Now I get why experience means everything yet nothing - page 4

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... Read More

  1. Visit  dirtyhippiegirl profile page
    0
    Quote from mindlor
    (they do very well bTW, with 6 figures to start being common, dependent upon geographic location.)
    You mean depending on whether or not they get a job?

    The new grad NP job situation is even worse here than it is for new grad RNs. Anecdotally, even worse for direct entry folks because they don't have the reference base that nurses who "put in their time" have. Although, let's face it, the mandatory bedside time is just nursing's desperate attempt to make the NP position look more than "I couldn't get into med school or didn't want to go med school but I still want to be a doctor."
  2. Visit  mindlor profile page
    2
    Quote from Guttercat
    I'm currently deciding between PA vs ANP route. I've been an RN for 19 years.

    It just torques me off that I spent all these years in the trenches... and for what?
    I will tell you for what.

    How many lives did you change? How many times were you there for people in their deepest darkest hour of need? Those 19 years were WELL SPENT.

    But, times, they are a changin
    alison1489 and Guttercat like this.
  3. Visit  mindlor profile page
    2
    Quote from dirtyhippiegirl
    You mean depending on whether or not they get a job?

    The new grad NP job situation is even worse here than it is for new grad RNs. Anecdotally, even worse for direct entry folks because they don't have the reference base that nurses who "put in their time" have. Although, let's face it, the mandatory bedside time is just nursing's desperate attempt to make the NP position look more than "I couldn't get into med school or didn't want to go med school but I still want to be a doctor."
    Can you please link your reference that cites the difficulty new grad NPs are having finding work?

    Thanks
    JMEMNRN and coast2coast like this.
  4. Visit  mindlor profile page
    0
    The biggest and probably most significant difference between an NP and a PA is that an NP can bill medicare directly. A PA cannot.
  5. Visit  mindlor profile page
    1
    Obamacare and its estimated effect on NPs and PA's

    Health Care Future Bright for Nurses, Stinks for Doctors - Forbes
    Guttercat likes this.
  6. Visit  Guttercat profile page
    4
    Quote from nursel56
    BCGradnurse -

    Back then it was the years of experience as a nurse that prepared one for a unique and expanded role as a practitioner. It has evolved since then but the name has stayed the same. What does the inclusion of the word mean to you if you've never worked as a nurse, though? I don't ask that out of hostility. I'm just curious.
    Yes.

    NP's are as busy overcoming the word "nurse" as PA's are busy overcoming the word "assistant."

    There's been a longtime, heated movement within the PA realm to change their title to "Physician Associate." MD's do not like it, as the term "Physician Associate" is too close to home, and thus it has been shot down.

    Nurse Practitioners have a similar battle in public consciousness...that of getting rid of the stigma of the word "nurse." In other words, "can I start your IV and fetch you some pillows while I perform a full-on, differential diagnosis? Oh and btw, you have a pheochromocytoma."
    BlueEyedGuy, mystory, nursel56, and 1 other like this.
  7. Visit  mindlor profile page
    0
    [QUOTE=Guttercat;6263902]Yes.

    NP's are as busy overcoming the word "nurse" as PA's are busy overcoming the word "assistant."

    There's been a longtime, heated movement within the PA realm to change their title to "Physician Associate." MD's do not like it, as the term "Physician Associate" is too close to home, and thus it has been shot down.

    Nurse Practitioners have a similar battle in public consciousness...that of getting rid of the stigma of the word "nurse." In other words, "can I start your IV and fetch you some pillows while I perform a full-on, differential diagnosis? Oh and btw, you have a pheochromocytoma."[/QUOTE

    Not sure this will ever change as becoming an RN is imperative to become an NP.......
  8. Visit  mindlor profile page
    0
    As for PA's

    They are assistants in every sense of the word.

    In fact, a PA cannot practice independent of a Physician.

    In many instances NP's practice independently.......
  9. Visit  Guttercat profile page
    0
    Quote from mindlor
    The biggest and probably most significant difference between an NP and a PA is that an NP can bill medicare directly. A PA cannot.
    That may change as the ACA plays out.

    That's my conundrum...deciding which route to take in light of rapidly changing definition and scope of practice..

    Nursing has the advantage in sheer numbers and lobby representation, but PA's have the (perceived) advantage in the medical model training.
  10. Visit  mindlor profile page
    1
    Quote from Guttercat
    That may change as the ACA plays out.

    That's my conundrum...deciding which route to take in light of rapidly changing definition and scope of practice..

    Nursing has the advantage in sheer numbers and lobby representation, but PA's have the (perceived) advantage in the medical model training.
    It will come down to personal preference for you. Do you prefer the nursing model or the medical model.

    To further complicate things, I am hearing rumblings that NANDA and nursing diagnoses may be going away relatively soon as studies have shown that this terminology confuses patients and causes issues with the delivery of care. The suggestion was that everyone get on the same page in regard to terminology.....we shall see.
    %63theend likes this.
  11. Visit  Guttercat profile page
    0
    Quote from mindlor
    I will tell you for what.

    How many lives did you change? How many times were you there for people in their deepest darkest hour of need? Those 19 years were WELL SPENT.

    But, times, they are a changin
    Thank you for that. I needed to hear it.
  12. Visit  mindlor profile page
    1
    Quote from Guttercat
    Thank you for that. I needed to hear it.
    Well tis true. People such as yourself prompted me to want to become a nurse. I will never forget the kindness and compassion shown to me by nurses when I was sick.

    I prefer the nursing model. I find the medical model to be a bit dehumanized. However, I hear this is changing and that med schools are placing much more focus on treating patients as humans and are working hard to improve bedside manner etc.....

    The answer probably, like all things lies somewhere in the middle.
    Guttercat likes this.
  13. Visit  JeanettePNP profile page
    3
    Quote from mindlor
    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
    Yes, time and money lost for THEM. <snort>

    I don't trust a word that comes out of any school administrator on the nursing shortage, on career opportunities for nurses, and how much bedside experience you need to become an NP.
    Purple_Scrubs, SHGR, and Guttercat like this.

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