BostonFNP Guide 41,338 Views
Joined Apr 4, '11 - from 'Northshore, MA'.
BostonFNP is a Primary Care NP.
Posts: 4,653 (61% Liked)
I would love to have a DNP , however, I own my own practice and see no value in doing free clinicals at someone else's practice.
Plus I am 56 years old. Age wise, I love to learn new knowledge but not spend the $$ for the terminal degree.
And this is why we should be cautious about prescribing narcotics in the first place.
...because with people dependent on high doses (legal or not) it is often (though not always) literally impossible to safely provide a dose that will relieve their pain to the same degree that 4mg morphine will work for someone totally naive.
It sounds like you made a wise decision. However, OP's statements for why they want the Direct route and motivations for FNP, sound off. nothing they have said instills the assurance tha they are doing this for the right reasons.
It seems that the majority of the comments indicate that nursing is a highly stressful career. Are any of the posters that have commented about this NPs in private practice?
The best foundation for a successful nurse practitioner career is to have strong bedside nursing experiences. Entry level nursing (ie bedside care) provides the foundational experiences and skills that are needed to build on for advanced nursing practice.
Have you had students with acute care/critical care backgrounds who feel "bored" by family practice or clinical work? Would an urgent care setting be better than family practice? I'm an ICU nurse and I just love the ICU. However, I see how the night shift NPs get treated and it doesn't seem appealing to me to fill their shoes. (7 days on/7 days off, nights only, on-call during day, etc.) I'm just worried that transitioning to family practice might not seem as interesting as ICU. Do you feel it gets routine to see the same patients all the time?
My question is, what are the job prospects for a DNP/FNP upon graduation? Would my previous experience appeal to employers in primary care, or would being a relatively new nurse prior to starting my APRN degree negate that? Since many of the clinics where I've worked have employed APRNs I assumed the job market was good, but in doing more research I see that there are few openings for mid-level providers and many requires 3-5 years experience.
(At the suggestion of one of my clinic students based on this type of thread being popular on other forums.)
I am a (relatively) experienced NP in adult internal medicine/primary care with a primarily older and complex medical panel. I also have worked for many years with NP and medical students both in the lecture hall and in clinical practice.
Have questions about what primary care is like? What to expect as a clinical student? Ask away.
1. Are you glad you got your DNP? Why?
I am glad I got it out of the way, it makes me more comfortable for whatever future lies ahead. The way I see it, it is never going to hurt me and may help me in some form or another down the road, either in practice or in academia.
I also "just like" having a terminal degree. There is a feeling of completion there in a job where otherwise you can never stop learning.
2. Are you glad you didn't get your DNP? Why?
I wouldn't have done it if I had to pay for it.
3. Does it really matter?! Why?
It matters but not in many significant ways. It opens doors to academia. It prepares for the future. It engages practicing NPs in a number of different ways. I think it is good for the profession moving into independent practice from a purely superficial standpoint.
I know RNs that make more than 150k/year, but none of them do it without significant differentials and a significant amount of overtime.
That being said, I will go back to the advice I always give: go to NP school because you want the role not because you want the money. There are much easier ways to make more money.
I have defended my position admirably. I'm shocked one of you finally acknowledged the existence of drug seekers. Now, will you be courageous enough to say that physicians should not order them narcotics for the sole reason of feeding their addiction?
I love the air of superiority in your posts. Like I said before, I'd love to work in your hospital where "seekers" do not exist.
So if a person comes in with the sole purpose of satisfying a craving for opium, and we give them that, if it's not enabling, what is it? I think if you examine the concept of enabling, and codependency, you'll see that it is. If a cocaine addict comes in sans medical problem, should we give them a dose of pure Colombian?
Again, I am trying to distinguish between people with medical issues versus those who do not.
I'll give you an example. I can think of several patients who, the moment the attending sees their name puts in various orders for controlled substances before even knowing why the patient is there. So I ask you, just because it's John Doe, we automatically order Dilaudid and Percocet. What is the medical justification for that? Is that prudent?
That's how littl of a f*ck some people give about the problem we've caused.
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