Content That BostonFNP Likes

Content That BostonFNP Likes

BostonFNP Guide 35,527 Views

Joined Apr 4, '11 - from 'Northshore, MA'. BostonFNP is a Primary Care. Posts: 4,215 (59% Liked) Likes: 9,671

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  • Jul 11

    Quote from Mhsrnbsn
    I will forgive you for your ignorant sounding post...
    There is NO WAY you will be an effective nurse practitioner if you never work as a nurse. Sure myself and many other nurses might agree the "med pass" and "butt wiping" is the least glamorous of the tasks we are privileged to do, but while these are a part of what we do, it is not the entire picture!
    If you work as a psychiatric nurse practitioner, sure some of the medical/surgical aspects of hospital nursing may take a backseat to what your focus is... But you'll still be taking care of diabetics, CHF-ers, Hypertension, and it is imperative that you have a sturdy ground with assessment skills set up.
    With patients being on psych meds as well as "medical" medications there's huge potential for issues, and it will still be important for you to know how to keep your patient from dying of a low blood sugar while in therapy.
    Another thing you learn is communication skills, which will prevent faux-pas such as your original post. You learn how to talk to people, and how to treat people with your HEART as well as your mind. There's a reason why people say nursing is the "heart" of medicine, and why many nurse practitioners are being requested to provide care over physicians.
    I honestly don't think being a nurse practitioner is the correct role for you. You can still pursue a career in psychiatric health without "nursing" even being your primary role. And just to give you a heads up... I'm in NP school, and every program I looked into for my education indicated that one of the pre-admittance requirements were 1-2 years of "acute care nursing experience". Now there may be programs that don't require nursing experience, but I certainly didn't see any. And I feel you'd be miserable working those 1-2 years post nursing training by the sounds of your post and it will show in your work.
    Good luck in your career path.
    I'm not particularly a big fan of the direct-entry programs, but there is no disputing the fact that there are large numbers of these programs around the country, that take non-nurses, put them through an accelerated basic nursing program and then a graduate program in an advanced nursing specialty, and there is no evidence I'm aware of that those graduates, as a group, are deficient in practice in any way, or that they are not competent, effective clinicians. Many of these individuals have never worked a single day as an RN (some direct-entry programs do require that the students work part-time as RNs during the graduate part of the program, after they've gotten licensed as RNs, some don't). The direct entry programs have been around for at least 30 years. If you "didn't see any" when you were looking at graduate programs, you must have not looked v. closely. They are v. popular, as you can see from looking casually around this site. The graduate program I attended (as a traditional, experienced-RN student) had a direct-entry track, and the direct-entry students were not required to work as RNs and made it v. clear that they had no intention of ever doing so; they were there to become advanced practice nurses. They were highly employable at graduation; the school and its graduates have a great reputation. I'm not wild about the idea of defending direct-entry programs, but, at the same time, I hate to just let these kinds of factually incorrect statements stand without saying something.

  • Jul 9

    Quote from jadelpn
    There are in fact programs that go "direct" to MSN/NP with little to no experience at all. There are facilities in remote areas that can not keep staff that will hire people on degree only.

    There are NP programs that require clinicals, but can be "done" with "research nursing" or some other clinical time that is non-bedside related.

    I know of at least a couple of people who got an accelerated BSN , went right into an NP program, and never stepped foot at bedside....
    started as an informatics nurse. Then moved to the middle of nowhere-ville and is in practice seeing patients. Wonky but true. And scary, to say the least.

    What school has NP clinicals that can be done without hands on patient care??? I've never heard of such a thing.

  • Jul 9

    Quote from Desert Lady
    Some people are just lazy and want to take the easy way out. These "nurses" are dangerous in any given medical situation. Please I would work the whole floor by myself then have these nitwits coming to me to "fix" their patient.
    Lazy? You obviously don't know how difficult a direct entry program is, and how selective the good programs are. I worked harder than I ever have in my life in my program. It was the most difficult thing I've ever done. Hours in class, hours at clinical, and then hours studying after both. Plus I worked, raised a family, and graduated with a 4.0. Passed NCLEX and FNP boards on the first try. Lazy didn't get me through all that. Super-motivated, incredibly hard working, and strong critical thinking skills did.

  • Jul 7

    Quote from roser13
    This is the Internet. Opinions are (usually) welcomed. Anyone who trusts an Internet forum for verifiable facts has other issues to address.
    I lived this situation first hand. I know what it's like to look for a NP job with no RN experience. I know what my students have experienced. I believe I have some credibility here. I hope OP will not be discouraged by the naysayers.

    Over and out.

  • Jul 7

    None of the interviews I've been to as an NP have ever asked me about my RN experience. I've even truncated it on my resume to include more information about the places I've done clinical work as a student NP, which seems to spark more conversation during interviews. That's not to say being an RN wasn't an informative and enriching experience, but if the argument for bedside nursing is that it will improve your ability to find a job once you become and NP I haven't found that to be the case. I think medical directors - who are typically MDs - don't view bedside nursing as relevant experience to practice as an NP. To them an "inexperienced NP" is someone (like me) who hasn't been an NP very long, regardless of how long they've been an RN.

  • Jul 7

    Quote from roser13
    My truth is mine, arising from my life and my experiences. Your truth is yours.

    Just leave it, please. Give the OP your attention & advice.
    Truth vs. belief...2 different things. I'm happy to leave it;I just don't want there to be misinformation given to someone who is trying to make a career choice. That's why I responded to you.

  • Jun 11

    Within past few years have done inpatient and outpAtient psych in NH OR and MN. Have found most if not all practitioners (MDs and APRNs) to be competent and diligent.

  • Jun 11

    Totally agree, the threat of losing their (MD’s) cash cow incites defensiveness and/or “Might-Makes-Right” arguments. The medical professionals that maintain altruism are typically more understanding and look at evidence.

    I’ve yet to see any evidence that NP’s provide substandard care. Articles that attempt to, do so with anecdotal, opinions; not evidence. It doesn’t take much experience to find a doc with a false sense of entitlement. Likewise, as a profession, NP’s need to be diligent to maintain professionalism and the highest level of care. We also need to stick together. I’m amazed at home many NP’s are not involved with their local professional organizations or who are not involved with local and national legislation.

    Quote from BostonFNP
    How long have you been working as an NP? I only ask because some of your comments are typical reactions in the first year or two of practice.

    I think you really answered your own question: there are good/bad docs and good/bad NPs and good/bad PAs and good/bad patients. I actually have a term I use called the "trifecta" for the many patients that come to me on a benzo, stimulant, and a narcotic. Who knows that's treating what.

    I've found that most docs that have negative comments about NPs are not the "good ones" they are the ones worried about the $ not patient care.

    Do you think that psych NPs are better educated and prepared for practice in psych compared to NPs in primary care?

  • Jun 3

    I have very strong opinion about this topic. The pendulum has swung too far the other way. All of this "opioid crisis" and the increased overdoses have little to do with the real patient that is in pain. Weaning a patient off pain meds to make it easier for pain control post op is torture of a patient that cannot get relief. Frankly in my opinion it is delay of treatment and malpractice.

    I am on some powerful pain meds right now and frankly, I am sick to death of being treated as if I am endangering the general public with my narcotic pain use or I am secretly behind the pharmacy shooting heroin. I have been sick for a year now and a 9 month hospital stay and still have another surgery to try to fix me. I am sick to death of being treated like a terrorist just to get pain relief. These new "laws" will NOT stop the heroin crisis or the use of IV Fentanyl by rock stars. Their drug addiction has absolutely NOTHING to do with my pain.

    I do not take my pain Rx to get high. I take my meds as prescribed for the relief of pain. I do NOT expect complete relief but I do expect to have enough relief so I may function I wish (I had enough strength and was well enough to confront the lawmakers and the family members of those who died of overdose and tell them of my nightmare of relentless debilitating pain that I have to beg to get someone to believe me.

    While I understand the need for awareness the pendulum has swung too far in the opposite direction and patient who really need relief....can't get any meds

  • May 26

    Quote from avengingspirit1
    There was no scientific process here. Just a group of self-serving academic lackeys who got a bucket load of funding and nice bonuses to boot to push the agenda of the very people and institutions backing and supporting them. The authors know this which is why they refused to return a call from a major news network inquiring about it. You will not see a refuting study mentioned in any nursing publication because there is no money to made that way and most of those publications make a lot money selling advertising to four year schools. And coming from a former business background, anyone with common sense knows non-profits are a joke, what they make, they can't call a profit. But they do make money as I know for fact working for one currently.

    I outlined facts about the study in above post. And to remind you, those were facts in the study itself- not my anecdotes. The authors banked that the average person could not see flaws and accept the conclusions carte-blanche as being unquestionably true. The only thing I will agree in this "study" is that ones chances of survival are probably better having surgery in a hospital with more board certified surgeons. But as far as proving people fare better in hospitals with more BSNs - garbage. You do what you feel you must do and I will do the same
    The "pro-ADN" folks are more than welcome to do studies and find that there is no significant difference between the results of ADN-prepared nurses and BSN-prepared nurses, and publish their results. If the existing literature is so deeply flawed, it shouldn't be difficult to come up with different results, right?

  • May 24

    This is an ethical and legal issue. By NOT reporting it, YOU are just as guilty.

  • Apr 6

    Quote from BostonFNP
    Finally a review addressed one of the main points I was interested in seeing in Vaxxed, given it's basis on the Thompson "whistleblower" information. As anyone who has read the study knows, the data in question involved only black males, so naturally the movie should focus on black boys with autisim right? Apparently there was only one in the whole movie. Why did if focus on white people is all that data was clearly published in the study that showed no link between autisim and MMR?
    Because the movie is "entertainment" so they could pick and choose what and who they wanted to present-an adaptation if you will. Not a surprise, given that the original data was manipulated to serve Wakefield's purposes. Might as well continue on in the same tradition.

  • Apr 6

    Please don't mischaracterize our choice in not seeing the film. We know what is in it. You don't have to watch the movie to know what the movie is about.

    We are not fearful. We are saddened and yes, as Far mentioned, disgusted that kids with autism are being used in such a terrible way.

  • Apr 1

    Concerned lady-

    I appreciate your passion on this subject matter. However, I have yet to see you present credible evidence that backs up your statements that vaccines cause autism. Several people here have given you links to proven, reputable, scientific studies that dispute your claim. Have you read those? If not, are you willing to? If not, then how can you condemn those who are not interested in seeing some pseudoscientific movie directed by someone who has been wholly discredited in the medical and scientific community? And for my own knowledge, are you a nurse?

    I don't have a neuron in me that believes vaccines cause autism. I do believe in rare cases some have adverse reactions to vaccines, some of which have lifelong effects. However, given the choice, I'd rather have a living autistic child than a dead typically developing one who died from a vaccine presentable disease.

  • Mar 30

    I happen to know many people in my network of people who happen to believe such ideas... The first thing I tell them that if it doesn't have APA style citations from credible sources such as universities or recognized medical journals then it is false until PROVEN other wise.... Next I encourage them to take a microbiology class (medical terminology class wouldn't hurt either now that I think of it) and they will quickly realize the falseness in these articles videos and stories..... I'm very passionate about this topic and could rant all day but I'll just leave it at that
    Happy nursing!


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