BostonFNP Guide 48,701 Views
Joined Apr 4, '11.
BostonFNP is a Primary Care NP.
Posts: 5,147 (63% Liked)
Just gross and disgusting. I am not sure who is working this hard for this reimbursement. In my world, which is Psych, reimbursement averages at most 200 dollars an hour. Still it works out to over 300k, considering an 8 hour work day and fair PTO.And Psych NPs often make 100k.
Yes, they are making a huge killing off us, and the "supervision" or "collaboration" consists of a few minutes on the fly.
Our collaboration requirements were discontinued on 1/1/2015 for experienced NPs. The Governor said that the collaboration requirement was a financial arrangement, not a clinical arrangement.
Knowing I am bringing in 350 in reimbursements.
To be honest, the reason I am choosing Chamberlain really has to do with the cost. I am in my 40's - and still renting ... and I would like to buy a home before I am 50. This means ... I just don't want to go into huge student debt right now. My LIFE PLAN GOALS (smile) are to get through my Master's program with my FNP and get a home of my own before I am 50. If I was in my 20's ... or maybe even 30's it might be different ... and I get that physicians are brand conscious. Chamberlain is $650 per credit hour.
A few years ago all the nurses I worked with that became NP's had job offers within 2months. Fast forward to now, most of my co workers that I graduated with within the last year still has not found a full time position, if any at all. Another issue is the low salary that I have seen posted.
USC is a private school. They will offer a financial aid package to accepted students, so the cost is individual to each student and is not necessarily the "list" price.
USC has a HUGE alumni network in California. They also have a well regarded medical school. Who do you think hires most NPs? MDs do. And MDs are extremely conscious of school reputation. As a new grad NP, you are going to face a highly competitive job market for your first job. Your school will matter.
As many other posters have commented, be leery of any NP school that does not find your preceptors. And if you have to find your own preceptors, you may or may not get good ones.
I would definitely pick USC over Chamberlain.
Anyone else have the feeling there might have been a $5 bet on how long it would take us to turn on each other like a pack of rabid dogs?
Since FNP programs are now primary care programs, why would I advise such a person that they should become an FNP? The schools themselves state that their FNP curriculums are primary care only.
Someone who is serious about going into acute care should study acute care, whether it be PA, AGACNP, or Peds Acute Care NP. There are ample programs out there for acute care.
Many hospitals will NOT hire an FNP for an acute care role. While hospitals in rural areas and certain locations may do so, it's not something I would advise someone to count on.
Practicing outside the scope of one's training also carries legal risks.
If a med student said they wanted to be an ED doc, would it be logical to advise them to strive for a primary care internship and residency? No, it would not.
So why is it a good idea to advise a prospective NP student who wants to work in the ED to knowingly enroll in a program that will not provide him/her with any acute care training whatsoever? Someone who is contemplating NP school should select the program that will maximize the chances of achieving their career goals.
I agree with the majority of the points made in the article. I just have an issue with how they try and present common vs complicated health problems. An unexplained fever that has lasted for a few weeks. That's a problem that can absolutely be handled by an NP. Or multiple complex diagnosis. How many NPs, both inpatient and out, manage patients with multiple comorbidities on multiple medications. It's just not that simple. Expect a physician if you think you have a complicated problem - an NP is fine if you think your problem isn't a big deal. Patients don't know.
And the comments section kills me. Haha.
Great post thanks for sharing.
I actually thought the article was a pretty good one. Some things are oversimplified but in general I agreed with everything that was said.
We have some posters here who would cringe to read "But is seeing one of them as good as seeing a medical doctor? In most cases, yes, says Ateev Mehrotra, M.D., an associate professor of healthcare policy at Harvard Medical School."!
Keep in mind, the reason I did all that I did for him was because a bunch of lazy nurses before me never did--probably atheists.
Judge me? Go judge yourself.
He couldn't do for himself, so I did for him.
I did unto him, as I would have it done unto me.
And I can tell you right now, he was lucky I was his nurse.
The OP had a question and the correct answer is that an NP who wants to practice acute care should study acute care! It is highly irresponsible to suggest otherwise.
My son has hit his head a few times and the school nurse has called me about "concussion education and awareness"; the most recent time she used my work number because I didn't answer my cell then apologized that she had talked to me in layman's terms the previous times. I told her that when it's my kid I want to hear things just like every other parent does. I tell his pedi the same thing.
Don't feel about about it! Parents want to be parents in that situation.
it's only ever FNPs practicing in areas they weren't trained for - specialty trained NPs generally don't try and practice outside of their training. You see it on this forum all the time. FNPs saying they went FNP to "have more options" and "to be able to practice wherever they want". It's unfortunate that schools promulgate this idea. The specialty NPs understand the difference.
I don't think the state boards of nursing will ever be specific (about anything) and say where a certain NP can and can not practice.
Actually, this is in line with what I said.
While in the past, FNPs may have had acute care training, that is not generally the case now. Current FNP students only receive primary care didactic education and clinical rotations, with the exception of urgent care. They do not have hospital or ED rotations, nor do they receive didactic education geared to acute care. Reputable schools are very clear on the dangers of a new FNP grad working in an acute care setting. given they have received NO education or training to do so! How can a new grad NP who has had NO clinical rotations in acute care safely practice in that setting? In addition, this would be a serious liability issue.
Your post correctly points out the additional education and training required for an FNP to safely practice in an acute care setting.
As for EDs preferring NPs who can treat all ages, that is going to depend on the area and on the facility. Large hospitals often have a separate ED, or section of the ED, for children. There are also children's hospitals. In addition, acute care is not just the ED.
I find it ironic that many on this forum are opposed to NPs who did not work as RNs, yet are fine with an NP who did not get any NP-level acute care education or clinical rotations practicing in an acute care setting. It is imperative to adhere to scope of practice, just like a peds NP should not practice in a geriatric facility.
So I've heard of several EDs steering away from providers that are not trained to treat Peds. Run into that much? Mostly a non-issue?
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