BostonFNP Guide 44,039 Views
Joined Apr 4, '11 - from 'Northshore, MA'.
BostonFNP is a Primary Care NP.
Posts: 4,753 (61% Liked)
I have a hard time understanding why people jump on other peoples post to say rude things. Like get a life. You don't know me or my background, so why dont you take your judgemental rhetoric elsewhere. (in response to Zyprexa)
As usual you make excellent points but I'm not sold that we should be concerned about any "unfair advantage". Don't these sound like traits that would be beneficial to a new grad NP especially in light of how brief and inconsistent the current state of NP education is at this time?
The young BSNs would likely be well served by taking a few years to get to the point where they also have this advantage. I know for the schools it is about admitting the most students to make the most money however as with the ability to work and go to school, although sounds delightfully inclusive and politically correct, I don't think an acceptable reason to lower the bar and that is exactly what this is in my opinion.
Working or not being able to work while in NP school might be an excellent topic for a new thread. 5 straight days of clinical would provide a more comprehensive education. As a business minded adult the thought of not being able to work would have forced me to think long and hard about starting NP school which might be a refreshing change as compared to today when anyone writing the check and filling out the application gets accepted. I continue to be alarmed by the number of people who are actually in a NP program and then post here indicating they are clueless as to what the program entails, don't know any NPs, aren't aware of the areas they will be certified to practice in and don't even know what salary they might be receiving. Ahhhh but make no mistake they are aware it is likely to be M-F, lol. Again raising the bar is not a bad thing in my opinion.
That being said, you also have quite a ways to go and haven't really gotten into the major part of your advanced practice education, which in my opinion, begins with the start of clinical rotations and the associated didactics. It might get better for you shortly.
Do you feel that most NP programs are successfully producing graduates who are fully ready to assume the NP role in our current healthcare landscape? Or do you think that a majority of the issues are due to problems in education programs, healthcare institutions, and to a degree, the students themselves (e.g. professionalism, behavior, experience, expectations)?
Perhaps because it's a serious illness that causes a lot of disability and death. Most all the nurses I know are "against the influenza." I, personally, am vehemently opposed to influenza -- which is why I, and most all the healthcare workers I know, get vaccinated against it each year.
I truly do not understand why people are being coy about naming schools. Please just name the schools pertinent to an issue at hand.
Juan, I don't know you. However, not attacking people personally has to go both ways. Again, I was attacked and I did not complain. You didn't jump to my defense, I noticed. Why is it adolescent to make a factual observation? I don't care if people attack me - I just want to have a useful debate. I will admit when I am wrong. In addition, this forum is not "owned" by posters that have been on here a long time. Just because someone has been active on this forum for a long time does not make their opinions more "valid." If you try to shut down people with differing opinions, this forum will cease to be useful.
The clinic I work for hires new grad NPs and PAs, provides extensive training, and also believes in precepting NP and PA students. We're going to hire at least 10 NPs and PAs in the next year. This group has a long history of hiring new grad NPs and PAs, and because of the excellent training, has never had a problem.
Here's my prescription:
Keep all current Consensus Model based NP programs in the specialties they were intended to train NP's on.
Form a new regulatory body tasked with only accrediting NP programs similar to COA for CRNA's and ACME for CNM's. Regulatory body to formulate new standards for NP education including but not limited to:
- Ensuring that clinical preceptors are affiliated with the specific programs as faculty members. Students are not to find their own preceptors period.
- Preceptors in each program, at a minimum, should be representative of the broad spectrum of specialties required in each of the Consensus Model-based NP track. FNP programs at a minimum, should have a faculty preceptor for Pediatrics, Women's Health, Family Practice, Primary Care Internal Medicine, and Fast Track/Urgent Care.
Similarly, all AGACNP programs must have preceptors for Adult Emergency Medicine, Hospitalist Medicine, and Critical Care. Subspecialty preceptors are available as needed for elective clinical rotations that students pick based on their goals (i.e., Cardiology, Nephrology, etc).
- Increase the clinical hour requirement to 1000 hours. Restructure clinical rotations in a manner that promotes consistency which may mean having the student be in the clinical setting 5 days a week for a month at a time.
- All distance-accessible and on-campus programs must be compliant with the regulatory standards. In order to allow institutions some time to make arrangements to be compliant, a gradual phase in of the new standards must occur over a period of 5 years after which all institutions must meet the new standards to receive accreditation from the new governing body. Non-compliant institutions can not have their graduates sit for national certification.
- All new NP programs being developed or in the planning stages of admitting students must comply with the newly established administrative and regulatory guidelines for accreditation.
Roll back the recommendation to make DNP the entry to practice requirement. Make the DNP available as an option for NP's to advance into Leadership, Policy Making, Consulting, etc. roles.
So many nurses are against the influenza I wonder why?
Can you (or anyone) point to data that suggests that candidates from online programs (that you, at least) deem inferior, are actually turning out incompetent or borderline competent NPs?
I don't think just because a program is on-line automatically makes it inferior. Many people learn well in that format. I prefer the B&M format cause that is the best way for me to learn. I also enjoy and benefit from the camaraderie of other students and the ability to work and study with others. I do have an issue with any program that does not have rigorous admission and performance standards and will admit any one who can pay.
FWIW-I am one of those DE NP graduates that also seems to garner all the negative attention. My practice and my patients are doing just fine.
- an NP "announces being a doctor"?
- all NPs are doctorate prepared?
- MRI found paraparesis being result a "side effect of medication"?? Gosh, I am burning of curiosity - what that might be? Easily reversible human model of MS? That's would be next Nobel prize in medicine, no doubts!
- an NP saying that "there is no point of seeing a doctor"?
- a person with M.D. goes for her gut feelings instead of dusting off her memory? Especially pathologist?? (these guys know patho better than most of other doctors, put together)
Old USMLE/floor mnemonic: Old Parkins' got paresis >> first look for sumethin' else's!
(new paresis in patient with Parkinson = stroke being #1 differential; and, yeah, patients with Parkinson are in the right age category for strokes of all kind, medulloblastomas, MS, DM complications, bleeds if they are anticoagulated, etc., etc.)
As one of my former professor said, telling believable lies takes more knowledge than telling the truth. The whole thing is nothing else than a rudely made up compilation of mistakes and lies, written to scare off patients. That's why, I suspect, doctors in question were so unusually shy in revealing their names - for doctors with such names do not exist in the great state of Texas as well as anywhere else, and anyone with Internet access might find it out. Although, if every minute of good laugh adds five minutes to total life time, then thank you very much - I'm going to live half an hour longer
Didn't we argue about this in the past?
Glad to see you are moving on, the role will suit you.
What kind of NP do you want to be? In my acute program I heavily used my RN experience during internal med/hospitalist rotations. I imagine a smart student without RN experience (in another words, a qualified MD applicant) could do just as well as me. It's just going to be like drinking out of a firehouse for the first couple years. I was different as a RN, I always asked why and looked for the rationale behind MD decisions. Many RNs don't and thus their experience would be null and void.
Summary: After going through a program I feel RN experience probably isn't necessary for the right student. (Even after being an a ACNP program that required 2 RN years in the ICU)
Keep in mind that the RN (or physician) you take care of, may feel very vulnerable when a patient him/herself.
I once awoke from what was supposed to be a day surgery, only to find myself admitted...on the floor that I actually worked on! Very vulnerable position and honestly, I was not well taken care of. I was appalled. I couldn't speak, and every time I'd ring the call light they'd ask "can I help you?" When I couldn't answer, they simply turned it off and didn't come in. It wasn't until I threw something out into the hallway that anyone paid attention to me. It really made me pay more attention to how I cared for my own patients.
And remember, many times, it is assumed that because a patient is a nurse, they know everything you are talking about, when in fact the area of practice for that nurse may well be entirely different than whatever area she is currently a patient in so she may not be familiar with all of the jargon or procedures. (Trust me, I'd be in unfamiliar territory if I were a renal/CVS/ICU patient...those are not my thing).
Just food for thought.
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