Content That lhflanurseNP Likes

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lhflanurseNP, MSN, NP 9,754 Views

Joined Jan 6, '13. Posts: 587 (41% Liked) Likes: 443

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  • Jul 24

    Quote from CFrancis86
    Hello everyone. Can a nurse practitioner be a CNA instructor? Everything I see for my state says it is required that you are an RN, but says nothing about being an APRN. Anybody know anything about this? Thanks
    Well an APRN is an RN so yes, but why would you want to? You're not going to get paid well at all!

  • Jul 24

    At my company we are on call 24/7/365 unless we make arrangements for otherwise. But we knew that going in, and we are salary. When I calculate what I make per hour, it is less than most LPNS at the LTC facilities I cover. No, NPs do not have "cake" jobs.

  • Jul 24

    Quote from LadysSolo
    At my company we are on call 24/7/365 unless we make arrangements for otherwise.
    Agree, and it of sounds like......??? Physicians! If we want to play in the big league there are sacrifices along with the perks. I cringe when I read posts from prospective NPs who think NP jobs are the banker's hours, Mommy friendly jobs. Not that there aren't a few out there but imo it helps keep us pigeonholed as "providers light" if we whine about the responsibilities that come along with being a provider.

  • Jul 23

    25 is old? Just shoot me now. I was 38. The oldest in my class was 52. I precepted a student that was 59.

  • Jul 23

    Unlike other professions, nursing attracts a large share of students who are nontraditional with respect to age and life's circumstances. Many of us were 'older' than the traditional undergrad age of 18 to 23. Many of us were the first generations of our families to complete a college education.

    Personally, I was 25 when I obtained my LPN/LVN license, 29 when I earned my associate degree and RN license, and 34 at the time I received my BSN degree. I will be 36/37 when I earn the MSN degree.

    I highly doubt you'll be graduating nursing school with large number of fresh-faced 18 to 23-year-old schoolmates.

  • Jul 23

    I started my post GED prerequisites at your age. I have been a nurse now for 25 years. Worked out very well.

  • Jul 23

    30 isn't even close to old.
    I'm a nursing instructor and have had several students in their 30s and 40s. I was 28 when I became a nurse.

  • Jul 21

    There are two separate things that stick out here. First is that yes at least in my opinion they are your patients and you need to deal with their care whether you are at the office or not. Note to all those who think that NPs have gravy M-F 9-5 jobs. I only field calls for other providers when they are on vacation. I can't imagine expecting another provider to jump in blind and attempt to deal with my patient's issues.

    Secondly your secretary, office manager or whoever should be able to field a majority of these items and not call you for non urgent things for example only contact you if the labs are critical or you need to triage a patient complaint about a medication side effect.

  • Jul 18

    As a student I was up to 20 patients a day independently with my last preceptor. He has extended the possibility of working with him. That's a long 10 hour day (those days were scheduled to be so, the rest were "half" days.)

  • Jul 18

    14-18 patients a day seems very reasonable for primary care. Some of those will be quick 15 minute visits, including charting, and some will take an hour. 6-8 patients per half day is very doable.

  • Jul 14

    Impairment or unsafe practice has nothing to do with age.

    Have I approached someone and/or management because I felt a nurse was unable to practice safely? Yes.

    Unsafe is unsafe, age has nothing to do with it.

  • Jul 12

    You need to be very conscious about burnout especially in your first few years of practice. The role is stressful and involves a lot of hours and responsibility but it's also very rewarding.

  • Jul 10

    "Standing on the shoulders of giants" is an old expression that is relevant here. We contemporary nurses "stand on the shoulders" of all the nurses who have come before us. Our vision and accomplishments rest on the foundation they built for us.

    May they rest in peace ... and be fully appreciated by those of us who have benefitted from their labors.

  • Jul 10

    I've heard of a wonderful tradition some of our local hospitals have. When one of these older nurses pass, they have a 'nursing honor guard' come to the funeral or viewing wearing caps, white dresses and the like. They do a little ceremony that includes the Nightingale Pledge.

    I want that when it's my time.....

  • Jul 4

    Quote from Goldenfox
    Clinical ladder? Interesting. Although, I would more accept that for RNs who have different levels of competence with executing clinical tasks, but not for NPs. Not that I ever really bought into the clinical ladder thing for RNs either, but that's another topic. Its a different thing when it comes to qualifying the competence of people who diagnose and treat disease. My point is that MDs don't have level 1 and 2, and PAs don't have level 1 and 2 either. Why NPs?
    That sounds like the labels given from the large, teaching hospitals who in my experience rarely pay a decent wage. Probably to pigeon hole someone into a lower starting salary.

    The reason this is seen for NPs and not MDs can be asked about a multitude of scenarios and there are a variety of reasons, mostly in my opinion because NPs don't align with medical staff, remain willing to do non-provider tasks and work for peanuts despite similar billing value.

    I recommend actively participating with your state NP organization to ensure our voices are heard and we are able to practice to our full scope. It is also crucial, imo, that we discuss our pay rates with peers for the transparency most employers attempt to avoid. It is insane that I am able to make $80,000 a year more than some of my psych np peers who have the same and often more experience.