lhflanurseNP, MSN, NP 15,995 Views
Joined: Jan 6, '13;
Posts: 732 (43% Liked)
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Sometimes an instructor will accept work from a single individual or otherwise less than all of the group when there are those who refuse to contribute. A written explanation should be included to cover all bases.
In primary care at least, that never ending inbox of lab results, consults, radiology reports, med refills, patient questions, staff questions. Staying caught up on those and getting notes done on time was the thing that would stress me out the most. Even when I was off it would always be at the back of my mind that I knew things were building up and since I have EHR access at home i would log in most nights to try to make some headway. I would always think to myself if those were MY lab results I would want them reviewed quickly. If it wasn't for that I would actually say that primary care is EXACTLY what I wanted when I set out to be and FNP. I actually find it quite satisfying!
I'm going to have to respectfully disagree on one aspect of what the OP wrote. Pediatrics should not ever be lumped in with adult care education. Children are not small adults. The margin for error in assessment and treatment is way too small and the consequences of making what might look like a minor error can be disastrous. I've seen it happen over and over.
If you really need this job to get your career going, make it work. Hate to say it, but suck it up buttercup. I used to drive 1.5 hours each way (3 hours total) for my first new grad job. It was only 6 months but it got my foot in the door. It was after working nights so I was exhausted, but it was worth it because I got another job WAY closer to home after. Plus, you can save your money for a few months and then purchase a reliable used car.
As another has mentioned, can your mom drive you at least once or twice a week to ease the strain, even if you paid her? Or a friend? Depending on where you live, there are people who still carpool. Those services exist, you just have to really search them down on Google.
The fault is with the ERs that hire FNPs to work outside their scope of practice.
Don't email the director. That would make you look petty. I'd talk to the student or sit somewhere else.
Would you still recommend that I get my own insurance if my PMHNP employer is paying for my insurance?
You absoluetly need your own policy don't count on your employers especially if working in two roles at two facilities.
We welcome all Trolls!
The pay isn't that great on comparison to other majors. My 22 y.o. brother got an engineering job making 77k out of the gate with a nice 10k bonus. He isn't saving lives, has all nights, weekends and holidays off and he gets to work from home on Fridays.
And don't even get me started on those accountants and actuaries.
I have met tons of nurses that entered the career for "the money". They seem to be the first to burn out and the first to quit. "I chose this because it was financially stable, it was just a two year degree program, the healthcare industry is recession-proof" etc. From what I've observed, those people don't make it. They get into nursing for the money and then don't actually like it. They realize how crazy and stressful the work actually is. Most of the time it ends up not being worth it to them.
I don't get the "nursing for the money" thing. IMO, it's really not that much money (for what we do) and also it's incredibly hard work. If someone wanted to make real money, I can think of so many other fields that would be easier and less stressful. Just saying.
Actually it kind of reminds me of people that join the military because they think it will be a breeze and they want to the benefits and the GI bill... oh man. I have heard some stories.
I'm not saying you have to love nursing and have a passion for it to be successful, but if you're just in it for the money there are so much simpler ways to make income lol.
Memorizing interactions is NOT the way to be the safest nurse you can be. The way to do that is to verify interactions prior to administering the drugs. Are there some things you may do frequently so you'll remember? Sure. I don't need to look up that ambisome is only compatible with D5 because that's a drug I deal with fairly regularly but when one of my home PN patients needs to go home on an IV antibiotic, I look up the compatibility every time before I teach the parents whether or not they have to pause the PN when administering the antibiotic. The same applies any time I get a referral for someone who needs to go on double antibiotics, one of which needs to be on a continuous pump. When I get called for a referral for nafcillin and ceftriaxone, I'm going to look up compatibility before I make a recommendation about whether or not the child needs a double lumen PICC. I'm not going to try to remember if I ever had a patient on these same drugs before and if he had a double lumen or single lumen with a Y site.
Oh jeez. There's a NS shortage now too? I guess it hasn't hit us yet. However the LR, Plasmalyte, Hydralazine, Bicarb, Protonix, Epi, Labetalol, Kphos, etc etc etc shortages sure have . There is something wrong with this country when we are running out of essential meds regularly while the pharmaceutical industry sits raking in billions. But alas, I preach to the choir, I know.
Remove the insurance companies from the health care industry.
Insurance companies are becoming extremely invasive to the medical process and should not be allowed to dictate how the provider will provide care to their patients. Extensive office visits and unnecessary tests are acceptable to scrutinize by withholding payment. Denying procedures which have a proven medical benefit or determining which drugs will be covered is dictating how the provider will practice medicine and should be illegal. It's unethical and undermines the patient's health in the long run. Medicare operates more efficiently and with less overhead.
Eliminate the ability of pharmaceutical industry to determine the price of medications by lifting the ban on government pharmaceutical price bargaining. By allowing the government to negotiate Part D prescription drug prices. This would reduce the overall cost of prescription medications to the American consumer, tax payer, and increase access for people who cannot afford them. American pay some of the highest costs for prescription medications in the world, in spite of the US Government subsidies R&D for new medications.
I disagree with the previous posters. Nursing shortages and inadequate staffing is only one of the symptom of the problems in healthcare in the us.
In an unlimited, perfect world, I would Direct the budget towards primary health care - smoking cessation, proper nutrition, education, dealing with the social determinants of health to prevent health problems. Implement a universal health care model such as France. Change the model from a business centred one to one focussed on health and wellness of the individual.
Unfortunately, I think the US would require a lobotomy before that would ever go through
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