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lhflanurseNP, MSN, NP 9,921 Views

Joined Jan 6, '13. Posts: 594 (41% Liked) Likes: 453

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  • Aug 23

    Quote from cleback
    Nurses do not get the same rigorous science background, which would also be a batrier to such a program.
    That isn't always true; many NP programs require similar science pre-requisites including organic and inorganic chemistry, biochemistry, microbiology, biostatistics, genetics, etc.

  • Aug 21

    Nursing school is primarily focused and giving you a beginning knowledge base to take the boards. It only gives you a glimpse at the real complexity of being a nurse. While in school study hard and prepare for the Nclex. When you get your first job if you want to be a great nurse then just throw yourself passionately at the job. Read up as much as you can about your specialty and stay current on evidence based practice. Try to learn something new from every patient you are in contact with because they all have something to teach you. Learn from your mistakes and believe me you will make them. Every shift try to think about what you could have done better and try to work on it. Give yourself credit for successes too. Just work hard and go the extra mile for your patients. Give yourself time and greatness will follow if it is meant to be.

  • Aug 18

    It's like every RN needs to be an NP now to get another letter after their name. Sometimes being a provider is not your calling. If you enjoyed your job as an RN, stick with it. Don't follow what is trendy at the moment or else you will be miserable.

  • Aug 16

    You need to get in touch with your state NP organization's lobbyist. In my experience the state organizations can have tremendous power. Hopefully Georgia is one of the states with organized, motivated NPs.

  • Aug 16

    I would work for a company who has there stuff in order. You're telling me both these practices don't know how to hire a NP to their practice?? Plus, you have to pay your own malpractice?? I would keep looking, you're already getting the short stick.

    congrats btw!!

  • Aug 15

    Quote from mcleanstrong
    This is difficult to navigate alone. Would be much easier if I were seeking employment with a hospital or a large group who had a dedicated person to help me with this. But such is life, I guess.
    The school where you got your NP should have guided you, what a shame they didn't. I would definitely mention this in any feedback you might provide about your program.

  • Aug 14

    Other people aren't living your life for you. You need to live your life for you. If you don't like being a CNA and don't think you'll like being an RN, don't be an RN. Do what's right for you.

  • Aug 14

    Too late now, but even if someone is discharged 1 hour after admit, all admit assessments need to be completed because they were still admitted. This is to cover you and the facilities behind. If something happened to this guy that could have been found in an assessment or that would have been noted I. The admit paperwork, it makes it look like you admitted him and did nothing. It sucks and is a seemingly waste of time, but very important.

    As for putting it on the resume, I would. You are a new grad and many hiring managers know a lot of new grads don't make it out of orientation for various reasons. When they question about it at interviews, just use the old "it wasn't a good fit" line and move on to how you have grown and desire a different kind of unit with better new grad support.

    Dont nt beat yourself up. Not every unit is good and not ever nurse meshes well with each unit. You will find your niche.

  • Aug 12

    I don't believe my state has a limit, and frankly I think that's wrong. Not everything should be unlimited like trips to a buffet.

  • Aug 8

    Excellent question and one that so many NPs are clueless about until they get their whopping tax bill. Google the implications of 1099.

  • Aug 7

    The nursing "fluff" courses could probably be condensed to one course and meet accreditation requirements. The big take away from research and evidence based practice is how to evaluate research and how to apply to individual situations. More science is always good. Genetics is huge and likely will have big impact on patient care.

  • Aug 7

    it would be helpful to have had an understanding of functional groups and biochem prior to APRN school. If anything at all is to be added it should be that and a basic anatomy course, since regular A and P was pretty distant for most of us.

    Everything in medicine is molecule based (really everything in life) and nobody should have prescriptive authority without understanding at least to a fairly basic extent things at a molecular level. Gen chem 100 at the time would not have been enough. A 2 semester integrated gen/ochem/bio chem course would do wonders for our profession. Of course with a medical focus.

    acid base chemistry
    redox reactions
    organic chem functional groups
    carbohydrate, fatty acid, nucleic acid, protein chemistry
    ions and the like
    genetics


    all that sort of stuff is pretty much left out and would have a bigger impact on patient care than nursing research 101

  • Aug 7

    I get the OP's point, or at least I think I get what they're saying. Basically "do something about it or quitcher ********".

    Problem is, most of us are not wired that way. We went on to become APRNs because we enjoy clinical practice, whereas these programs are developed by those who enjoy academia. This disconnect between practitioners and academic types exists in many professions. Nonetheless, we the practitioners expected our programs to prepare us to be practitioners. We are dismayed by the waste of precious time and effort studying crap that does not benefit us clinically. This is one of the reasons I have not gone on to pursue a DNP. Doctor of Nursing PRACTICE? I want a program that will help me to advance my clinical skills. This is not evident in the curriculum of the DNP programs I have investigated.

    I, too, am grateful for the nursing leadership and the advances that have been made for us. However, I do wish the academics would realize that we would have a better chance at securing more rights, e.g. independent practice nationwide, if we could demonstrate more relevant academic rigor in our APRN programs. (Oh, and don't get me started on the lax admissions processes...)

  • Aug 7

    How many physicians and scientists and college professors (i.e. ones conferring knowledge) are still practicing over 60? If their cognitive abilities aren't called into question, why is an RN/NP's cognitive ability's called into question when s/he considers a DNP at 62???

    I mentioned on another thread that I was once evaluted by a neurologist who was pushing 80, if not in his 80s already. He was comletely sharp, and this was a university medical center, so not someone in private practice with little oversight. My aunt was a rural community health RN who retired at 76; also completely sharp until her death at age 96. Not everyone develops dementia, people.

  • Jul 31

    I had started a DNP program and kinda sorta dropped out quietly. It seemed that at one point the DNP was going to become mandatory, but I now doubt that that will ever happen. I have a doctoral degree in another health discipline and the two don't compare in any way. A real doctoral degree is value-added education. You're supposed to be able to use it to step up to other things like teaching, or high-level research, or upper level administrative positions in your field if you want to. The DNP degree doesn't really qualify you to do any of these things. Even nursing schools prefer PhDs as instructors rather than DNPs. Also, earning a DNP will not bring you more income as a practitioner. No employer who hires you as a nurse practitioner cares whether you have a DNP degree or not.

    Midway my DNP program (which I liked, btw) I realized that I was just wasting my time and money. Its definitely not for everyone. If you want to pursue management then without a doubt you should do the MBA. Even if you change employers or transition to an entirely different field an MBA is undoubtedly value-added education in management across all industries. Outside of nursing academia having a DNP degree doesn't really mean anything.


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