Latest Comments by littlepeopleRNICU

Latest Comments by littlepeopleRNICU

littlepeopleRNICU, BSN, RN 4,421 Views

Joined Oct 5, '12 - from 'SC'. littlepeopleRNICU is a RN. She has '5' year(s) of experience and specializes in 'NICU, telemetry'. Posts: 446 (40% Liked) Likes: 353

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  • 1
    MomAndSonInMD likes this.

    You are right that PA school follows a different route to ultimately have similar roles in the end. One thing you might want to consider though, is that they are extremely competitive to get into. I also have never heard of a PA program online. Not saying they don't exist, or that you were going to go online route for NP, but just know you would be spending a lot of time in class, as well as a lot of clinical hours. PA programs traditionally have a lot more hours of clinical because of the lack of healthcare experience NP students usually have.

    Also, another thing that you've said more than once that is a little concerning...is that you want to be an NP because of being able to choose your hours. Most NPs I know work shifts and they are full shifts. They also work when they are needed. There's always the exception to the rule, but many NPs don't have the luxury of saying, "I'm going to work 2-8PM tomorrow, but then Friday, I'm going to work 12-4PM".

    I also should throw in there I haven't graduated yet. I'm still an NP student, but just basing off what I have seen from NPs I've worked with or know personally.

  • 1
    bebbercorn likes this.

    Quote from bebbercorn
    Anders, one of my favorite professors did this. It was completely optional, but you could do a "visit" with her, where she would give you VS, pertinent history, and chief complaint, then go from there. I loved this learning method and it was so helpful. She had a ton of experience as an NP and was one of those who really facilitated learning. We need more of those!
    I have had this in multiple classes. It may be in the form of discussion board or case studies, but it had the same concept. Even my pharm class this semester brought in diagnosing based off symptoms and labs. It wasn't the sole focus(as it was a pharm class...), but the professor was good about doing this. I have found this to be very beneficial.

  • 2
    MomAndSonInMD and elkpark like this.

    Quote from roser13
    The "lifting and pulling" isn't necessarily in the NP position that you would gradually obtain. It's on the road to obtaining that position. Whether as a student nurse or earning your stripes as an RN, lifting and otherwise strenuous work/long hours are unavoidable.

    The MD comparison is false, simply because the MD's never go through any type of rotation/training/school where the physical labor is required. That's because nurses do it.

    I'm not trying to stomp on your dreams, honestly. Just want you to have a realistic view of the path to advanced practice nursing.
    What roser said. Your geneticist was able because she was never required to do what nurses will in school, from a physical aspect. Even as a physically healthy, 22 year-old, my body HURT after many shifts when I first got out in the nursing world.

    What I would do if I were you, is call the schools whose nursing programs you are interested in. I say nursing programs because even if you don't choose to get an ADN or BSN first, and go direct entry, these programs still typically make you go through earning a nursing degree and having clinical time through their programs first. Explain your physical limitations to them and ask if they felt you would be suitable. I have seen a couple of nurses at work who are wheelchair or cane bound. I do not work with them or know them, so I have no idea how limited their abilities are, or how long they have been that way...but they had to start somewhere too. If this is what you really want to do, it's worth a shot to ask.

    About not having nursing experience when you graduate...hate to say this, but join the club. There are many, many students going to NP school now with no nursing experience whatsoever. Either through direct entry, or fresh out of nursing school. I feel like the majority of NP students do have some experience, but with it becoming a gluttonous career choice and schools lowering admission standards to include no bedside experience needed, there are a lot of students who have never functioned as an independent nurse. Whether or not that will be a hindrance to you, will depend on where you apply and your location.

    As far as the physical labor comparing NPs to RNs, that is something that is just going to depend on your setting and you, personally. Theoretically speaking, no, it is not in the NP's role to do the physical tasks nurses do, such as baths, helping to the bathroom, turning a patient in bed, etc. on a regular basis....but I have known some to do it, simply because they know nurses are busy and want to if they are already in there with the patient. That is NOT typical.

    Also, depending on your setting, chances are, you will have a ton of walking and standing involved.

  • 2
    applepie2013 and blessedRN30 like this.

    I'm not sure if this will be required in your program already or not, but we had to get Tarascon's Pharmacopeia. It has been really helpful and if it's not already required, I would get it. Also, the Bates PocKet Guide to Examination and History Taking. The newest editions are very affordable on Amazon, especially if you have Prime (or student) and can get it without shipping.

    Also, in your last summer before school...take a vacation! I know this isn't the type of response you were hoping for, but it'll be your last opportunity to really go anywhere sans school stress and will help you go into the Fall semester rejuvenated.

    Congratulations! Where will you be going?

  • 0

    For me, I can't really think of any big cons on my list for my school. I would have said that they don't find you clinical placement automatically, but I hadn't thought of it like the previous poster mentioned. That's a good point and makes for an awful experience. The word is that my school is going to be hiring someone to help place students, and I hope it doesn't turn in to the headache they mentioned. :/

    Honestly, I haven't found much difficulty with looking for preceptors so far. I am in a very student-saturated area, but I think going to where I go to school helps since it's local and the school's medical and nursing programs have partnerships with many facilities around here. I hope I don't eat those words and it changes.

    If I HAD to think of a negative, I miss the social aspect of school. We have discussion posts that are required and a good amount of group work, and I did have 4 on-campus days this past semester, but I miss sitting in a classroom with other students weekly. It sounds silly because it is purely for the social and support aspect of knowing your classmates better.

    I still like the online format. I'm not sure I would be able to even go to campus for all classes if there was the option. I don't think I could swing it with work. So, I like the flexibility this program gives me and the lectures are very thorough. They have all been PowerPoints that have additional information voiced over, so it's not just the teacher reading out loud what I can already see for myself. I feel like I am being taught like I paid for.

    Everything has been pretty organized and my professors get back to me very quickly with any questions. They make themselves available for office time if needed too.

    So that's my trivial con lol. I am overall very happy with my program.

  • 0

    I precept with cardiology in the Fall semester and want to brush up over the next few months. Any books or resources anyone suggests?

  • 0

    Bringing this post back up

  • 0

    I'm really sorry you didn't get in to that one if the other doesn't work out, you will get in somewhere. If this is what you want, don't give up!

  • 0

    12 hour shifts have really benefited me with clinical. There's no way I could swing it with 8 hour shifts. I guess if your school allows you to do night or weekend clinicals, it's different...but mine doesn't.

  • 1
    MNrnforHim likes this.

    Most people I know who are full-time in their programs are weekend only. I am full-time(working and program), but I don't work ALL weekends. I work a good bit though...my unit requires every other Saturday and Sunday, and then I work every Friday too just because it works better with my schedule. So most of my days are a weekend day. I have no idea how I would get to work full-time and get clinical in if that weren't the case. It would be pretty much impossible for me since I work night shift.

  • 0

    In the Fall, I have a preceptorship with cardiology. I have always been interested in cardiology and am really excited, but to be honest, I'm not the best at it. Any suggestions for resources I could use to review in the meantime? I obviously am planning to look through my patho books and notes, but are there any books you recommend?

  • 0

    If you know you want to be a nurse practitioner, go the ADN route first. I did it that way and have no regrets...I wanted to get in the working field and got my ADN, worked through my BSN, and then an additional 5 years later, and am now in NP school.

  • 1
    Rocknurse likes this.

    Not FNP, I'm in ACNP school and have been a bedside RN for over 6 years. I think shadowing(and/or interviewing some NPs) a few days in a variety of settings would be a great idea, like the others suggested!

  • 2
    azureblue and Rocknurse like this.

    I'm finishing my second semester. It was my first clinical semester, and I have felt a little overwhelmed. But what's funny, is my friend and I were talking last night, and she asked how school was. I told her it was going well, but I was so ready for the break between spring and summer classes. She was like "you seem less stressed out this semester". I told her that was funny because I feel about 10 times worse than I did my first! Haha.

    I guess I have just accepted that it is what it is. It's been tough, but I knew it would be going into it, and wanted that. I didn't WANT to go to a cake walk program. I have all As and hope to keep it up.

    I do feel like my social and family lives have suffered a bit...I'm still working full-time, night shift hours and doing clinical either 1 or 2 days a week, depending. So that's been tough. Luckily everyone understands!

    I do enjoy my program. I have learned a ton, and I have no doubt that if(I will) I finish, I will come out knowing what I need to for boards and practice. I'm also in adult acute care.

  • 4

    Do you want the role of a provider? Do you want to be managing patients and focusing on diagnosing and treating? That's a whole different level of stress. Your reasons you listed MAY apply to some NP jobs, but in many, it's just a trade-off for something else you may also consider tedious and "busy work". There are a lot of headaches that come with being an NP too, just like being a bedside RN.

    I am just in school so my opinion can't be the only thing considered, but I feel like it would be a better fit if you are mainly seeking what I mentioned before in your career. You can find better or outpatient hours, an education role, and better pay in nursing without getting an advanced practice degree.


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