Latest Comments by BostonFNP

Latest Comments by BostonFNP

BostonFNP Guide 36,152 Views

Joined Apr 4, '11 - from 'Northshore, MA'. BostonFNP is a Primary Care. Posts: 4,258 (59% Liked) Likes: 9,813

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  • 0

    Simmons, MGH, and BC should be the top choices.

  • 3

    Quote from feelix
    This should be an incident report. Don't let doc get away with it. He is supposed to know more than you do.
    Absolutely file an incident report! See what the response is...

  • 5

    Quote from BCgradnurse
    I use a disposable scalpel, which is sterile. I only touch the handle and never touch the site after it's cleaned. The sterile blade is the only thing that touches the abscess.
    Same. Alcohol prep, local anesthesia, povidone-iodine prep, drape, disposable scalpel, and clean gloves. Once the abscess is opened its non-sterile anyways.

  • 1
    elkpark likes this.

    Quote from cleback
    They only require organic/inorganic chemistry, which are fulfilled by the first two semesters of college chem... as in chem 101 and chem 102. Basically, the prerequisites are met by the vast majority of BSN science coursework. It's a case of sounding more advanced than it really is.

    On the contrary, med school prerequisites are more often than not chem 101&102, two semesters organic chem (which builds on the first year chem), plus biochem. And that's just chemistry. Let's not kid ourselves.
    We can argue semantics and what "sounds more advanced" but there really isn't any point to it.

    What is your undergraduate degree in? Your advanced degree?

    Having gone through a top-tier pre-medical program undergrad, masters and doctoral level education, lecturing for both medicine and nursing, and precepting both medical and NP students, I have never seen any evidence that a more thab a functional/basic level of understanding of chemistry, biology, and psychology provides a distinct advantage to a novice provider. A basic understanding of science is a foundation on which directed applications can be taught.

  • 2
    lhflanurseNP and Asclepius86 like this.

    Quote from PsychGuy
    I felt like A&P was too condensed. Once I took patho, I realized the gaps, and in taking patho I again realized the gaps. My "advanced" patho was too verbose to extract anything meaningful from although it did have better explanations. What I lacked was a biochemical background to enjoy deeper understanding.
    I am a firm believer in understanding physiology. When I teach, I place the strongest emphasis on the physiology and pathophysiology, because if you can understand that you can infer everything else from clinical presentation to medication effects. All too often students try and just memorize things when if they just learned the underlying mechanism they could remember it all with a fraction of the information.

  • 1
    roser13 likes this.

    Quote from Farawyn
    Yes, male nurses are attractive, but the transporters are hotter.
    NO! We are more attractiver.

  • 0

    Quote from Aromatic
    1200 per credit hour for np at mgh jeez. Not sure an np degree is worth like 100k in debt. But that was for the non nurse track but still. Looks like they are trying to get people that want to do pa school to do that. Then again pa school isn't cheap either
    They are pulling in a lot of people from PA school. I have two colleagues that went to IHP and both work in Boston hospitals, make more than 150k per year, and are receiving loan forgiveness. Big up front cost but also not a bad investment with time.

  • 4
    Anna Flaxis, psu_213, txbornnurse, and 1 other like this.

    I do I&D's as a clean procedure. I do not culture or script abx unless there is a complication.

  • 0

    Quote from Jules A
    Would you mind adding some of these programs? I'm not doubting you just would like to have schools to refer to as I'm often asked by prospective students where they will get a decent education and in my experience as someone who went to a well respected, highly ranked, brick and mortar school I was not impressed. My program required none of the above. Two pharm courses and here's your prescription pad.
    Did you go to RN-NP or DE-NP? It's the DE-NP programs which typically require these courses, though I am not sure why the RN-NP programs don't, more evidence of the lack of standardization and quality control.

    John Hopkins: MSN: Entry into Nursing Practice | School of Nursing at Johns Hopkins University

    Vanderbilt: MSN Admissions | Admissions | School of Nursing | Vanderbilt University

    Mass General Hospital IHP: Direct-Entry MS in Nursing | MGH Institute of Health Professions

  • 0

    Quote from AndersRN
    It's one semester of gen chem and orgo. Med school requires 2 semesters of each plus 2 semesters of physics...
    Hence why I said "similar".

    I've never seen a NP program require physics as a prereq, not sure it would make much of a direct impact on practice.

    Most quality NP programs require less chemistry than medical school, though they still require it, and often replace that with requirements for biostats and developmental psych as well as A&P1/2 which is covered within the medical curriculum.

  • 1
    PsychGuy likes this.

    Quote from PsychGuy
    What about NP scholastics at all mirrors medical academics? I don't see how such a path would be possible without starting over.
    It will never happen.

  • 0

    Quote from FPNP
    I'm talking about new RN's. They are incapable of taking care of a patient and must survive a lengthy orientation to be safe to practice. Advanced nursing is based on the nursing skill set, if one does not have that skill set, success may be extremely difficult.
    Are you a practicing NP? Have you made the role transition from RN to NP?

    The role of RN and NP (for the vast majority) is drastically different. Likewise, the skill sets of an NP is very different from the skill set of an RN (though they share a common foundation and some general similarities). Both novice RNs and novice NPs directly benefit from structured orientations in their respective roles but I have never seen (or heard) that theer was any direct impact of a prior RN orientation on a new NP role.

  • 0

    Quote from Asclepius86
    I'm curious as to an example or two of this?
    Any quality program will have some mix of those classes as prerequisite.

    For instance, Simmons DE-FNP program requirements: Nursing MSN: Direct Entry Program

  • 0

    Quote from FPNP
    Becoming an RN simply gives you permission to enter a hospital and learn how to be a nurse. I precept many new graduates, they are incapable of performing their jobs without a lengthy orientation. Advanced practice nursing is based on the nursing skill set. If you don't have that skill set I fail to see any path for success.

    Those "studies" you posted are horrible and are no better than opinion for the reasons I have pointed out earlier. I have known NP's who did not work as RN's that were removed from their positions because they were incapable of performing their jobs based on a lack of healthcare experience, they had to work as a RN before being allowed to work as an NP.

    You are absolutely setting yourself up for failure, and arguing with the people who are trying to give you sound advice.
    How long have you been working as an NP? What setting? How many NP students to do you precept per year? All from the same program?

  • 3
    poppycat, psu_213, and Cat365 like this.

    Quote from Cat365
    I'm confused. My hospital recently had a shingles patient that we placed in an isolation room on airborne precautions. I understand that a shingles patient can cause chicken pox in someone who has not previously had the disease and I followed all precautions when entering or leaving the room. However my concern was not for myself, it was for my other patients. I have already had chickenpox and had a titer drawn recently to check my immunity. My coworkers on the other hand were in my mind overly anxious. Am I missing something about the risks?
    There has been some data that has shown possible airborne spread of zoster, so most all hospitals take airborne precautions. This is especially true in the immunocompromised where disseminated infection can occur.


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