Latest Comments by Palliative Care, DNP

Palliative Care, DNP, DNP 11,278 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: 682 (53% Liked) Likes: 1,597

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  • 0

    We need a sticky for the "Calling" thread. We've all answered this one at minimum 50 times. No not a calling. I was waitlisted for dental hygiene and didn't want to wait a year. Nursing was a logical step for all the credits I already had.

  • 6

    As a former Oncology RN and now palliative care NP there are fates worse than death. Death is inevitable and I think our society is terrified of dying. Patients should have the option to determine when and if their life no longer has quality. I've seen family members make choices for procedures because they are not ready for their loved one to die. Meanwhile, the patient is literally wasting away in constant pain, incontinent, and developing bed sores. Humans give pets more humane deaths than relatives. Religious beliefs don't come into play for me. I find no dignity nor lessons to be learned through unnecessary suffering. If the day comes, PAS is approved in my state, my patients desire PAS, & as an NP it is possible then I would have no issue assisting them.

  • 6
    Cococure, Nursetonp, Tomascz, and 3 others like this.

    I will say from my recent interview experiences employers are more savvy about NP programs. I was flat out asked if I had ever set foot on the actual campus. I explained yes as my program was a hybrid. I am licensed in that state and completed some of my hours there. My employer said good thing you can show us all of that because we are not hiring NPs from strictly online programs. This is a large hospital system with a corner on the market in my area. That will affect many NP new grads in my area.

  • 2

    Quote from PeacockMaiden
    I like psychguy's

    It has been one of the worst experiences ever to try to find preceptors. It added so much stress. I have a preceptor who is good and she allows me see most of your patients. I have two other preceptors who will only allow me to observe and they make it clear they are too busy to answer many questions. But I took what preceptors I could find, because 'beggars can't be choosers', which is a terrible sentiment when you are talking about an advanced education for an advanced career.

    And my school does not do site visits. How can they? My clinical instructor oversees students in 3 states.
    .
    No site visits because they oversee too many states is BS. Loyola University New Orleans sends faculty to every site every semester. We even had students in Hawaii & Canada. Your program doesn't want to make the effort. Big difference.

    Hindsight being 20/20, had I known what I know now I never would have completed a NP program. It is unprofessional for students to literally beg for preceptors. Often, the student accepts the first person that says yes. It doesn't mean it is a good fit nor learning environment. Shadowing is merely meeting hour quotas not learning anything. If faculty actually visited you that would have been assessed. So we are churning out NPs that are really not learning anything except how to "network" aka beg and accept scraps of an education. Perhaps that is why several states do not agree with independent practice.

  • 1
    WKShadowRN likes this.

    I am a new graduate DNP, FNP. I did not wish to work primary care. With my background in oncology, I knew I wanted to work palliative/hospice. I was fortunate enough to find a position in palliative with a hospital based group. I find it fulfilling and feel like I make a difference to our patients.

  • 0

    I am researching the immigration process to Canada from the U.S. We are looking to make a permanent move. A friend suggested Ontario, Alberta, or British Columbia as the best choices for a NP. Is there one that you might suggest? I am a DNP certified Family Nurse Practitioner by both the AANP & ANCC. Any suggestions are appreciated.

  • 2
    ICUman and WKShadowRN like this.

    I refused low ball offers because I need to be able to pay my loans and live. Also, I just spent 4 years in a BSN-DNP program. I simply worked too darn hard to get to this point to be low balled. I literally had to explain that to one practice that did not think I was being realistic as a new graduate. I just smiled and said I'm sorry but we are just too far apart on compensation. I couldn't believe some offers. A friend of mine was offered 69,500 for Urgent Care. These places wonder why no one is taking these positions.

  • 9

    I personally turned down everything I considered a low ball offer or any positions that did not offer health insurance. I am very happy that I held out. I'm very happy with the salary especially for my area. I also get $2500/yr CME, 28 days PTO, health benefits, & a yearly bonus. I believe that low ball offers are made because a lot of new NPs are accepting them. I say hold out for what you're worth.

  • 2

    I don't drink/party so I volunteered for every New Year'S Eve and usually a single younger nurse would take my Christmas. That way I was home with my kids Christmas Day and they could go out and have fun New Years.

  • 2
    AquamarineHealing and Jules A like this.

    Quote from Jules A
    I agree 100% that nursing is a great profession despite all the nitwits and foolishness. Bummed to surmise however that I probably shouldn't be proudly wearing the turd I got stamped:
    Jules A, LPN, ADN, BSN, MS, CRNP-PMH, CRNP-FNP, BC

    Jules, you hit the nail on the head here. Simply advertising nurse is not enough. We must show off our alphabet soup to really be considered successful in this profession.

    Mom to 4, ADN, BSN, DNP, FNP-BC

  • 7

    I believe this poster just enjoys creating drama. Every single post is something to ruffle feathers. I had plenty of fluff courses during a 4 yr BSN-DNP program. When a preceptor asked to look at our curriculum he called it PhD lite. I will never ask myself "What would Watson or Orem do?" when seeing a patient. I will never use the countless hours of research used on my almost 200 page Capstone. I don't plan on ever writing another APA format anything. I spent a lot of money on an education that had too many classes that will be of zero use in my chosen specialty. I don't recommend the same education to my children. I suggest they choose a separate path in healthcare.

  • 1
    SmilingBluEyes likes this.

    People can only treat you in a manner in which you allow. She does it because she can. You are allowing the behavior. She is getting a rise from you when you react.

    Don't discuss her with other employees. This isn't highschool it is the work place. Also, what she has to say about you isn't your concern. She doesn't have to like you but she does need to be respectful.

    I agree that her behavior should be called out when it occurs. Write her up for her behavior. Paper trails are necessary. Keep your boss in the loop. As an NP you will be working with difficult people frequently.

    When you no no longer allow this drama to absorb so much of your energy then you will be able to focus on Certification. Good Luck

  • 1
    lhflanurseNP likes this.

    If you are close to graduating then don't do it. If you don't want to add ridiculous amounts to your loans then don't do it. If you are so unhappy that you can't possibly complete your program and don't mind retaking classes & adding to loans.....Go for it. I know people that left my program and started others. They are happy. Personally, I stuck it out because none of that appealed to me. Only you can decide.

  • 0

    Quote from Ruby Vee
    You took on all the risks of SURGERY to be a better example to patients?

    Frankly, I don't care THAT much if patients don't think I'm a good example. I have information to share with them that they may or may not already have. That's called patient education. If they choose not to heed the information because they don't like my body, that is certainly their choice. It's an ignorant choice, but the choice is theirs. Whatever choice they make, I have done my part by providing them with the information. I have no obligation to achieve a body habitus that they approve of.

    I think there is such a thing as going too far . . .

    No I said one of the reasons. I had increased ICP due to neurological issues related to Chiari Malformation. Bariatric surgery has been a wonderful thing for me. I no longer have increased ICP. My headaches and eye pain are no longer constant. I feel better all around. When considering my options however I did consider the fact that it would also be a better example for patients. You don't have to agree but it has been nothing but a positive experience for me.

  • 0

    One of the reasons I had weight loss surgery was to be a better example to patients. I was 225 lbs and I am now 167. I have definitely lived the struggle. I can now honestly explain the benefits of weight loss and the impact it's made on my health for the better.

    As parents, my husband and I lived the college educations we want our children to emulate. Not saying patients are our children merely pointing out they are more apt to listen when we are examples.


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