Content That bebbercorn Likes

bebbercorn, BSN 9,467 Views

"Raise your words, not voice. It is rain that grows flowers, not thunder." ― Rumi

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  • Jul 20

    I'm in nephrology in the midwest and am fried.

    I loved being an ED RN.

  • May 24
  • May 20

    Hello,

    I am unsure if I can place links here but on amazon, take a look at this book: Housecalls 101: The Only Book You Will Ever Need To Start Your Housecall Practice by Dr. Scharmaine L. Baker. If you have any questions @rn_solutions on Twitter or IG

  • May 20

    Quote from bebbercorn
    Any nurses or NPs working in a mobile clinic setting? I know that starting a business definitely have lost revenue, but I'm trying to estimate how many patients one would see in a large city in a day? Is 8 a fair estimate... (for a newbie) And do you travel to them or do they come to a site? Thanks for the input.
    bebbercorn,

    I don't have experience with this, but I bet your mobile unit will do well. I have heard that rural areas do very well due to lack of access, fewer care providers in town etc... Food for thought as you grow your business. Good luck!

  • Apr 18

    I attended Loyola University New Orleans. Most of it was online but we had dates to be on campus every year. I even completed some of my clinical hours in Louisiana. Every semester a faculty member visited each student on the clinical site and evaluated us. I feel that I had the best of both worlds. Honestly, no education can fully prepare you to transition from RN to NP. There is a learning curve and you feel like you are doggie paddling for the first year I am told. I am four months into my first job as an NP. I am constantly learning and asking questions. Best advice is to KNOW what you DO NOT KNOW. New providers that don't ask questions or look anything up are scary.

  • Mar 21

    The nurse should have addressed this with you while you were giving report, they were way out of line to call you after report and clocked out. I would have been livid to receive a call like that, that late a night and would have told the nurse that she has wasted her time calling me and that her questions needs to be taken up with the md as to why the patient wasn't started on heparin if she's that concerned about it.

  • Feb 15

    What the heck are FNPs doing? We are filling a primary care shortage. that's what we are doing which is a VERY IMPORTANT JOB. I personally don't think that everything is about money. I have worked at a job where I made 170k, rural, not happy. I now have a job that is 70k less than that job and its rural and I am quite content and happy with it because of the working environment. I work with people who went to prestigious /ivy league schools who could've gone to any working place that pays a heck of a lot more and pay their loans as well but they choose to work in rural under-served areas.

  • Jan 8

    I'm the OP! I apologize for being MIA but actually had to have an total hysterectomy due to severe endometriosis and fibroids and all sorts of fabulous things happening. And during all of this have met a wonderful fellow poster on allnurses who put in a good word for me. Long story short, I received a phone call the day after surgery with a wonderful job offer!!!! I'm thrilled beyond belief!! Still doing wellness home assessments but full time with a great salary and actual benefits!! Starting training at the end of the month which coincides perfectly with my recovery start date. And is all in my county and two surrounding counties!!! Yay!!!!!! Thank you to everyone for your encouraging words and advice and especially to the wonderful NP who reached out to me and put in a good word for me out of the kindness of her heart. Thank you!!!

  • Jan 8

    I would not reveal. No ones business,

    unkess you private message and feel 100% comfortable doing so.

  • Dec 30 '16

    Quote from AndersRN
    On the contrary, I believe FL is the best place for APN to work. The original intent of APN was to be physicians extender. APN training is inadequate; therefore, close supervision is needed as way to prevent them from harming patients... That supposedly 'supervision' is still very lax in FL.
    Without knowing the extent of education and licensure, how can you make this blanket statement? Nurse practitioners have consistently been found to provide AS EQUAL care as any primary care practitioner. The role of the nurse practitioner is NOT to be a "physician extender", but to provide a service need as a primary care practitioner in the field. The fact the nurse practitioners are now focusing on acute care areas is a testament to the growing need and effectiveness nurse practitioners are providing. Twenty-two states and the District of Columbia offer full autonomy to nurse practitioners so your blanket statement is an affront to nurse practitioners, shows your lack of knowledge, and unfortunately shows how nurses do not understand the role of the nurse practitioner. Are there poor performing nurse practitioners? Sure...but what about "bad doctors".

  • Dec 30 '16

    Quote from AndersRN
    On the contrary, I believe FL is the best place for APN to work. The original intent of APN was to be physicians extender. APN training is inadequate; therefore, close supervision is needed as way to prevent them from harming patients... That supposedly 'supervision' is still very lax in FL.
    Um, no.

    I live in a state with 100% independence for NPs (WA) and is considered, along with Oregon, one of the best places to practice.

    I don't hear of any massive malpractice suits or any news reports of renegade and poorly trained NPs harming patients. My hospital frequently uses NP/CRNAs and the physician-led groups are clamoring for more to help in specialty and hospitalist groups.

    The SDN dogma and rhetoric is going to your head. SDN isn't real life.

  • Dec 29 '16

    Quote from Davey Do
    Pardon my ignorance. I don't understand "undocumented patients".
    A patient whose nurse skimped on the paper work perhaps?

  • Dec 19 '16

    Obviously Russian hackers trying to undermine AN...

  • Dec 19 '16

    I don't understand your issue with this? People are still doing the work, studying and taking the tests. Can you clarify why you think this is worthy of an email to the teacher?

  • Dec 19 '16

    I'm an FNP and I want to share some advice that I assumed was obvious, but apparently is not. I started precepting students this fall and i had four over the semester. Two were rock stars - one is just graduating and I recommended her for a job with my practice and she was hired, the other is graduating in May and I told her that I would love to recommend her for a job as well.

    Student 3 was very good, and I would have been happy to recommend him as well, until his last day. I see patients in nursing homes and assisted livings and go to several facilities each day. On his last day, we made the morning rounds, and then I told him to meet me at the last place after lunch. About a half hour later, he texted me and asked if he could skip the afternoon since it was going to be a light load, and he had a lot of studying he wanted to get done.

    You do not ask a preceptor if you can leave early or skip a day etc. unless it is for something urgent (a sick child or such). Right there my opinion of him changed and I wouldn't recommend him for a job now.

    Then there was student 4. She's been a psych NP for five years and is getting her FNP certificate, so you'd think she'd understand the basics of professionalism. First, she was late every day except one, often over 30 minutes. She had a long commute, so I even told her to meet me at my second stop instead of my first (about 45 minutes later) to make it easier for her. She was still always late, and usually never notified me at all.

    Then on her last day, she went to the skilled unit at the facility, even though we always started on the assisted living side, and saw a patient without me even knowing she was on-site. It was a new admission who I had never seen, which makes it even worse. She finally came over to find me an hour and 15 minutes after her scheduled start time. She did not contact me at all to tell me she would be late or that she was at the skilled unit. This was so far out of line. I was tempted to fail her for the rotation, but I'm probably too nice and passed her with a poor evaluation.

    My points are:

    1. Your preceptors are doing you a favor. They usually do not get paid for this. You need to respect their time.

    2. Show up on time. And that means early. Allow time for traffic. Think about how you feel sitting in the waiting room when your provider is running late. It sucks. So be on time.

    3. Do not go off on your own unless your preceptor tells you to. It is completely unprofessional to see patients without permission from your preceptor.

    4. Treat every rotation as an extended job interview. At a minimum, you want your preceptors to be willing to provide references for you, and you might find it's a place that you would like to work. If you leave a bad impression, you will definitely lose your chance of working there, and will likely lose your reference as well.

    5. When a preceptor has a bad experience with a student, they are less likely to take students in the future. I know how hard it is to find preceptors, and if providers stop offering because they have bad experiences, it makes it harder for everyone.

    I'm not going to stop precepting (although now I definitely understand why providers do stop), because I had some great preceptors who really went out of their way to help me, so I'm going to keep paying it forward. But I'm really frustrated right now.

    Please, I ask everyone to be professional on their rotations - show up on time, follow professional standards and norms, work hard, and generally act like you want to be there.


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