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Palliative Care, DNP 13,675 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: 755 (55% Liked) Likes: 1,867

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  • Jul 28

    Your option is the streamlined, distance accessible, 3-semesters worth, post-Master's AGACNP program offered at Penn that takes into account your current employment setting and will use the hours at your current job as clinicals. I think that's very lenient already and I hear the tuition is not too expensive either. No sense in adding a hospitalist NP certification because that's what AGACNP is. God forbid we add another certification to our already complicated mess of NP letters.

    https://www.nursing.upenn.edu/adult-...acute-care-np/

  • Jul 21

    You are so my hero right now . Did it again just to prove who the boss is. That cracked me up. It's going to be alright I know . God's got my back. Had to build this muscle for sure. It's less than 8 hours and I'm smiling and laughing alredy. It is well . I got the best people to learn from . Thanks

  • Jul 21

    Palliative Care DNP thank you so much. I guess resilience is a muscle built by the experiences we encounter . It's all good . Thank you

  • Jul 21

    "You can be an LPN and call yourself a nurse".

    Uhhh...because LPNs ARE NURSES. They go through NURSING school, they pass the NCLEX, and are awarded a NURSING license by their Board of NURSING.

    You didn't seriously just pull that utter BS, did you? Please.

    This post it the epitome of snobbery in nursing. Nickel please.

  • Jul 21

    Demonstrations of competency will answer your concerns, I believe. The level/method of education does not necessarily mean that a provider is competent......the ability to successfully take the certifications exams does initially and the quality of patient care thereafter. Online/distance programs can be effective and provide a quality education....I know, because I have a post MASTER'S certification as a NP and believe me, the program was rigorous. I concern myself with how I can improve my level of care I give those who are my patients rather than focus on what others in the medical community think of me.

    Also, I seem to detect of bit of an air of superiority in your post regarding LPNs/LVNs calling themselves nurses, and ADNs as well as BSNs being RNs, (main difference is the amount of theory the BSN prepared nurse vs the ADN prepared encounters, along with the courses that proved the bachelor's component of the BSN.) It would probably serve you well to rethink how you post on this forum as there are many who are LPNs/LVNs as well as ADNs and BSNs as well as non-DNP NPs.

    Again, let's prove ourselves as APRNs by the quality of care we deliver rather than our degree.

    My 2 cents worth.

  • Jul 14

    Quote from Stepney
    This is not pertaining to an advanced practice license and is only pertaining to counselling services.
    Am I understanding correctly that you are saying California doesn't require the accepted standard of NP board certification in psychiatry to practice solely in psych? If so in my opinion that is disgraceful and a grave disservice to that vulnerable population.

  • Jul 14

    Quote from shibaowner
    I have an MSN in Adult and Geriatric Primary Care and was hired by an outpatient mental health clinic. In California there is no Psych NP license. This clinic is in a rural area so they were more flexible and provide 6 months of training. The schedule is four 10 hour days and they are very strict about no overtime and no oncall. I only do medication management, but there is a definitely a lot of therapeutic communication. The trend now is for NPs, PAs, and MDs to focus on med management and for psychologists to do psychotherapy. This is more cost effective due to the higher billing rates of NPs versus psychologists. However, depending on the state you are in, you may be able to set up your own practice and offer psychotherapy as well.
    I am surprised and disappointed to read that California doesn't require adequate education to work exclusively in psychiatry. Regardless I'd be very careful because in court I suspect a lawyer would be all over the fact that you have no formal psychiatric education.

  • Jul 14

    I love my position as an NP on our Psychiatry Consultation Liaison service. I work in an academic medical center which has an inpatient med-gero-psych unit, and Acute psychiatric Unit (ED) and an active CL service. I work midnight to 0800, Sun-Wed, no weekends, holiday or call. I see whomever is most emergent and that may be on the inpatient unit, in the ED, or on the consult service.

  • Jul 14

    Quote from xtl311
    @the old guy

    thanks for your response! how do the politics of non profits affect your job? (satisfaction, stress levels, etc).
    also, i love psychology and caring for mental
    health patients. however, the idea of prescribing psych medications is overwhelming (although i am up for the challenge, i don't take the role of a prescriber lightly). did the program you attend adequately prepare you?
    How do the politics affect me? Ever hear the phrase "the tail wagging the dog"?

    I felt the program I attended prepared me extremely well.

  • Jul 14

    I'm a psych NP. I love what I do. I hate the politics of nonprofits. I work M-F 8-5 with no call.

  • Jul 1

    The rate limited step of pumping out a good provider, (excluding personal attention and effort to take care of the patient) is a rigorous education. Nursing experience may help but it does not replace the education being rigorous and relevant.

    That being said having 10000 hours at the bedside is great, but does not equate to an actual resident's training. Writing the orders and performing in the provider role are the only hours that really count.

  • Jul 1

    I know several and for the large part they are fantastic NPs.

  • Jul 1

    I am "that" NP. I did a Direct Entry program and have not worked bedside, but went right into a NP position. That was 9 years ago. I've not had any issues working as a NP, and really don't use much of what I learned in the RN portion of my program. Some caveats-I had over 20 years of experience in a different health care role that had very little direct patient care, but I did have years of hospital experience in that role. I also work outpatient as a NP. I am not trained to do inpatient care. I think RN experience is very valuable if you are going to work in patient. I also went to a very rigorous and respected program, not an on-line, for profit, you're on your own program. Finally, I worked my butt off and did more clinical hours than were required. I knew I had more to prove, and I wanted to do the best I could for my patients. I've been very successful, and have been praised by patients, colleagues, and supervisors. I have no regrets taking this route.

    I think people can be successful in the Direct Entry programs, and can also fail in traditional programs even if they've had years of RN experience. It's very individual. Critical thinking skills and experiences in other careers can translate into success for graduates of direct entry programs. I precept student NPs from both paths, and I have had stellar DE students and crappy students with years of RN experience. Some RNs have difficulty transitioning to the provider role. DE students (at least the ones I've precepted) tend to be overachievers and will go above and beyond to learn. That's not to say I haven't had some fantastic traditional NP students, too. I will only precept for a few reputable schools, and will not precept for any for-profit schools that have low admission standards.

    Don't disregard Direct Entry grads. We're out there, we're not going away, and many of us are very competent and successful.

  • Jul 1

    I currently have a biology degree with all the prerequisites complete. I'm just missing the mcat score. I think I'll take a shot and see what happens!

  • Jun 21

    Sorry that sounds miserable. Maybe start applying for new jobs just to see if there are other options?


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