Latest Comments by Rnis

Rnis 2,378 Views

Joined Jun 22, '10. Posts: 80 (46% Liked) Likes: 85

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  • 3

    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 .

  • 1
    WKShadowRN likes this.

    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!!

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    NPs and PAs had access and then it was revoked at the hospital I worked at as an RN (the doctors took a vote) .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.

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    would love to hear about it! I am planning on going In 2018 in Denver. This year I did my state forum and Primed.

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    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.

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    WKShadowRN and traumaRUs like this.

    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.

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    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.

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    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.

  • 3
    MrsK62, elkpark, and missdeevah like this.

    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

  • 0

    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.

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    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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    Remember if it is to LIS you need to keep it clamped for 45 minutes

  • 2
    Muser69 and brandy1017 like this.

    people call in sick all the time........

  • 1
    chelli73 likes this.

    Why not a different type of nursing? it sounds like you could use your skills in community nursing

  • 3
    colorado31, sallyMSW, and PacificRim like this.

    I was in the program without a connection to the directors. Not having cna experience (or at least some experience) will make it very very difficult to get in to the program. I had to apply two times as did many of my classmates. It's a very competitive program which is why it's hard to get in. when I met my classmates i kind of thought "why did they pick me? " Most had incredible backgrounds. It is a fabulous program that will definitely prepare you to be a nurse. Good luck to you all. Just know that you might have to apply more than once, and that shouldn't discourage you. just figure out where you application was weak and strengthen it. For me i wasn't even considered the first time because i wasn't going to have all my classes done by a certain point and because they had so many qualified people it was one of the eliminators. also i didn't have a reference regarding my cna work...got those taken care of and got in.


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