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Palliative Care, DNP 11,884 Views

Joined Jun 28, '11 - from 'Virginia'. Palliative Care, DNP is a DNP, FNP. She has 'Since 2009' year(s) of experience and specializes in 'Family Nurse Practitioner'. Posts: 735 (55% Liked) Likes: 1,797

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  • Jan 21

    $29/hr--why am I still in this job!?


    Only you can really answer why you have not moved after the first year of exp. The other years are all on you.

  • Jan 21

    I would work for $30 and hour if I could work from home via telehealth. Sit in my living room in my sweat pants drinking coffee while I cured the world.. LOL

  • Jan 21

    Quote from Aromatic
    What is the question though? That pay is awful, i mean especially at 10 years of experience. You know what you need to do
    Yep, no question. Mostly venting in what I hope is a safe place to do so. I know I need to have asked for a raise a 1000 times over, but then I figure I am so far behind the 8 ball at this point, he will probably give me $1/hr increase, so why bother. Starting a new job in September, and will not make the mistake of not asking for my worth again!

  • Jan 21

    I hope the cost of living there is free.

  • Jan 21

    Its like I tell my wife during snowstorms when I rant about why we continue to live in the northeast and not in a warmer state...they have invented planes, trains and cars, so why not consider moving?! Usually the answer is family related, as it is with us.

  • Jan 20

    Quote from Palliative Care, DNP
    I completed a BSN to DNP because a terminal degree was my goal. If I had gone the MSN route I never would have gone back. I took many classes that will never help me in the work environment. I spent countless hours and dollars for an editor on a Capstone I will never use. It was the longest 4 years of my life. Honestly, if I was looking at programs today then I would not choose the NP route. In my opinion the educational curriculums need an overhaul. I would choose PA or Med school. No PAs don't have independent practice but they graduate with many skills that were barely brushed over at least in my program. I don't ever want to write another APA formatted paper again.
    Nice someone actually spit out the Kool Aid, lol. Seriously though thank you for sharing your experience and view point.

  • Jan 19

    Quote from injured1
    Hi,

    I am an aspiring N.P.....but deciding between Nursing or Occupational Therapist. I also might add, did the OP go to Online N.P program. That was my thought for the N.P route. 2 Years in Nursing, then grad NP online. Also, what's youropinion on Oline N.P programs?
    Far as Nursing or OT: I personally have had mixed reviews. I talked to someone in a Nursing program, and one said I would be bored with Nursing after Year 1. I have been told by many, That, " I don't think like a nurse." For instance, I liked learning beyond the text book in chemsitry on how Carbon 11 is used for brain scans and how you can see images an how it reacts with glucose. However, when I see people weight train, and I see many have an internal rotation of the head of the humerus. Many on men. It shows they highlight bench press, however, lack thoracic extended movements like Back, Scapula, etc. So these people tend to have a forward deposition bc of them doing so much anterior movements..the, " Show Me", Muscles if you will( Chest, Biceps, Abs ) that they neglect the posterior, which have the biggest muscles, the back, triceps, etc. This can lead to Impingement, or Bicep tendon injuries. I can usually tell just by looking and confirming by seeing them train, and then touching their back.
    I also like the psychology of illness. Put it this way,I dislike it, but like it. I dislike the physical can effect the mental. Ever see someone who had gastric surgery? Someone on Steroids( corti..not anabolic ) and they gain weight? A physical ailment now becomes mental in the form of anxiety, OCD( also in particular OCD...when something happens beyond your control, ppl tend to be OCD about things afterwards to gain some sort of control mechanism ). I pay attention to all these things, just even weight training with ppl. I am not a nurse, but loved AP....and Micro Biology I got a 97%. I got a 97% bc what we studied related to practical things. Like bacteria and how it attacks the mucus layer to kill the Epithelial cells, then after that is done, attack the tissue causing inflammation. To me that is practical.

    I am just nervous bc of Horror Stories, and also bc people say, " I don't think like a Nurse." They say physician assistant etc....I do admit, if I learned something and knew it was right, I might clash with people who might put someone at harm. I cannot think of one class I did not raise my hand 2-3 times per class session. I am not scared to ask questions, I don't care if I asked q's and might have annoyed or got a pat on back from M.Ds with my questions.... we all bleed the same( unless you bleed old oxygenated blood ), so someone being an M.D does not matter, I still ask q's if I have them. That is my mentality in class.

    So I am nervous to enter nursing bc of what ppl say to me and horror stories online, and I am caught between OT and Nursing.
    Hi,
    i am glad that you are interested in nursing, however you should start a different thread to get responses as this is not pertinent to the OP and may hijack their post.

  • Jan 19

    Gawd I hate APA too.

    I think OP needs to ask...what degree would yield the most amount of income, at the cheapest rate, in the least amount of time, from the most respectable university? The balance of those four factors would influence me the most.

    The way i see it, I can get personal enrichment from a yoga class (or from a good amazon book).

  • Jan 18

    Quote from OllieW
    I keep thinking it must be hard to switch jobs as an NP due to the long time it takes for credentialing. As an RN I can quit tuesday and be working within 2 weeks. The NP thing would take months.
    This hasn't been my experience and after the first time you will have all the documents ready for subsequent jobs. The hold up I have experienced is waiting for the hospital board's monthly meeting to approve privileges and depending on how eager the department is to get you boarded can result in a quickie meeting or last minute addition to a scheduled meeting. My average, and I work multiple jobs, is 30-60 days from written offer to seeing patients. I totally agree about having a healthy savings regardless for everyone in all professions.

  • Jan 18

    When applying for DEA license the form requires to state the address of the practice where you are prescribing. What do you put there if you are not working/prescribing yet?

  • Jan 18

    My employer paid for it and it was completed (by them) during my on boarding process.

  • Jan 18

    For me, I can't get that until the prescriptive authority and controlled substance license are obtained, and I needed my collaborative physician's signature for those. The rx auth. Required me to have my APRN first.

  • Jan 18

    I did it because it was free, I thought I might need it down the road, and it helped with continuing ed.

    My biggest problem with the DNP is that there is no evidence that it improves outcomes. The data is the most important thing to me, and in this case, there just isn't any. People have "called me out" on supporting a BSN entry while not supporting a DNP (or not supporting MD superiority over NP) and it is for this exact reason: I support what the data demonstrates to be true, otherwise it is just degree inflation.

  • Jan 18

    Go to the best quality program you can, forget the degree and forget the cost, invest in yourself and your future practice with the best quality program.

  • Jan 18

    I have spoken to a few newbies and everyone's orientation has been different. I have a friend who basically given a full load of patients in her second week and she struggled for months before getting a handle on it and she thinks that forced her to get her stuff together.

    My experience was basically shadowing the doc for 4-5 weeks and discussing the treatments along the way. I benefited as I saw how he handled the patient encounter and asked as many questions as I could. I would be grilled about patient situations and would miss a lot, but would go research immediately. I kept a list of things to go back and research that night just so I could be better prepared the next time around.

    Eventually I started seeing a few patients until I was up to a full load. I still have questions and I still look stuff up all the time. i get frustrated when I forget stuff I looked up a month prior, but I still do it. I keep a notebook and everyone I learn something new I make a note about it. I hope one day to organize all my notes online - maybe to help who comes after me.

    I think maybe you have a bit more homework to keep up. The training wheels come off and you got to keep peddling

    Good Luck


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