not bad....but it is not hard to fail a clinical with their rules. (you are required to have 87 percent average on tests...and their test were challenging) theoretically you can get an A in their course and fail due to the test average rule. we lost a lot of classmates after our first clinical.
I think that it would be hard to do it it all but you could. honestly.....work life balance would be hard. I myself only have my msn but I work as an FNP but do occasional adjunct teaching with BSN nursing students. I try to start my own IVs on patients to keep competent on that skills but I don't want to take a PRN job that requires me to work weekends and holidays....... plus it would be hard to go back to that role.
I feel less tired now working 5 days a week than when I worked 2 12's /week RN (I now work .9 and leave at noon 2 days a week).
As an NP I have more flexibility in time off. I literally asked for all the "golden days' off when I was first hired and was shocked when they were all approved. I have those days off again this year as well. There are a few days I have had to work when I would rather not...but for the most part my job has been amazingly flexible. As a nurse I could never take vacation time when I wanted, I had to make complicated trades. Also I am allowed to call in sick without guilt.... that is huge. The biggest perk is just the relaxed work environment and respect. I have a voice in my schedule and how situations are handled. I rarely feel mentally exhausted. I work for a big organization with tons of support. I rarely have to do the behind the scenes work, we have people that fill out forms, do pre auths, and follow up with all normal labs (we do handle all abnormals) I wouldn't want to go back .
I don't think it will make a huge difference. I think I did the barkley 2014 when I took it in 12/2015. Barkley was fabulous!! I did it slowly over my final semester and then re-did it the week before I took it.... I also bought an app (which I can't remember) that did aanp style questions. I was very well prepared. Good luck!!
NPs and PAs had access and then it was revoked at the hospital I worked at as an RN (the doctors took a vote) . Their sister hospital allows access for all providers. This is in Wisconsin.
would love to hear about it! I am planning on going In 2018 in Denver. This year I did my state forum and Primed.
Never!!! The way I am treated as an NP is amazing. I pretty much can use my vacation when I want(as a nurse summer was virtually off limits) . I love working normal hours and I love NO drama. I still have to hear the drama between MAs ...but thank goodness I'm left out of it!
I still think of myself as a 'bedside' nurse, sometimes I think about picking up as an agency nurse at a different hospital....but it's really just an afterthought.
I had a LONG orientation.... I had two weeks of spending a few days following every provider on my team. Then I had 2-3 weeks of following them and taking patients and then telling them what I would do before going in with them. Lastly I got to ramp up. I got to pull the holds out of my schedule at my leisure . I had 6 months to loose them all. I see on average 12-16 pts a day...with about an hour of my time blocked for administrative tasks a day. I will say that it has been a smooth transition.
I'm not sure that its 'scary". I often only had 7-11 pts at my clinical rotations. I think the slower pace actually allowed me to spend time with patients and allow for actual mentoring from my preceptor.
If the thought of working with adults ...makes you go "EW" ... I think you have your answer. I like seeing the occasional kid....but in primary care for the most part the medical aspect of it is kind of boring. I do like getting to love all over babies on occasion.....but I like the variety of FNP so much more.
I think using the term "tweaking" hours is a stretch in this case. if they are truly adding 8-9 hours weekly of clinical time to their log that they did not do. I also think that it is frustrating to read from instructors on this post that it is purely the responsibility of the preceptor to approve these hours. That is an awkward place to put an someone doing nursing education a free HUGE favor that slows down their practice. This is why I am hesitant to start taking students. When I do, I will likely stick to the program I graduated from since I know there is moderate oversight from their instructors
No, if you suggested follow up in 6 weeks It wouldn't fly where I work to refuse them. I don't get to concerned about patient anger. I just try to be somewhat empathetic to their anger(if it's justified) and try to discuss what we can do in the here and now. We also have on site security that you can request to be positioned outside of the office if there is an appointment that you feel could be hostile. Just having them standing there in uniform often sets the tone...without saying anything at all. We finally have a security response team....so if we dial the support line there will be 10 people at the exam room within a minute.
Aim down and deep. when I was a new grad I was required to do one with the dr I work with, I had done lots of paps but struggled with finding the cervix on occasion. That one tip from him changed everything... I find it every time. (if someone is large and there is collapsing going on, I use the biggest speculum)
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