Latest Comments by BostonFNP

BostonFNP Guide 42,489 Views

Joined Apr 4, '11 - from 'Northshore, MA'. BostonFNP is a Primary Care NP. Posts: 4,701 (61% Liked) Likes: 11,402

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  • 1
    WKShadowRN likes this.

    You need a state license number to apply. You may also need a state CS number as well.

  • 0

    Quote from kmnc777
    I was wondering if anyone has used a preceptor finding service. I am having trouble finding a preceptor and wondered if a preceptor finding service would be helpful. If someone has used one, and they were successful on finding you a preceptor, what service did you use?

    Thanks,

    Kathy
    Ask your program for help!

    Using pay-to-play services for securing preceptors isn't good for you in many ways.

  • 0

    You should speak with the premedical adviser at your college and try and get a handle on what you need to be competitive in applying to medical school, as much of it may depend on your undergraduate institution. These advisers will typically give you truthful estimates of your chance at medical school.

    If your GPA is less than 3.4-3.5, you may have a seriously uphill trek ahead for acceptance into any provider school (PA, NP, MD, DO, etc), not to say that you shouldn't shoot for it if that's what you want to do.

    If you think you can do well on the MCAT, take it. MCAT scores between medical schools are fairly flat, suggesting if you can score 28-30/500-510 you might have a shot at a USME program.

  • 1
    MrNurse(x2) likes this.

    FWIW there actually is some evidence of nosocomial airborne/droplet spread of localized zoster to varicella-zoster, even in incompetent populations, which is why the CDC still maintains recommendation for isolation precautions in hospitals for localized herpes zoster.

    Very rare but possible.

  • 1
    WKShadowRN likes this.

    You hit the nail on the head with the last one, fostering a good collaborative relationship with other providers makes all the difference in the world as you move forward.

  • 1
    Mission2BNP likes this.

    Quote from CDC0810
    Hi APRNs. I'm in NJ and about to be in nursing school and my long term goal is to be a nurse practitioner. Are you all able to afford nice houses, according to your salary, and travel on vacations? Also, do you have decent vacation time? Thank you.
    Cash money millionaire.

    Doc Vader Goes Rogue | ZDoggMD.com - YouTube

  • 3
    Riburn3, ICUman, and WKShadowRN like this.

    I think we agree on a number of points, but I do want to point out there are two sides to most of these problems. In the end its strange that the majority of NPs and PA and MDs and DOs have good professional relationships in practice and these debates simply become more complicated on the national level.

    My few points:

    Quote from hogger
    The way the nurses tout these studies is somewhat unethical though, since to the uneducated eye they make it seem they= physician, which is just not true and I feel for patients that are misled into that thinking. So the political and monetary sin hammer swings both says.
    As mentioned this is clearly a two way street: physicians arguing that NP-provided care is not only of less quality than physician care it is also dangerous to the lay public with absolutely zero data is also unethical. Ironically, physicians also argue that NPs lack the scientific background in the same breath they are ignoring a significant body of research.

    Quote from hogger
    I also cannot leave out the note that NPs claim they are here to reduce healthcare costs, yet, many also argue for equal pay for services rendered to that of physicians. This also shows the nursing lobby has monetary motives which are at least as great as the physicians.
    I agree there is a problem here and it's a difficult one and while there are other ways to reduce the cost of healthcare while being paid the same rate. In primary care, as those working in it realize, the profit margin on that with is razor thin.

    Of course lobbies have monetary motives. As far ad lobbies go: 2016 data shows the AMA at 19.4 million and the ANA at 1.7 million. The ANA is not out-lobbying the ANA on any topic especially one this financially driven.

    Quote from hogger
    On a third note, was it not the nursing lobby which posted prohibitory statements against medical students whom have graduated medical school providing medical care without a residency in severely rural and underserved areas?
    It was actually the AAPA (physician assistant lobby) at least when this issue of "assistant physicians" came up in Missouri, joining the main opposition lead by the AMA and the ACGME.

  • 9
    Purrsx2, LibraSunCNM, Dodongo, and 6 others like this.

    Quote from hogger
    Neither side has done (questionable if they ever will) enough studies to compare all the outcomes. Most of the studies pretty much covered just Htn, lipids, run of the mill primary care stuff.

    For anybody to state there is conclusive data for equal care in all aspects is silly, unless one can present info for every single condition out there, which probably isnt possible. But for the most common stuff, yeah, NPs can have it, it does not take 7 years post under grad to treat blood pressure and lipids. More of the complex stuff it sort of does.
    It is not possible to study every single outcome but there is also no need to study every outcome. Of course the major published studies have evaluated outcomes on hypertension, hyperlipidemia, and diabetes: not only are these diseases some of the most common chronic illnesses they are associated with (by far) the largest morbidity and mortality (as well as financial) burden on the healthcare system. There have been many studies that have looked at other outcomes in specialized settings on an international stage (you mentioned GI, and there are studies that have compared outcomes in everything from abdominal pain management to colonoscopies).

    There are also a number of factors of independent practice that exist outside of outcomes data: decreasing the cost of healthcare, increasing access to healthcare, etc.

    There is a growing body of evidence that supports NPs providing quality care. There is extant data that demonstrates NPs also provide cost-effective care and improve access to care. The physician argument is that NPs require oversight but I have yet to see any compelling data that has led them to that conclusion, aside from the length of schooling/training (which has some merit, but should also be demonstrated in outcomes). In most cases, NP/PAs working under collaboration/supervision of physicians essentially practice independently with very limited actual "supervision".

    All medicine should be practiced collaboratively and NPs are not designed to replace physicians. The overall goal of independent NP practice is to expand access to quality and affordable healthcare. Not all NPs should practice independently and most won't but it does give experienced NPs an opportunity to open their own clinic and run their own business.

    Lets all be honest here that the major issue with independent practice for NPs for most opposing physicians is a financial one.

  • 19

    Was an awesome monologue. Go nurses.

    Something we all learn about but probably never see; highlights how important nurses and nursing education are.

  • 5

    Quote from GigiF
    That's why they call it the "Doctor's Lounge". I have never heard it called the " Provider's Lounge" but good try. NP's and PA's aren't the only ones who generate revenue (actually, we all do). So do Speech Pathologists, Phyical therapists, Occupational therapists, etc. Get over it.
    We all? No.

  • 9

    Quote from Spidey's mom
    nd.

    And yes, love the school nurse forum. Remember, lice don't jump!
    That's what they want you to think.

  • 2
    WKShadowRN and Farawyn like this.

    Quote from Farawyn
    I miss you. You are one of my AN crushes.
    Farawyn! Have you been wandering? Where have you been?

    Quote from WKShadowRN
    .
    Well, I, for one, miss you.


    See 2 out of 100k or so isn't bad! It's the quality that counts anyways!

  • 6

    Our NPs/PAs/CRNAs/CNWs all have access to the provider lounge.

    The lounge access itself is petty, your issue is a much broader one that needs to be addressed.

  • 2
    Jessy_RN and Not_A_Hat_Person like this.

    It's much more helpful to consider this trend on a national level rather than an individual level which seems to get very personal for posters. What's behind the national trend what the AN survey showed?

  • 1
    bunnehfeet likes this.

    Quote from CanadianRN2017
    and the letters after RN should not make any difference in excellent patient care.
    But what if they did? Would it change your impression?

    Quote from umbdude
    I don't see any difference between ADN and BSN in delivering patient care. It always depends on the individual, not the type of program.
    In small sample sizes the variance within individuals is clearly greater than between degrees, this is was large studies are built for.


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