Now I get why experience means everything yet nothing

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Now I finally get why nursing experience can prove invaluable in NP school, yet actually means nothing. It appears that nursing experience gives a valuable base from which to relate but does absolutely nothing for helping one think through a disease process as a provider. I may be simply stating the obvious, but I am amazed at how different the two roles are. I am be no means an old pro, but some conditions I can take care of in my sleep - as a nurse. As a potential provider though, even a simple cold is not so simple. It is amazing how a myriad of disease processes and conditions can present with mostly the same symptoms, only differentiated by some seemingly obscure item in their history. I can see how some are making a mistake in pursuing a NP degree though. Listening to them, what they really want is to further their bedside nursing career. A degree as a NP CHANGES your career, not furthers it. The confusion manifests itself in the struggle to move away from the bedside nursing thinking process, to that of a provider. We all have that struggle, but some seem to not realize that their struggle is not with the material, but the role itself. All that being said, I love NP school. I can see one why, generally, a couple of year's experience nursing is good but also why decades of experience is not necessary. It truly does come down to the individual.

NPs and PAs are both healthcare providers that can assess, diagnose, and treat health conditions (including prescribing). How much physician supervision they need varies. PAs must always be supervised. For NPs it depends on the state they're practicing in. An NP must be a RN. A PA can come from any background, although many have a lot of healthcare experience.

Instead she discovered the fast-track, easy, anyone-can-do-it method--Physician Assistant school! Two years later, she's qualified (on paper, anyway) to order tests, diagnose medical conditions, and prescribe medications! And to think, just two short years ago, she was pirouetting in her tutu!

I don't think PA school is very easy as it's full time difficult program.

If you want to make the best of your RN experience prior to going to NP school please review my post (online degrees...) about what I did to make the most of my experience. In contrast others had years of experience and didn't learn a thing after graduating...at least to hear them talk.

Myelin, are you doing a Psych NP? I was somewhat interested in that path, but decided I'd like the variety seeing conditions from

allergies to warts!

Well with PMHNP route you'll see allergies and warts as well as psych patients! What did I treat today on the psych unit...COPD, diarrhea, GERD, HIV, Hep B, Hep C, s/p shoulder dislocation, dry eyes, dry lips, chapped hands and feet. I think that was all.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

I remember around 7 years ago the PA-C we were seeing told me there were programs that did not require a bachelor's degree but I think they've tightened that up quite a bit.

I'm not aware of NP programs that require no time as a floor nurse (iow they require 1-2 years on a critical care unit). I'm really crusty on that point. If you've never been a nurse you're not a Nurse Practitioner. Call it something else. You can't always make a nice, neat bullet point list of why it matters or makes a difference between you and other mid-level providers, but it does. It's the gestalt of the thing. (that's my homage to Jean Watson :))

Specializes in allergy and asthma, urgent care.
It also reinforces (for me, anyway) that NPs do have valuable experience that sets them apart from PAs. My classic example is a PA I know who majored in dance as an undergrad. She spent a few years trying to land paid dancing jobs, but realized that at her ripe old age of 28 she wasn't getting much work. So, she explored the possibilities for grad schools and employment possibilities outside standing on her toes, spinning and leaping. She decided that she'd be employable and make a great salary as an NP--but gee... that would mean she'd have to go to nursing school, pass the NCLEX, work for a few years to gain experience, apply to NP school, then spend 2 or 3 more years before she could actually be an NP. Instead she discovered the fast-track, easy, anyone-can-do-it method--Physician Assistant school! Two years later, she's qualified (on paper, anyway) to order tests, diagnose medical conditions, and prescribe medications! And to think, just two short years ago, she was pirouetting in her tutu!

patti-With all due respect, you may want to do a little more research on what it takes to be a PA or NP. PA school is not easy, not fast-track, and not anyone can do it. I don't think it's helpful to try to defend NPs by saying derogatory things about other health care providers, especially those who are in many ways similar to NPs. It's small minded and disrespectful. I think energy is better spent supporting colleagues on a health care team, not creating rifts.

Specializes in allergy and asthma, urgent care.
I remember around 7 years ago the PA-C we were seeing told me there were programs that did not require a bachelor's degree but I think they've tightened that up quite a bit.

I'm not aware of NP programs that require no time as a floor nurse (iow they require 1-2 years on a critical care unit). I'm really crusty on that point. If you've never been a nurse you're not a Nurse Practitioner. Call it something else. You can't always make a nice, neat bullet point list of why it matters or makes a difference between you and other mid-level providers, but it does. It's the gestalt of the thing. (that's my homage to Jean Watson :))

I have my RN, my MSN, and I'm certified as an FNP, and have been working as one for several years now. I have never worked as a floor nurse....so I'm not a Nurse Practitioner??? What would you like to call me???

Lots of ignorance flying around.......lots of jealousy.....

Someone please tell me whhat slinging zpack at walgreens has to do with bedside nursing?

Let me tell you. Diddly squat.

I had a lengthy conversation with the dean of the FNP program at Columbia University. Her opinion is that every day working at the bedside is time and money lost......

Just sayin

To Nurse56,

Little schools such as Vanderbilt, Columbia University, Yale, Duke, Case Western, Johns Hopkins and many many more have direct entry or RN-MSN programs that require zero bedside nursing experience....

Your beef should be with the NLNAC that sanctions these programs.

Specializes in nursing education.

Mindlor, I gather that you have not graduated from nursing school yet, and you already seem so angry.

Just sayin

Chica...

You dont know me do you? I was in the direct entry program at Columbia University.

I had to withdraw secondary to cancer. I know what I am talking about.

I will be taking NCLEX RN in a few weeks and then reapplying to RN-MSN programs to pick up where I left off. I am angry but only because ignorant people tend to pop off without knowing what in the h e double hockysticks they are talking about....

As I said previously, the nurse leaders, those who sit in the ivory tower and write those little ANA books, those who man the NLN, this thing was their idea, not mine.....

Use google, call the FNP dean at Columbia, if she has a few minutes she will enlighten you.....

Here, I did the work for you.

Call her.

Faculty Profile: Elizabeth K Hall, DNP, MSN, FNP-BC, GNP-BC

Now I finally get why nursing experience can prove invaluable in NP school, yet actually means nothing. It appears that nursing experience gives a valuable base from which to relate but does absolutely nothing for helping one think through a disease process as a provider. I may be simply stating the obvious, but I am amazed at how different the two roles are. I am be no means an old pro, but some conditions I can take care of in my sleep - as a nurse. As a potential provider though, even a simple cold is not so simple. It is amazing how a myriad of disease processes and conditions can present with mostly the same symptoms, only differentiated by some seemingly obscure item in their history. I can see how some are making a mistake in pursuing a NP degree though. Listening to them, what they really want is to further their bedside nursing career. A degree as a NP CHANGES your career, not furthers it. The confusion manifests itself in the struggle to move away from the bedside nursing thinking process, to that of a provider. We all have that struggle, but some seem to not realize that their struggle is not with the material, but the role itself. All that being said, I love NP school. I can see one why, generally, a couple of year's experience nursing is good but also why decades of experience is not necessary. It truly does come down to the individual.

This is a great post. Thanks for the eloquent perspective.

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