Mookiepsychnp 1,396 Views
Joined Jul 18, '10.
Posts: 35 (20% Liked)
Very good sessions for day one and two. It is review. (Which is as it should be. I am not considering it, and no one should look at this as, the place to first learn concepts). It provides test taking strategies and is geared toward understanding how the AANP or ANCC is going to assess your knowledge (basic, novice, entry level comprehension) of concepts.
I'm enjoying it and I am tired. 1/2 day left to go.
Hair SHOULD be pulled back in a "drab" ponytail, otherwise it gets in the way and is an infection risk. Per my facility's policy we are required to have our hair pulled back. I have short hair and can't put it in a ponytail, but I frequently wear a nice headband to keep my bangs out of my face and the rest of it from falling into my face while providing patient care.
I come into work everyday with neat (not wrinkled) scrubs and my hair nicely blow-dried. I do not wear makeup and it's not part of my job description. I have sensitive eyes and makeup just bugs them. It's not my responsibility to be a "pretty" nurse- that is so condescending. I've never had a patient have a problem with my makeup free face. Also, why should I put makeup on when I am just going to probably sweat it off in a patient's room who has the heat set on high (especially if I'm wearing an iso gown)? Maybe the people in ICU are too busy doing their jobs and saving patients to worry about looking "as beautiful as they can" (and no, I'm not an ICU nurse).
There is a big difference between looking professional and "as beautiful as can be". Professional is coming in with neat hair PULLED BACK, neat scrubs that fit well (are not clingy, don't show cleavage or butt-cracks, etc.) that are wrinkle free, no perfume or cologne, and not wearing nightclub makeup. Nowhere in being professional does it state I have to put on foundation, mascara, eyeshadow, lipgloss (for my not pulled back hair to get stuck to), etc. I am there to work, not act like I'm on a set of a soap opera (ie. General Hospital).
I just passed the ANCC psychiatric mental health nurse practitioner exam. I used information I found on this website to help me prepare so I also wanted to share what I found the most helpful so instead of starting a new thread I was going to add to this one that I found very helpful. I will follow the same outline
I obtained a masters as a Clinical Nurse Leader in 2009. So I had pharm, patho, health assessment awhile ago. I took my psych courses in Fall 2014 and Spring 2015 and then tested in June 2015 so this has been a whirlwind.
I started studying during my last semester of school with Barkley’s CDs. Whatever we were studying in class I would also study with the CDs. This was helpful for my course tests and to help breakdown some of the barkley content. I wish I had the CDs a during the semester before. I graduated the first week of May and took 4 weeks to study. I continued to work full time.
I purchased the Barkley review CDS, Barkley practice questions, mometrix flash cards, ANCC PsychNP practice questions, and the familynpprep.com questions. A collegue had the ANCC Psych NP book from 2010ish and I used that to review.
I would first obtain a job as my job provides a credentialing person that does all licensing, credentialing at facilities, NPI, DEA, etc and the practice pays for all of it too.
I sit in an office all day. The heavist thing I lift on the job is my lunch.
New grad psych NP's in NJ make $90-110k as a new grad. At least that's what I'm seeing on Job Listings.
A typical NJ range for new grad NP's range anywhere from $75-100k depending on specialty.
The only problem I see is that admission criteria is far too relaxed. In my opinion you should have a certain number of clinical experience hours (several years worth) to even be considered. All of the schooling in the world doesn't replace actual hand on experience. I want a practitioner who has assessment skills and book smarts...not just the latter of the two. Aside from that I think it's great that people are becoming NPs. Do it before DNP is mandatory. If you do nursing or NP for the money then you are doing it for the wrong reason.
It will be interesting to see what the 2015 salary survey data shows, as the 2014 data still shows salary growth. I am (for many reasons) worried about the "mill" programs churning out novice NPs that are willing to take jobs at $65k because they have been job-searching for a year or more after graduating from a program that graduates more NPs than the market needs and does nothing to help new grads.
Many psych NPs aren't going to tell you all their secrets because they have it good and they don't want a flood of people storming on their scene as has happened with the FNPs.
It makes sense that there would be fewer psych positions because there are relatively fewer mental health facilities that utilize psych NPs compared to the other types of health care facilities that use FNPs. But, psych NPs are still in demand. There are far fewer of them than there are FNPs and they usually earn much more money than the average FNP. I don't know what job listings you've been looking at but psych positions are generally not open to FNPs or other types of NPs unless they have the psych certification. You can't just switch to psych, if you are an FNP you have to go back to school to take the psych courses and then pass the psych boards.
Perhaps mental health facilities would prefer to fill all their staffing needs with psychiatrists---especially the ones that are run by physicians. However, that's not happening because there simply aren't enough psychiatrists and most of the ones out there don't work for cheap. It costs them a lot less money to hire an NP than it does to hire a physician.
If you're an employee of the organization, I can't see how you're not staff. You're a provider, prescriber, midlevel, clinician, diagnostician, et al.
You're likely a staff of a different mold. I work for a large, multi-state outpatient behavioral health service organization. I'm staff, obviously, but paid out of a different (and much larger) pot with a separate chain of command, if you will, and with a lot more privilege than the therapists, admin types, techs, etc. My classification, within the organization, actually says "physician" as that's the name given to the cost center. But I have no problem if someone were to call me "staff" or give me a t-shirt with "staff" on the back of it. Actually, the latter isn't true because I don't wear crap like that, but labels don't bug me. Shouldn't bug you either.
But the next time the office manager blabs about you being staff, have her fill your coffee cup, run some random and arbitrary copies, and then tell her "thanks, I better let you get back to the phones now."
I agree with previous posters about the DNP being highly political. It definitely is. It is almost as if there are these invisible gatekeeper committees, invisible to me anyway, who sit around and decide the direction of American nursing. In a field that seems plagued with an innate inferiority complex, it is as if these decisions are attempts to keep our profession valued and competitive in an ever-changing healthcare landscape.
With that said, I think the DNP is worth the attempt if you are up to it. In the 8 years I have been a nurse I have seen many lines quickly drawn in the sand. I am a second career nurse. When I was in school, we had the option of getting out with the ADN. In fact, a friend, a LPN, was encouraging me to stop with it since I already had a BA. I forged ahead sensing that a two-year nursing degree would bite me one day. Sure enough when I was on the job market there was a preference, that continues, for BSN nurses.
Now as an APN, I see many CNS' in my specialty losing their hard fought for professional spaces as preference for the NP emerges they are left having to reinvent themselves. I like so many am not impressed by the power of the DNP, however I am going to go forward and persue it. Like I did once before, I just sense this being an issue one day in the far off future.
Some, but certainly not many, NPs want to become MDs. The 'why' about the AACN is buried beneath the misgivings of late 20th century nursing politics. Back then it was largely about perceived 'turfdom' and 'equivalency' between physician and advance practice nurses. The whole thing is totally ridiculous! I am a nurse practitioner and I have really good clinical skills, but I have no desire to compare myself to physicians. I don't know any NPs who do so either. It makes no sense. Even though we overlap, medicine is a completely different discipline. Its really a relatively small number of activist NPs who are on the whole 'we're just as good as the docs' thing. Most of us are proud of our profession and love what we do. All of us do not have antagonistic or adversarial relationships with physicians. Even in states where NPs have independent practice rights we still work together because at the end of the day its outcomes that matter, not so much the alphabet soup behind our names.
There is no NP program out there that compares to medical school. None. And NP clinicals are nothing compared to the residencies that the physicians go through. And such comparisons are inappropriate because NPs are still nurses---no matter what doctoral titles they have. There used to be a bit of a backlash years ago over the DNP, but not so much anymore. I would say that many physicians view the DNP degree with skepticism, and some don't regard it at all. They certainly will not pay you any more money for having a DNP.
I am in a DNP program and I like it. I like it because it is a vehicle that I am using to expand my knowledge base and to think about how I can productively rollout new evidence into my clinical practice to improve my patient outcomes. Its nothing like medical school, but if it were then it wouldn't be a nursing degree. My personal opinion is that the AACN was in too much of a hurry to push the DNP. It needed to be better fleshed out and rationalized. I'm still not convinced that they even know what it really is, and the DNP coursework certainly contains nothing that should make it mandatory for all practitioners. I'm not knocking the DNP, but I am knocking the idea of making it mandatory for NPs. They need to fix it so that it becomes a real advanced nursing CLINICAL PRACTICE degree.
MD schooling and NP schooling are nowhere near the same---not at the undergraduate or graduate level. To get into medical school you need to take general and organic chemistry, physics, general biology, and calculus. You not only need to get really good grades to be a competitive applicant but you need a better than average score on the MCAT. It is not easy to get into a medical school in the USA. The competition is intense and they pick the best of the best. I don't know of any NP school that is all that difficult to get into. Except for the CRNA programs that require the GRE, most NP schools have no entrance exam screening. In fact, most of them have ads on the internet to recruit students (a thing that no reputable medical school ever does). The state medical boards are a real challenge. The NP boards are very basic in comparison. There are now also a lot of degree mills online offering your RN to DNP credentials in 18 to 24 months. These schools have legitimate accreditation and that should never have happened.
If it's the extra requirements for the CRNP program you're concerned about, I have good news. The DNP actually just adds a year onto the education length if you go for a BSN to DNP program. Actually a lot of the programs even have this year as hybrid online learning so you can go at your own pace.
As some mentioned before the education length between MD/DO and DNP is different mostly because of the required residency which the shortest specialties are 3 years and can extend for 8 years for rare specialties. During that residency they are "practicing" but under the supervision of another MD, they work 60 hours a week and make roughly $11/hr. As a CRNP student you'll complete many clinical hours over your three year DNP program (easier version of "residency") while working on your academic portion at the same time. I know many fellow ICU RN's who worked at least part time earning income while doing all this. Yes, they were extremely busy and stressed but it doable.
The cost of an MD program which you can not work through vs a CRNP-DNP program that you probably can work at least part time though is different. I work closely with residents at a teaching hospital and they are typically $200,000 to $300,000 in debt with interest accruing while in residency. A DNP program shouldn't cost you more than $50,000 and many RN's work through school to help cover most if not all the tuition as they go.
I think it's reasonable and progressive to require a Doctorate for all APRN's. If they're advancing the nursing field and giving more autonomy, salary and respect then shouldn't we show that we're willing to do the academic and clinical work to warrant that? You won't have the "stature?" of an MD just like a psychologist, optometrist and pharmacist doesn't but you will be a doctorate level health care professional with great pay, great quality of life and the ability to heal your patients.
Nurses who get their DNPs do so because they want a terminal NURSING degree, not to become a physician. Most nurses who get their DNPs have already been nurses for several years. It's not like it's an 18yo kid, planning their career path, here. In what world would it be feasible, for someone in her 30s or 40s who has been working as an RN for several years, and decides she wants to get a graduate degree to become a licensed care provider, to apply to medical school? In most cases it's completely not feasible, even if she WANTED to become a physician.
This is such an illogical question to begin with. Why do people who ask this question assume that someone who is getting their DNP is doing so because they want to be little mini physicians? Do you ask this question of pharmacists? Physical therapists? Why the hell is the field of nursing so disrespected that you would dare to ask that question of us? We get nursing degrees because we want to be NURSES, not physicians.
I don't want to be a doctor. I am happy with my role as a nurse practitioner, but I want a terminal degree. I also plan on teaching at some point so a DNP makes sense to me.
The idea is that we all should have the same degree as an entry into practice at an advanced level. More and more professions are moving to this idea
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