Content That lhflanurseNP Likes

Content That lhflanurseNP Likes

lhflanurseNP, MSN, NP 10,251 Views

Joined Jan 6, '13. Posts: 601 (41% Liked) Likes: 462

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  • Sep 25

    Quote from CoolLikeThat
    This makes no sense! in a hospital the goal is not to confuse the patient, because the Physician is the one directing the overall care and he/she should be designated as such. What we do in the hospital setting is for the overall benefit of the patient and not to inflate our egos.

    In academics everyone who holds a doctorate can be identified as Dr. It is more than appropriate in that setting.
    It is meant to be a bit ridiculous.

    Doctor is not a protected title, it is an academic one. Physician is the protected title and they are designated as such.

    I attend patients in the hospital. I direct their care. By your definition then I should be called "doctor". The truth is, from my practice experience, patients want to call the person taking care of them "doctor". That's what is least confusing to them. Like I said, I don't use my title, I introduce by my first name, and most then just call me "doctor firstname". Incorrect them a few times and then let them do whatever they want. It has nothing to do with ego, I could really care less.

  • Sep 25

    Quote from BostonFNP
    I precept lots of students. To make a good first impression:

    1. Show up on time and properly dressed.

    2. Be courteous to staff and patients.

    3. Have a basic idea of the type of patients the practice sees and the type of meds they will likely be on.

    4. Review your history and physical exam and be able to competently perform a basic one.

    5. Be honest. There is never a situation where not being honest is good for you/patient/provider, "fake it till you make it" is not an acceptable thing in clinical practice or your education.

    6. Have a point of care reference and know how to use it.

    7. Remember while at clinic your focus is on the patients not your school work.

    8. Thicken up your skin if you need to, be prepared to be put on the spot, its the best way to learn.
    Awesome advice BostonFNP! Especially about being honest!

  • Sep 21

    1) be on time
    2) be on time
    3) be on time
    4) if you cannot be on time call or text before you are 20 minutes late
    5) whatever forms you need signed or filled out give me them up front and not 5 minutes before you leave
    6) Ask questions and be prepared to answer questions - I want to know what you know and how I can help you and if I need to brush up on anything.
    7) I don't have all the answers and I have to look stuff up all the time - so expect to look up what you don't know.
    8) never ever chew gum
    9) be nice to the other staff in the clinic and the hospital
    10) don't think you are too good to check a temp or recheck a BP
    11) do not get butt hurt if a patient/family would rather not be seen by a student

  • Sep 20

    Be on time. If you don't know the answer to a question say I'm not sure let me look that up. Have resources to find what you don't know. There are a lot of apps like 5 Minute Clinical Consult, Epocrates, Up to Date, & FNP Notebook. You don't need to know everything but you do need to know how to find information. I don't know alone is not an appropriate answer. Look up conditions that you are unfamiliar with. If procedures come up make sure you watch, learn, & ask questions. Perform procedures that you have learned like Paps. Learn the names of all the employees you will work with. "Front desk girl" has a name.

  • Sep 18

    Hi there. Can you show us what you have so far?

  • Sep 18

    None of the above. How about "nurse practitioner?"

  • Sep 17

    In my experience, the NPI is the easiest and quickest part of starting that first job as an NP. Your employer should do it for you and it is a quick easy process,...credentialing on the other hand is painful. My point here is don't mess with it, let your employer do and pay for it! Congratulations on your new journey!!

  • Sep 12

    Speaking as one who completed my DNP and am both a CRNA, FNP and ENP. Most of the DNP classes are totally worthless and are of absolutely no help in clinical practice. The reason the educators do this is because it makes money for the school and is easy to deliver online. That's the bottom line.
    There are so many clinically oriented classes that could be given to make NPs stronger yet they don't.

  • Sep 12

    Some of the fluff you just have to grin and bare it! I could gladly go the rest of my life without every hearing another nursing theory, by far the most useless nonsense ever created. Do not get me started on nursing care plans - ugh!

  • Sep 11

    Practice!!! Start by revising your post to reflect correct punctuation and capitalization.

  • Sep 10

    Quote from meredith0211
    So I am about to enter my very last quarter of nursing school and I feel like there is still so much I have yet to learn!

    I am passionate about taking care of people and love what I do, but I really lack confidence.

    The idea of having patients lives in my hands terrifies me!! Is this normal? I'm ready to graduate and I'm terrified!!

    It doesn't help that some nurses make you feel so stupid or like you're such a bother when you ask questions.

    Can someone please give me advice or tell me if this is normal?
    This is normal; it's even desirable. I'd be terrified of a new nurse who WASN'T terrified! A degree and a license are just a license to learn; no one expects you to know anything. You don't even know what you don't know at this point. Fear is very healthy and prevents you from harming someone.

    Asking questions is a normal thing, it's good practice. But please understand that you ARE a bother -- having you around doubles or triples the nurse's workload if she's taking the time to teach you as well. So please try to time your questions appropriately.

  • Sep 10

    Since the email said you could wear or bring scrubs, I'd wear good clothes and bring the scrubs. That way you make a good visual impression but also come off as prepared.

  • Sep 8

    I just hate it when I hear that nurses feel like they have to go to be a school to be able to work in the ICU or do invasive procedures. There is this myth that still seems to be circulating around that Physician Assistants (PAs) can do more than Nurse Practitioners (NPs) so, for example, if you want to have a role that involves more invasive procedures like central line or chest tube placement, you need to become a PA. This is not true and in fact is becoming more false each year as the NP role and profession keeps changing and adapting to hospital needs and patient populations. Many times in the past I had the discussion with my fellow nurse colleagues about whether to go to PA school or NP school, when contemplating going back to school. I considered going to PA school on the basis that I wanted to be able to do invasive procedures and assist in the operating room. At the time, in my hospital, we only had PAs in this type of role and I really didn’t know how the NP role had evolved into invasive tracks such as the ACNP role.

    Don’t get me wrong, I have absolutely nothing against PAs and work with some fabulous ones, I just want to provide a little “clarity” for those who are still unsure about which track they should take and what each role can actually do. The difference between the two roles is really just that one track requires a nursing license and one doesn’t. The NP track tends to have a foundation that involves more nurse theory and evidenced based practice, while the PA track tends to have more of a straightforward medical approach. I’m not saying that you don't learn medical management in NP school, you're just relating that management to nurse theory and research, where as in some PA schools, they only have 1-2 classes on evidence based medicine. The prerequisites are different as well. Prerequisites for NP school are usually obtained in your undergraduate program so no extra classes are required, where as, some PA schools require organic chemistry and biochemistry. For somebody with a nursing degree, these classes would have to be taken post-nursing degree because most undergraduate nursing programs don’t tend to require these types of chemistries. This is just something to think about if you’re considering going to PA school.

    Looking at programs people can argue that PA schools require a lot more clinical hours to complete in their programs, but you have to keep in mind the general PA student. The general PA student doesn’t have much hands-on patient experience, so the hospital is essentially a new environment for them and they will therefore require more hours. In NP School you still a lot of clinical hours to complete in the hospital (or clinic), but you've also probably worked a couple years prior to graduate school (and continue to work through school) so those extra hours at the PA students are getting, you've already had those in real world situations touching real patients.

    With all of this being said there is NOTHING WRONG with a nurse going to PA school. Sometimes people don't want the “nursing foundation,” they want the straightforward medical foundation, which is totally fine, to each his own. Whether you go the NP or PA track, by the end of your program, you will still come out doing the same job, being just as good at your job, and eventually (hopefully) making the same salary. So, if you think that you want to become a PA because they can do invasive procedures, now you know that NPs can also do invasive procedures with the appropriate program and training. I have had an attending physician tell me that they would much rather hire an NP than a PA because NPs most likely already have nursing experience and know how to talk to patients. But, I also do realize I'm a little biased being that I’m an NP graduate.

  • Sep 4

    You are taking the exam in 6 days you should know this! This is readily available information on the AANP website. You should have read through this.

  • Sep 4

    Umm....all of them? Do you know what an NP does?