barnstormin', BSN, RN 7,008 Views
Joined Mar 8, '12.
Posts: 318 (66% Liked)
I live in NYS and am graduating in 4 weeks with my PMHNP. If you have specific questions I would be happy to answer any I can.
I agree with all of the above posters.
Non compete clause
"Who is actually your boss and if there is anyone else who thinks they are."
Gotta love this one! SO true.
My peers and I are looking at two in person reviews for the PMHNP exam, Fitzgerald in Boston vs the review in Philadelphia hosted at Drexel by the ANA.
Does anyone have any input regarding one or the other?
I agree with BostonFNP, as an ASN nurse, then a BSN nurse and now in my last semester of grad school, it looks like the PA model pretty much covers what we had going through nursng school up to grad school.
For the ASN portion Med terminology was a pre req, as was anatomy and physiology. Bio, nutrition, genetics, pharma, patho, health promotion, electrocardiography,legal/ethical were covered in the ASN portion.
The BSN portion of my education was somewhat redundant as we took pharma and patho again, statistics, electrocardiography, legal/ethical and had interpretation of literature.
My grad program has patho and pharm, genetics, research and the clinical/role portion, along with the dreaded nursing theory
I have attended very reputable institutions that have been brick and mortar.
As an RN I have oriented new PA's who asked me for my advice numerous times on how to proceed with a pt and then take that advice
If you are bashing your grad program for lack of rigor, then it's on you for choosing an inferior program.
I see no difference in PA's and NP's in regard to how they are viewed in our facility, they are equally sought after and hired.
My peers who are in the FNP program have extensive ER, ICU, and neurology experience plus various other areas of expertise. I'd trust them with my life or my kids lives in the ER rather than a new grad PA.
I may have been born at night, but I wasn't born LAST night.
She's like a walking bag of sores (usually one of our borderlines elicits this comment)
I personally love case studies and this one is fun, I really hope the nurses chime in as I learn a lot by reading these types of threads. I am in a grad program but it is for psych lol so I have a few things to add but I am sure there are nurses here that can add much better info. I think this case study has good detail so it is pretty tough for a nursing student to wade through and seperate what is important and what is not.
First bit of advice: Oxygen is important, BP is important, remember your Maslow's and make sure you understand perfusion and how it works and why it is important to keep it working.
First I would get another large bore IV in him if he doesn't have one already. One for fluid, one for blood.. I doubt he is at risk for fluid overload, the opposite is the problem right now.
Raising the head of the bed is making it more difficult for oxygen to get to the brain, his BP is low so it is more important to make the heart's work easier to oxygenate that vital organ by keeping the head of the bed lower (but not flat, which makes it more difficult for the lungs to work efficiently). Usually raising the legs is more appropriate.
Keep the crackers away, if he needs to go into surgery (almost a certainty) he should be NPO.
If he is dsypnic, good luck trying to get him to breath slow and steady.....
I hope he is on continuous monitoring for BP, O2, etc. and I would be watching him VERY closely.
A good text to get is "Symptom to Diagnosis", by Stern, Cifu, & Altkorn. It has many case studies for every system, is not above your training, and will help you piece together the puzzle of the what and why of common presentations seen.
Looking forward to reading the other responses...
Will they pay for licensing fees
Do you have to sign a non compete agreement if so what is it
CME info/paid tiem off and reimbursement
I am graduating in May as well from my PMHNP program, and I cannot wait to be done with school. Although I am conveniently ignoring the sheer terror of the thought of being a new PMHNP
Ah, good old SDN! I lurk there as well mainly because I learn some interesting stuff on the psych forum (I am in my las semester of grad school for PMHNP). They have some excellent clinical discussions. On the other hand, they seem scared to death of NP's taking their jobs and come across as very mean and condescending, when in actuality many of them have no idea what the NP scope of practice is and have probably never worked with one.
As for Dr.'s and their attitudes towards myself (as a student NP) and towards actual board certified NP's, I have not had any experience other than positive. I understand the limits of my education, the extent of theirs, and the meaning of collaboration. I am treated with respect and my opinions and insights are valued.
So no, I have not encountered or witnessed this attitude in my practice as an RN or as an NP student.
It's very important when one feels that there is a disagreement with one's preceptor to handle it professionally as the Op states. I had a disagreement with my preceptors decision regarding a patient, which was very serious and ethical in my opinion. If I had kept quiet about it I would have missed a great learning opportunity as well as misunderstanding my preceptors reasoning. I approached my preceptor professionally and in a receptive mindset, I actually learned a great deal from that encounter and why the preceptor handled a situation in a certain way. I did not have the experience and knowledge to realize why he did what he did, and I was not aware of far reaching ramifications. So basically don't be afraid to ask and be ready to learn.
I am finishing PMHNP school this May, and this is a great article that answers so many questions I had when starting grad school. It is very accurate and helpful. Students are more fortunate than they know to have BostonFNP as a preceptor.
Hey it is great you can retake the class, a second chance is hard to get in some programs. I just wanted to add some tips that helped me and others when it comes to lecture type studies. If you don't record them now to listen to later, I would start doing it this time around. It is amazing how much more you can pick up from listening to a lecture at home when you are ready to settle down and study. A recorder is pretty cheap, you can pick them up at the local big box store. Honestly, when I started doing this, I found it much more helpful than just reading notes. I have continued this practice through grad school and it has made a huge difference. Just my 2 cents, Good Luck!
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