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Joined Apr 4, '11 - from 'Northshore, MA'. BostonFNP is a Primary Care. Posts: 4,431 (60% Liked) Likes: 10,399

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  • Oct 24

    Quote from Susie2310
    I don't know your scope of practice, but I assume you assess patients, develop a plan of care, and can order some medications and treatments/interventions, monitor their effect, and revise the plan of care as needed within your scope of practice. But you don't have the same level of responsibility or accountability as a psychiatrist as you are not trained as a psychiatrist. A psychiatrist is still ultimately responsible for the care of the patient.
    Actually if I kill my patient, it's my butt not a psychiatrist 300 miles away.

    And no I don't have a plan of care. We don't do that. We examine and treat in a problem focused manner.

    You sound like a nurse disgruntled by NPs.

  • Oct 20

    . . . am pleased to announce that I passed my ANCC FNP test today. I was so relieved when the proctor handed me my paper touting my success that I was in tears, and shock. Hours later, though, it's sinking in and I can't stop grinning.

    I am pleased to have the support and advice from folks here.

    Now to apply for state licensure, jobs, and all the other accouterments that comes with.

  • Oct 20

    Hi there - I live in IL also and nope no problem with you doing that. Is this a nephrologist that you are working with? The reason I ask is that I work for a large nephrology practice and we have 8 APPs (advanced practice providers) rounding on our pts.

    Getting credentialed at the big two chronic dialysis units is not much fun either.

    I'll be glad to answer your questions about nephrology - its a pretty specialized field which is why I was asking if you were working with a nephrologist.

    I also wanted to add that the IL APN Practice Act "sunsets" in 2017 and here are the proposed changes:

    We are gearing up for another big push for full practice authority in 2017. We have a lot of work to do and need all APNs in the state to support our efforts.

    • Change APN to APRN throughout the act and other laws

    RATIONALE - consistency across states and to align with the APRN consensus model


    • Remove language that references the requirement of physical presence by physicians during the delivery of anesthesia services. Specifically, remove where this language below appears in the Nurse Practice Act or related Acts:

    "and remain physically present and available on the premises during the delivery of anesthesia services."


    • A transition to practice for newly licensed APRNs.
      • After 3000 hours (of practice in Illinois) the APRN may practice without the WCA. They will need to notify the department of that intent.
      • The transition period shall include a written collaborative agreement with a physician licensed to practice medicine in all its branches OR an Advanced Practice Registered Nurse who has five years of practice in the same certification.
      • All currently licensed advanced practice registered nurses may or if desired will be grandfathered as long as they meet the following criteria:
        • Un-encumbered license with appropriate national certification for at least 5 years
        • Notify IDFPR of their intent to practice without a written collaborative agreement

    RATIONALE - National trends show that a transition to practice model leads to successful passage.

    • Increase pharmacology continuing education requirements
      • Total hours will not change 50 hours CE per renewal cycle
      • 20 hours must be pharmacology with 10 of those hours specific to Schedule II

    RATIONALE - National trends show that a transition to practice model leads to successful passage. CE recommendation - To circumvent issues that may occur due to continued conversations in Springfield related to the use of schedule II gateway drugs that may lead to substance abuse (heroin overdose)

    This is important for all IL APNs.

  • Oct 18

    Quote from AAC.271
    Frankly, if we are talking about outcomes, NP education is indeed superior to MD education as the data indicates our outcomes are equal or superior to physician outcomes. This is the facts and really goes to show that NP education produces better providers than MD education.
    Your ignorance is absolutely astounding.

  • Oct 18

    It may help you to realize that, based on my reading so many comments here, if you were to make a major life decision based on those questions and opinions, when you're done a whole new group will show up to ask you when you're going to get a BSN, work in this or that specialty, become an NP...etc..etc

    Since you can't escape it you may as well do what makes you happy and feels right. Best wishes to you!

  • Oct 15

    Quote from rnfrombama
    Hey all!!! I'm still trying to get this commenting and replying thing right. I usually just read these articles and print them out take them to work. Thank you all for your responses and your input. Many people have told me and you all have suggested trying a change of scenery. I've talked to some of my coworkers whom have traveled or worked at other facilities and they've said "It's this hospital." The facility in which I work is surely the huge problem. I've even had a physician tell me "This [hospital] isn't a good place." This place has frustrated me to the point that I'm done with nursing. I will try to find employment elsewhere. It will be difficult because of the area that I live and the monopoly this facility has on healthcare throughout. That's where a lot of my frustration cones from. To Mikey, who asked about the reason for nurses leaving. I'm sure pay has something to do with it. But it's the lack of respect that we professionals receive on a daily basis. This facility's culture is making money and making the docs happy....that's it. There is no question about it. And BTW, this facility is a "non-profit" organization.
    After reading your article, and all of this thread. It seems many of the main complaints are purely personal.

    I was a nurse for 20 years. I always found peace in 3 things.

    I bounced around and tried to stay out of politics. In almost all of my jobs, I worked float in large hospitals. So I was never in one place for more than a day or two in a row.

    I focused on my patients and let everything else roll by. Unit politics rarely affected me, and I didn't have trouble relating to physicians.

    Every day I tried to make a significant difference in someone's life, and then I left work and counted on the team to take over. That's the way the modern hospital system is designed.

    I couldn't be responsible for what happened after I left.

    I do take offense at your attack of physicians (I include myself since I am a provider now). I really didn't have serious issues with providers (MD, DO, PA, NP), anywhere I worked. On occasion, one would go off or vent (kind of like you). Usually, I would say, "Ok, now that you are done, you can buy us lunch". Or hand them a bill for $50 for counseling.

    Sometimes, they have reasons for their rants that you don't know about.

    But I am going to say that from the providers point of view, sometimes your nursing colleagues make it challenging to be a nurse. When I walk down the hall and see nurses with their heads buried in their phones (texting or surfing the net), or listen to them stand at the desk and complain, I lose a little empathy. I will see somewhere between 15 and 20 patients in a day. I will receive calls from nurses, pharmacist, case manager, social worker, family, etc. And I have to field every one of these because being a provider is the business I chose.

    I didn't realize how much work I could get done when I had to.

    When I was a nurse, I used to say "I used to be a roofer, but this is indoors and year-round". I don't know anything about your past, or how much you think people on the outside make. I don't know what you think non-nursing jobs are like. But I can tell you, if you truly feel the way you do, get out now. Anyone who copies articles from the internet to take to work, anyone who calls in on their day off to check on patients, anyone who lets menial clerical tasks affect their professionalism, is way to close to the problem.

    Take care of yourself. You owe me $50.

  • Oct 12

    I rarely deal with physicians on a daily basis in school nursing. Just sayin', find another specialty before quitting nursing all together.

    I get attached to my kiddos, but it's kind of a good thing in my setting, sometimes I'm the only "love" they get.

    You seem very compassionate and we need compassionate nurses, don't quit, just make a change.

  • Oct 7

    I went to graduate school in the early part of the previous decade when one can find on-campus programs in state universities with approximately $300+ per credit tuition so in a Master's program with 45 or so credits my total cost was something around $20,000. On top of that relatively low cost, I received a HRSA grant which covered half of my tuition so I finished my ACNP program with no debt and didn't have to default on my mortgage (lol) by keeping a full time job as an RN.

    Nowadays, even state universities charge anything from $700-1,000 per credit so the cost has more than doubled. With inflation, I would say that if I were to attend school now, I'd be willing to pay no more than $50,000 for a program but that's just me. I would also want to have some peace of mind that the degree I'm trying to obtain will pay-off in terms of job placement and advancement.

    One thing I notice on your post is that you are set on WHNP. Is there enough opportunities in that field where you live? I am certainly not the expert on job markets but WHNP is a narrow field for NP's compared to the other more popular tracks which leads me to think that if I were in your situation, I would want to make sure I could easily find employment before I invest my money on it.

  • Oct 3

    Actually, wait, here is the proof!

    Imgur: The most awesome images on the Internet

    I don't know how to properly cite this. Could someone write it up in APA format?

  • Sep 28

    Quote from Wuzzie
    This is all well and good if it's a mutual decision for one spouse to support the entire family. That is not the case with the OP.
    He now has a job, though. However, she's upset about that, because he got a "better job" than she has.

    She needs to work through the resentment she is carrying over the past, when he didn't carry his weight financially. That is understandable, and something a marriage counselor could walk both of them through. But he is under no obligation to underachieve now in order to cater to her insecurities about her "identity."

  • Sep 26

    Quote from Guy in Babyland
    I would rather see a school that starts out with 100 and graduates 20 quality graduates than a school that graduates 100 just to get as much tuition money as possible and have those graduates come to this site wondering why they haven't passed NCLEX after 5 attempts.
    How is that any better??? In your ideal school 80% of students pay money and get nothing... ITT was doing that to. The for profits commonly had 30-50% of their students fail to complete the program.

    I'd rather see a school that selects 100 QUALIFIED applicants, graduates 95+% of them from a GREAT PROGRAM, and then 95+% of those pass NCLEX on their first try.

  • Sep 26

    Quote from Not_A_Hat_Person
    In related news, the US Dept of Education is revoking its recognition of the Accrediting Council for Independent Colleges and Schools (ACICS), which accredits the vast majority of for-profit schools. The affected schools have 18 months to find new accreditation before their students no longer qualify for federal funds, including student loans and Pell Grants .
    The federal government is cracking down on the investor-owned career schools' primary source of cash flow by making this important move.

    As a side note, the school that granted my ASN degree is a shady investor-owned entity with accreditation from the ACICS. I am so glad I was able to 'launder' the credits I earned from this school by earning a CCNE-accredited BSN degree from a regionally accredited school.

  • Sep 24

    The only feedback I can offer is that I would not recommend anyone do an online NP program unless they already have an NP secured who is willing to precept them. I work in a clinic of APRNs who are CONSTANTLY getting requests and solicitations from random online NP students, looking for someone to precept them. They all end up in the trash, because I've yet to meet an NP/CNM who is willing to take on an unvetted student that they don't know.

  • Sep 24

    Many of my male veteran pts call me "doc" as a term of respect as they know I'm a vet. I have corrected them but it is a term of respect - they absolutely know I'm not a physician but after ten years I'm not beating a dead horse...

    There are just so many bigger issues out there - like independent practice that I see as more important. I am very well-respected by the physicians in my group, I have great autonomy, wonderful co-workers and I enjoy what I do for the most part.

  • Sep 22

    Also, try public health departments. I completed my women's health hours with an amazing WHNP through the health department.