lhflanurseNP, MSN, NP 11,037 Views
Joined Jan 6, '13.
Posts: 637 (41% Liked)
OP, the fact that you question your "ability" is admirable! No one fresh out of school knows/experienced everything whether you are a nurse, nurse practitioner, physician, teacher, lawyer...the list goes on. School provides the bare minimum to pass the boards associated with the degree. You actual learning begins in your clinical rotations as well as your first few years of practice. I am always leary when someone "knows it all" during, right after, and even with experience. Medicine is constantly changing...no one can know everything! You will do just fine!
As per Jules...get it if you can. It is not cheap, but if you can swing the $731.00, it is nice to have. You just have to update your work area as necessary.
What code(s) are you using for telehealth time with Medicare? The codes I found are not in the Medicare fee schedule, so I am stuck. I have several patients out of state and I want to charge for calls lasting more than 10 minutes or are more involved than just letting them know a simple result. Any constructive help will be greatly appreciated.
What are you thinking as your "end goal" for a job? If you are drawn to the ER or acute care settings, then the acute program may be better suited for you. If you are considering an office position or "hospitalist", then the non-acute program would be better. If you are really unsure, I would suggest shadowing some NPs in these various fields to see what you would like. Good luck!
Moving to a new area then having to find preceptors can be quite a challenge! Have you checked with your state NP association to identify preceptors in your area? You may contact your school's resource person and explain the situation. They should have a list of previous preceptors that they can share with you as well. Good luck!
I had been fortunate enough to get all the way to the submit page...then CRASH! Anyway, I was finally able to submit my application about 2:30 in the afternoon. Am now just waiting to get the results....
One thing that can help is doing as much clinical time as you can. Just doing the "minimum" hours doesn't cut it. The problem most NP students have is they still have to work so they wind up shortchanging themselves in regards to the clinical practicum hours. This is where you will learn the most...well...hopefully if you have good preceptors/mentors. I try to get my students to get more involved in the clinical rotations...I even do "projects" in which they need to research an actual patient scenario and come up with how they would evaluate, diagnose, and follow the patient. I cannot tell you how many times the answers are typical "nursing"...vital signs, oxygen, diet, some even tell me "what ever the physician orders". One of my pet peeves why NP students need more experience under their belts and be in positions where they have actually had to do critical thinking. Something to consider is while working as a nurse...look at your patient and consider what would you order? why? what about follow-up outside the critical setting?
Not so much ideas...but a path. What do you anticipate, or need, to learn during this rotation to help you further your goal to be NP? Are you going into women's health, family practice, or adult/gerontology? How can this rotation help you now and in the future. I believe if you look at it critically you can help postulate your goals...good luck!
Years ago, I would get sick whenever I started working in a new environment...even in the same facility. Now, I do not get bothered as much...must have really developed some good defense having moved around. Seems, if I recall well enough, it would last 2-3 weeks. As long as I stayed there, or went to a previous area, I would be fine...go figure! You too will survive
What is the community like where you plan to work? For me, I switched from FNP to AGNP based on the demographics (statistics) of my area...OLD! This was reinforced while doing my clinical rotations...the youngest person I saw was 16 years old. 90% of my practice is Medicare. For me, AGNP was the best choice.
Think to what you have seen during your clinical rotations...anything you saw or found that you wondered why? I was dismayed over the quandry older patients had regarding what medications they could afford in the "stop gap" while still paying all their bills and what could I do as a provider to facilitate the best outcome.
As a practicing NP, there is no difference between a masters or doctoral prepared NP other than additional time and money for school. There is no difference in the scope of practice or monetary reimbursement. A doctoral prepared NP will have the prestige of having a doctoral degree, but in the end...means nothing right now. Will it in the future? Maybe...but then there is this wonderful thing called "grandfathering". If one is planning on possibly teaching, then the doctoral degree will be required if one teaches at the masters or doctoral level. Hope this helps.
Not only did I appreciate everything I learned from LPNs while a student nurse (many moons ago)...I learned even more as a "new nurse". LPNs are definitely nurses in my book!
Best of luck!
Why would your program NOT encourage cold calling? Sometimes that's the only option someone has. As suggested, talk to your personal provider and ask for recommendations. Another consideration is to talk to nurses throughout the facility and find out which doctors have "impressed" them. I remember having 1 provider in mind until I got to talk to various nurse and they told me to "run as far as I could" as they did not have good things to report.
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