BostonFNP Guide 39,189 Views
Joined Apr 4, '11 - from 'Northshore, MA'.
BostonFNP is a Primary Care.
Posts: 4,466 (60% Liked)
Nicely done BostonFNP
The schools should contract with about 20 NPs as preceptors and then have the students fight in cage matches for the right to a qualified preceptor. You lose your match then you are out of the program - but they keep your check.
Over on the NP forum, we’ve been discussing lawsuits - this is something very real and worrisome for providers. While nurses can get sued; most often they are dragged into a suit along with others; while APRNs by virtue of being providers can “stand alone” and take the brunt of the lawsuit themselves.
Unfortunately I can speak to this firsthand. I’ve been an APRN for over ten years now and I still shudder when I remember the incident that completely changed my practice. For privacy sake, I will keep it general. I made a prescribing error.
So...began the odyssey of lawyer visits, depositions, court appearances, meetings with my boss, with the practice president, and many many years of endless waiting wondering: would I have a job, would I have a license, would my house be taken, my wages from whatever job I could ever get be garnished, would I have to declare bankruptcy and on and on my imagination wandered?
It was very stressful on me, my family, my co-workers. And oh yeah...did I say you can’t talk about it to anyone??? Me...who talks all day long! To worry in silence for many years was another stressor.
In the end...an out of court settlement was reached for what I considered to be a lot of money but for what the attorneys patted themselves on the back for negotiating. I came out with my job intact.
On the day I signed the settlement, I received the final blow - oh yeah didn’t we tell you that this has to be reported to the board of nursing and the National Practitioners Data Bank? Uh...what???
More worries, more time...in the end after I hired an administrative law attorney to appear with me for the BON hearing, my license was cleared. My name does appear in the NPDB and will always show a payout for a malpractice suit. However, it is possible to get a job with this and it is possible to get credentialed with this on your record.
Some things I’ve learned along this bumpy road:
Starting practice can seem a bit overwhelming. I would be much more concerned if you were starting out overconfident-that makes for a dangerous provider. As others have pointed out, you will see the same conditions over and over, and will become very familiar with common diagnostic and treatment regimens. I utilize resources such as Uptodate and Epocrates, and my favorite derm site, Dermnetnz.org. And if you don't know something, then ask. There's nothing wrong with asking questions.
One year from now you will feel very differently. Best of luck to you.
There are good NP'S and bad ones. Just like there are good Dr's and bad ones.
Gotta think, they "all" weren't top of their class. Your doc could have been an average or "barely passed" too.
Just like every other profession ...you have great, mediocre, and bad. True with Drs, RNs, mechanics, teachers and every other freakin job.
nursing departments, i am sure at least many, would love to be over everybody.
some of them are like huge macrophages extending out their processes trying to engulf any and all into their clutches to make themselves feel better about themselves.
I am glad those days are over for me
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.
. . . 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.
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.
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.
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!
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.
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.
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.
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?
Advertise With Us