lhflanurseNP, MSN, NP 10,437 Views
Joined Jan 6, '13.
Posts: 615 (40% Liked)
It is not the specialty that allows independent practice, but state law as far as I know. As PsychGuy notes, more neuro will come from family/adult/acute rather than psych.
So, you passed the exam...but do actually have your Florida ARNP license? That is first and foremost...then the NPI number. Check with your employer about malpractice, etc...but consider carrying your own (I do...just in case). You cannot practice until you have your Florida ARNP license, regardless of your certification certificate.
I did both. Hollier is more energetic and keeps her topics well focused. Fitzgerald is good, but she tends to veer off course. Not that the information she gives is not helpful LATER, it can be confusing while studying for boards. Both offer tips and mnemonics that are quite beneficial.
If you plan on working in an acute care setting, ICU experience is not necessary. The majority of the time, you are going to be working with chronically ill patients...diabetics, high cholesterol, heart disease, colds, etc. Every once-in-awhile you may get an "emergent" case. Your experience will more than cover the nurse practitioner primary care environment quite well.
You tell us that your interests are in ICU and HDU...why? What is the difference between the two...why would you chose one over the other? The answers will help you on the way towards working on this assignment.
Thank you for noticing this and taking steps to provide a nutritious meal for this child. It may be that this was a one-time deal, but I seriously doubt it. Continue to monitor and if this is indeed the food of choice brought everyday...I would discuss this with your school administration to see how best to handle the situation. Maybe the mother needs help in meal planning, or maybe they need assistance to get food and are too proud to ask for it. God bless you for being so observant!
Try youtube...I found it a great resource when going back for everything from statistics (ughhhhh) to assessments. Here are a couple of sites that may be helpful as well: 12-Lead ECG: The Art of Interpretation and Free ECG Simulator! - SkillSTAT. As you get more exposure, you will gain confidence and it won't be as challenging! Good luck
You are not a cardiologist, but as a primary care provider, you are expected to be able to read an EKG. When I was a critical care nurse, I learned to read EKGs appropriately. When I went back for my NP, I had to do some brush-up, but I do EKGs in the office frequently and then read them. If a referral is necessary, then I do one, otherwise, I treat my patient. Is there anyone you know going through this class with you that you an "buddy up" with? Do you know any critical care nurses that could help?
One can do a post-MSN degree through the schools that offer NP programs. Depending on the school, there may be some pre-reqs that will be needed to complete the process, but the actual NP program would then be the same as going to a school that offers a MSN-NP program combined.
I wear regular "office" wear. When I meet a new patient, or in the hospital setting, I'll wear my lab coat. As to a briefcase...everything is electronic, so I will carry my tablet and phone, but leave the computers at work. I do have access to the program via my tablet or home computer if I need to address anything away from the office.
Another key point. Don't just do the "minimum". The more you put in, the more you get out. I know several students who "just did the minimum" and struggled through clinicals and were unable to pass the boards. When your clinicals arrive...spend as much time as you can. This is where it all comes together and helps you be a better (more confident) practitioner.
My mother-in-law received her cape upon graduation from nursing school. They wore them as a cloak when outside. As elkpark notes...it was wool and HEAVY!!!! She had it for over 40 years before a flood destroyed it, but we still have pictures of her wearing it proudly in her younger days...btw...this was back in the late 40s and early 50s.
I know we went through this with your consent, but just to remind you of the possible outcomes.....
Have you checked with a local EMT service? They provide classes all the time. You can do part of it online and take the "hands on" portion at a designated facility. I did mine through the American Heart Association. They have one for healthcare professionals.
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