lhflanurseNP, MSN, NP 9,524 Views
Joined Jan 6, '13.
Posts: 578 (41% Liked)
Have you tried the health department? They have a good steady practice and you really get to see a LOT.
I'm going to stick my neck out...The majority of clinical practices work Monday through Friday daytime. The important thing to remember is this is like an internship...this is where you REALLY learn about evaluation, assessment, diagnosis, and planning. To "short change" yourself and choose a school because it has fewer clinical hour requirements can do more harm than good. Some schools count the time spent in the clinic while other programs count actual patient time. The more patient time you can get, the more you learn. The more you learn, the more you can pull not only in taking the certification exam, but also in practice. Throughout my clinicals, it was not uncommon for me to have nearly 100 more hours than required. I understand many nurses must work while going to NP school, but the goal is to become a NP, and one should strive to be a GOOD NP. Just my 2-cents worth.
Are you not doing any clinicals during this? I did as well as campus time and testing through demonstration.
This will all depend on your clinical site. Some may not mind...some might.
There is a need for both. I believe the "all-inclusive" MSN-APN title adds to the confusion and why there is a push for the DNP title to help separate clinical vs. non-clinical advanced nurse practitioners.
Congratulations. As you have most likely read, Leik and Hollier have great reviews as does Barkley. Good luck! The key is not to memorize the questions, but understand the physiology in order to find the correct answer. Utilize all you have learned during your rotations as well!
I live in a predominately older area and we do not really do much OB/GYN. I was able to do my clinical rotation with a doctor who treated mostly women. This included annual check-ups as well as treating women for heart, diabetic, hypertension, and menopausal problems. I have a few instances where the class assignments were geared to pregnant women...and low and behold...we actually would get one in the office so I was able to complete that assignment before we would refer her to an OB/Gyn. Don't know if this will help or not. Another resource others utilized was the local health department.
ACP Clinical Guidelines and American College of Cardiology Guideline clinical apps are quite helpful as well.
Tomayto/tomahto. While B-U-N is the correct form, I have heard "bun" frequently...even from practitioners! It may be more of a locality word as can be angina!
My biggest complaint in regards to the "fluff" classes were the ones nestled in nursing theory. That being said...the first portion of the MSN program is for ALL nurses planning advanced education/career goals. This means one will need to take a variety of topics in preparation for the ARNP degree...what one goes into for the final portion of their MSN program is centered on that particular path. Back to the "fluff", I had enough of the nursing theories in my ADN program, then repeated in my ADN-BSN program, then AGAIN, in the BSN-MSN program. Nursing theory is an important BASIC element of nursing education, but not necessarily so important in the advanced nursing programs. Do I use nursing theories in my everyday practice? No...but I do rely on my nursing experience, grounded in nursing theory, in dealing with my patients on a day-to-day setting. Just my 2-cents
Oh, good, got a little freaked there. I must have covered all the "legal" NP stuff in 3 classes! The facility should add you to their prescription pads, or provide a set...however, we use them so rarely now with electronic records. Florida does have guidelines as to the actual paper used for pads, but again, your facility should already be set up and just need to add you. They will need your NPI number as well.
This wasn't covered in your classwork? Florida allows NPs to write prescriptions as long as they are not controlled substances until January of next year. For right now, unless you are "going it alone", you do not have to do anything until it is time to start taking the courses and applying for the DEA license if you want it.
What have your instructors said? What about your preceptors?
Just remembered something. We had to mix our own Chemo under a hood on a medical floor!
It's official....Governor Scott signed the Barbara Lumpkin Controlled Substance Prescribing Act bill!
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